HomeMy WebLinkAbout11-13-12NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TARE APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~n~'~'~~i 01~~TIONS AND ASSESSMENT DF TAX
PO BOX 280601 •~~~v'' ~"` "- J~'~~VL. ~
HARRISBURG PA 17128-0601 ~~~ ~ ~ ~'~~ ~ C
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CHARLES E SHI L~~~ 4 4.~.~i.1~T
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MECHANICSBURG PA 17055-9751
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DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
DATE 11-05-2012
ESTATE OF LEIB WILLIAM E
DATE OF DEATH 11-29-2011
FILE NUMBER 21 11-1361
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-04-2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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: LEIB WILLIAM EFILE N0.:21 11-1361 ACN: ln) nerF, „_n~_~n,~
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 2,27 3,8 ( credit to your account.
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
0 0 of this form with your
C4) . tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 19.0 0
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) 19,500.00
8. Total Assets
(8) _ _ 21.792.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 2 4.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)- .00
11. Total Deductions (il) 224.50
12. Net Value of Tax Return 21
568
36
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) ,
.
0 0
14. Net Value of Estate Subject to Tax C13) .
(14) 21,568.36
NOTE: If an assessment 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 C15) 21,568.36 X 00 - .00
16. Amount of Line 14 taxable at lineal rate C16) nn X 04 5 = .0 0
17. Amount of Line 14 at sibling rate C17) -nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due
TAX CREDITS: (19)= .0 0
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE DF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.