HomeMy WebLinkAbout11-13-12NOTICE OF INHERITANCE TAX ~ pennsyLvania
~~ni~~`-~`~'F~AP .. NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TA L~~, i '.-, DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION fa^r^., -*-• QFe'~ 1CTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~~`?;.; ~,,; ~ ,,,, ,, ' 4,1 REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601
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LISA MAR I E CCIdC~~'vD CJ., P~4
3901 MARKET ST
CAMP HILL PA 17011-4227
DATE 11-05-2012
ESTATE OF HOLLAND EDNA M
DATE OF DEATH 05-08-2012
FILE NUMBER 21 12-0614
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 E-- _
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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: HOLLAND EDNA MFILE N0.:21 12-0614 ACN: 101 DATE: ~~-n~-~nl~
TAX RETURN WAS: (X) ACCEPTED AS FILED C ] CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 00
2.
Stocks and Bonds (Schedule B)
(2) .
.00 NOTE: To ensure proper
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)
C4]
.0 0 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(5)
21,4 68.6 9 tax payment.
6. Jointly Owned Property (Schedule F] (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets
APPROV
ED DEDUCTIONS AND EXEMPTIONS: C8) .468.69
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 18,4 20.8 4
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)-- 134.0 0
11. Total Deductions C11] 18,554.84
12. Net Value of Tax Return 2
913
85
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) .
,
00
14. Net Value of Estate Subject to Tax (13] .
C14) 2,913.85
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 00 - ,0 0
16. Amount of Line 14 taxable at lineal rate (16) 9 - 91 3 . R~ X 045 = 131.12
17. Amount of Line 14 at sibling rate (17) _ 00 )C 12 =
18 . 00
. Amount of Line 14 taxable at collateral rate (18) 0 0 X 15 =
19. Principal Tax: Due . .00
TAX CREDITS: (19]= 131.12
PAYMENT RECEIPT DISCOUNT C+)
DATE
08-01-2012 NUMBER
CD016338 INTEREST/PEN PAID C-)
6.56 AMOUNT PAID
124.56
TOTAL TAX PAYMENT 131.12
BALANCE OF 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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.