HomeMy WebLinkAbout09-04-12NOTICE OF
BUREAU OF INDIVIDU
PQ~-ALSEME T INHERITANCE TAX pennsylvania ~
AL TAXES
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ar M. LOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~
DEPARTMENT
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PO BOX 280601
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ND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601 1 -i;`' ; `.
~''k ~ ~ REV-1547 EX AFP (12-11)
,'~~ ~w=~ _ p, DATE 08-27-2012
ESTATE OF ORNER ELAINE M
DATE OF DEATH 12-18-2011
- - FILE NUMBER 21 12-0098
"' '"~'~d ~% ~s~-%~~~': ~
MICHAEL L BANGS C~~4~?~= ~~~,~~ ~Q P~ COUNTY CUMBERLAND
429 S 18TH ST ACN
101
CAMP HILL
P A 17 011 - 5 9 0 2 APPEAL DATE: 10-26-2012
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTE
R OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -- -~ --RETAIN LOWER__P_O_R_T__IO_N__F_O_R YOUR RECORDS F-
REV-1547 EX AFP C12-11~
NOTICE OF INHERIT
DISALLOWANCE OF DEDUCT ---------------------------- ___
CE OR ---
IONS
R
A
O
ESTATE OF: ORNER AND
ASSESSMENT
OF
TAX
ELAINE MFILE NO .:
21 12-0098 ACN: 101 DATE
: pa-27-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL C ) CHANGED
RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C1) .0 0 NOTE: To ensure
proper
3. Closely Held Stock/Partnership Interest (Schedul C2) •~ ~ credit to your account,
e
4. Mortgages/Notes Receivable (Schedule D) C)
C3) •~ ~ submit the upper portion
of this form with
C4) • 00 Your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Sched
l
6. Jointly Owned Property (Schedule F) u
e E) (5) 2 7 9 3 $,7 0
~
7. Transfers (Schedule G) (6) .0 0
8. Total Assets c7) .00
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 27,938 70
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I) _
C9) ~ ' 79 $
clo) 36,626.43
11. Total Deductions
12. Net Value of Tax Return C11) 49,846.01
(12) 21,9 0 7.31-
13. Charitable/Governmental Bequests; Non-elected 9113 Tru
t
14. Net Value of Estate Subject to Tax s
s (Schedule J)
(13) •0 0
NOTE: If an assessment was issued previously c14) 21,907.31-
1
,
reflect figures that include the total 17~ 18 and 19 will
of
ALL
,
ASSESSMENT OF TAX: returns asses ed
t
o date.
15: Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate C15) ~ ~ X 0 0 = .0 0
17. Amount of Line 14 at Sibling rate C16) 0 ~ x 0 4 5 = .0 0
c17)_ nn x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
19. Principal Tax Due • ~~ x 15 = . 00
TAX CREDITS: C19)= .00
PAYMENT RECEIPT
DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~ V~
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