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HomeMy WebLinkAbout09-04-12BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX AF~~t%~-~~a~M~N`~.~:~~/~L~'~IWANCE OR DISALLOWANCE p,Fr'DEI~rHH(~T~I:OM~ ND ASSESSMENT OF TAX i € ~ w -. ~ ~~ rfk ~~ ~ u V ~f I~~~~.~ ~; ~ ~~ ~ G ' ; }.:t t _ J .,i ~,~ JAMES W KOLLAS ~~i~~r~`~~~-~~~~ CC,~, ~~ 1104 FERNWOOD AVE CAMP HILL PA 17011-6912 C1) 156, 000.00 C2) .00 C3) .00 C4) .00 C5) 150.00 C6) 42, 647.59 c7) .00 CUT ALONG THIS LINE ---~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWAP~CE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: PROWELL ESTHER EFILE N0.:21 11-1053 ACN: 101 DATE: OS-27-2012 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 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) Pennsylvania ~ 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. cs) 198 , 797 .59 Cq) 24,511.00 Clo) 1 , 985.00 11. Total Deductions C11) 26,496.00 12. Net Value of Tax Return C12) 172, 301.59 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0 14 Net Value of Estate Subject to Tax C14) 172, 301.59 . 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 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/Class A rate C16) 1 7 O1 . ~i9 x 045 = 7, 753.57 17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 = .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0 19. Principal Tax Due C19)= 7, 753.57 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 05-16-2012 CD015977 .00 7,753.57 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX PAYMENT 7,753.57 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 FDRM FOR INSTRUCTIONS. V DATE 08-27-2012 ESTATE OF PROWELL ESTHER E DATE OF DEATH 09-10-2011 FILE NUMBER 21 11-1053 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