HomeMy WebLinkAbout11-05-12rr , ,•~ ,~.r.r'fn ~T ICE OF INHERITANCE TAX
~, (,'~F`~'=°APl~iF/4~HNENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL raxES^~•~,-::; --, -~ ,`O~`,".~1~~UCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ~,`~a,~J' ~ ! .. ..wJ
PO BOX 280601
HARRISBURG PA 17126-0601
t'~2 i~'~ -5 ~~7 2~ 25
((;;~~Q~~l~y~~1' ':~'~J~ sr
TAYLOR P ANDREWS~~SQ~'~ C~" PA
78 W POMFRET ST
CARLISLE PA 17013-3216
c2) .00
c3) .00
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c5) 18,276.00
c6) .00
CUT ALONG THIS LINE -~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COHICK KEVIN LFILE N0.:21 11-1233 ACN: 101 DATE: 10-29-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(7)
~ Pennsylvania
DEPARTMENT OF REVENUE
REY-1547 EX AFP (09-12)
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 18 > 276.00
fig) 12.785.44
clo) 25,099.30
11. Total Deductions (11) 37,884.74
12. Net Value of Taz Return (12) 19,608.74-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 19,608.74-
NOTE: If an assess~ent was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) •00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -n~ x 045 = .00
17. Amount of Line 14 at sibling rate C17) -00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
DATE 10-29-2012
ESTATE OF COHICK KEVIN L
DATE OF DEATH 10-28-2011
FILE NUMBER 21 11-1233
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-28-2012
(See reverse side under Objections
A~ount Resitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .Op
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE ~~
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. `J`am