HomeMy WebLinkAbout09-04-12art-`,'';'_., ~ ~~ ~UT~,I ~~` OF INHERITANCE TAX pennsylvania ~ ~
e~P~'RSAT~'EN~~E'NT~r ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~r r~ ~ .., DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~ ~~, '~Q~`' .D~AI~~~~ONS AND ASSESSMENT OF TAX -
REV-1547 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
,} ry
Lt #Y,s~ 1'' w'=~ DATE 08-27-2012
ESTATE OF FEALTMAN GUERN W
__.~~. DATE OF DEATH 09-24-2011
~k`~~} (0. ~~`~ ' , ~ FILE NUMBER 21 11 - 1020
C~J~v'1~~~-cL~~~~i~ ~;~., ~~, COUNTY CUMBERLAND
SHELLY J KUNKEL ACN 101
109 LOCUST ST APPEAL DATE: 10-26-2012
H A R R I S B U R G P A 17101 - 14 0 9 (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 ---- --~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E- _ ___
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FEALTMAN GUERN WFILE N0.:21 11-1020 ACN: 101 DATE: 08-27-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1} 126, 900.00 NOTE• To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 Q credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4} .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 11,468.31
6. Jointly Owned Property (Schedule F) ~6} .0 0
7. Transfers (Schedule G) ~7} .0 0
8. Total Assets (8) 138 , 368.31
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~9} 3 2.8 2 6.8 8
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ 127,737.35
11. Total Deductions C11} 160,564.23
12. Net Value of Tax Return X12} 22, 195. 92-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 22, 195. 92-
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .0 0 x 0 4 5 = .0 0
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .0 0
19. Principal Tax Due C19}= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID t-)
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 IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.