HomeMy WebLinkAbout11-13-12NOTICE OF INHERITANCE TAX ~ pennsylvania
BUREAU OF INDIVIDUAL Tax.C(?~''~~P'P~~~NT, ALLOWANCE OR DISALLOWANCE
V+ ~-: _.~ ~DF` TIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
PO BOX 280601 RC ;°~~~' (`; _ e ~~~ ; C REV-1547 IX AFP C09-12)
HARRISBURG PA 17128-0601 '~~~~'-~'`~ '-~ ~ ~~ ' ~ --~-'J
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DAVID P PERK~~~~~~~~ ~O ~~
4 JAMES CIR
SHIPPENSBURG PA 17257-2165
DATE 11-05-2012
ESTATE OF LIKE VIOLET I
DATE OF DEATH 10-25-2011
FILE NUMBER 21 12-0831
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 ~ _
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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: LIKE VIOLET IFILE N0.:21 12-0831 ACN: 101 DATE: ~~-n~-~ni~
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 0 0
2.
Stocks and Bands (Schedule B)
C2) .
,0 0 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C] (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
~4)
.0 0 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
C5)
4,75 3.4 7 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) _ 4,7 47
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ (9) 1.74 9. 4
10. Debts/Mortgage Liabilities/Liens (Schedule I] C10)__ 274.4 9
11. Total Deductions
(11) 2,023.73
12. Net Value of Tax Return 2
729
74
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) ,
.
00
14.
Net Value of Estate Subject to Tax C13) .
(14) 2 72 9.74
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at lineal rate C16) 7. 779 7G X 045 = 122.84
17. Amount of Line 14 at sibling rate C17) 00 X 12 =
18
A .0 0
.
mount of Line 14 taxable at collateral rate (18) 00 X 15 =
19. Principal Tax Due . .0 D
TAX CREDITS: (19?= 122.84
PAYMENT RECEIPT D
ISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-31-2012 CD016336 .00 122.84
10-29-2012 SBADJUST .00 .06
TOTAL TAX PAYMENT 122.84
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.