HomeMy WebLinkAbout09-04-12~~r'rr,r ~,- ~,~~--lr~'~0 LICE OF INHERITANCE TAX
'-~~ A~`l~~~t.i~~6.k~' T, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION }-~~"' ~ 0~- T~1~Ib~'CTIONS AND ASSESSMENT OF TAX
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PO BOX 280601
HARRISBURG PA 17128-0601
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WM LAPITSKY ~'~Ji~`iu~y'L.'i~~~` ~~', PA
3806 HEARTHSTONE RD
CAMP HILL PA 17011-1425
cl) .00
C2) .00
C3) .00
C4) .00
~5? 140,000.00
C6) .00
C7) .00
CUT ALONG THIS-LINE----_ ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _ ___________
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LAPITSKY JACQUELIN MFILE NO.:?1 >>-nni4 ACN: ini nerF. nsz_~~_~ni~
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
pennsy van~a ~ _
DEPARTMENT OF REVENUE
_.. _.
REV-1547 EX AFP C12-11)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 140 , 000.00
c9) .00
clo) .00
11. Total Deductions C11) .0 0
12. Net Value of Tax Return C12) 140, 000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 92,535.11
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to d ate.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 140, 000.00 X 00 = . 00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE 08-27-2012
ESTATE OF LAPITSKY JACQUELIN M
DATE OF DEATH 12-30-2010
FILE NUMBER 21 11-0014
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-26-2012
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE ~'~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.