HomeMy WebLinkAbout11-13-12NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ~k~C ~~";~--I~I ~~~ArRkl~/~(SEMENT, ALLOWANCE OR DISALLOWANCE
~.-~• !~~ •~- ~•~ ~ 'b t~EDUCTI ONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ,~r,..~,,.,_..., rr;{
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HARRISBURG PA 17128-0601 ~ ~7 ~ ,`' ~ "`~J
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
DATE 11-05-2012
ESTATE OF RAKOCY JOHN J
DATE OF DEATH 07-11-2011
FILE NUMBER 21 11-0823
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-04-2013
(See reverse side under Objections)
Awount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ------~ RETAIN LOWER PORTION FOR YOUR
-------------------- -------------- RECORDS f-
REV-15 --------------------------------
47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RAKOCY JOHN JFILE N0.:21 11-0823 ACN: 101 DATE: 11-05-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) I1) 16,29.3.16 NOTE: To ensu
2.
Stocks and Bonds (Schedule B) (2)
,OQ re proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D) ~4)
.0 0 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,50 0.00
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets
c8) 18 , 79 . 16
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 17. 4.4
10. Debts/Mortgage Liabilities/Liens (Schedule I] C10)_ 9,617.41_
11. Total Deductions (11) 26,951.86
12. Net Value of Tax Return (12) 8, 158.70-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 0 0
14. Net Value of Estate Subject to Tax C13) .
8 158
X14) .70-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflec t 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 0 0 - ,00
16. Amount of Line 14 taxable at lineal rate C16] -~~ X 04 5 = .0 0
17. Amount of Line 14 at sibling rate (17) ~ ~ X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate (18) .0 0 X 15 = .0 D
19. Principal Tax Due (19?=
TAX CREDITS: .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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