HomeMy WebLinkAbout11-13-12NOTICE OF INHERITANCE TAX
~~~~1~~`~~,,~~FIENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL r ~~ i__'_. `~`0 ~D UCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION ~..~,~,~.--,-r. ,- ~~~~
PO BOX 280601 ~ i~!`)'~ ; "' ~, .._.~ J
HARRISBURG PA 17128-0601
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ROBYN L CAR~~(f1'~f I,~J f;(~ ~,~
245 WINDING WAY
CAMP HILL PA 17011-8462
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C09-12)
DATE 11-05-2012
ESTATE OF FLACCUS ROBERT W
DATE OF DEATH 01-23-2012
FILE NUMBER 21 12-0183
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-04-2013
(See reverse side under Objections)
Amount Remitted
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--
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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: FLACCUS ROBERT WFILE N0.:21 12-0183 ACN: 101 DATE: 11-nF:-~nl~
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 79, 084.03 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
00 of this form with your
C4) . tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 7,5 76.18
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) C7) 330,810.34
8. Total Assets
(8) 417 , 470
APPROV
ED DEDUCTIONS AND EXEMPTIONS: .
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) 7. 0.06
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)-- 2.352.87
11. Total Deductions C11) 9,482.93
12. Net Value of Tax Return 407
987
62
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) ,
.
0 0
14. Net Value of Estate Subject to Tax C13) .
(14) 407,987.62
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 (15) .0 0 X 0 0 - .0 0
16. Amount of Line 14 taxable at lineal rate (16) 4n7. 9R7 A7 X 045 = 18,359.44
17. Amount of Line 14 at sibling rate C17) nn X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .0 0
19. Principal Tax Due
TAX CREDITS: C19)= 18,359.44
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
04-03-2012 CD015796 917.89 17
44D
00
08-10-2012 CD016376 00 .
,
. 47.44
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 18,405.33
BALANCE OF TAX DUE 45.89CR
INTEREST AND PEN. .00
TOTAL DUE 45.89CR
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.