HomeMy WebLinkAbout09-04-12N,QI. C OF INHERITANCE TAX
"`(~AP'PRA_IS.~M' T~,,. ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION '-~ f 1r QiF•`~ ~~D'l~, T ONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ "` "'~ ~"'"`
HARRISBURG PA 17128-0601
STEPHEN SEYMORE S~~..~~'~'~i~..l-'LI ~'~~" ~~''
908 ALLENVIEW DR
MECHANICSBURG PA 17055-8604
cl) .00
c2) 113, 806.93
c3) .00
c4) .00
C5? 25, 826.30
c6) .00
c7) .00
CUT ALONG THIS LINE -~ RETAIN LOWER PORTION 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: SEYMORE SR CHARLES BFILE N0.:21 11-1072 ACN: 101 DATE: 08-27-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) 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 (12-11)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 139 , 633.23
~9) 17 , 311.57
clo) 6, 632.07
11. Total Deductions (11) 23, 943.64
12. Net Value of Tax Return (12) 115, 689.59
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 115,689.59
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 (15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 1 , 689 . S9 x 045 = 5, 206.57
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 (18) .0 0 X 15 = .0 0
19. Principal Tax Due (19)= 5, 206.57
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
07-09-2012 CD016232 .00 5,206.57
08-20-2012 SBADJUST .00 .85
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE 08-27-2012
ESTATE OF SEYMORE SR CHARLES B
DATE OF DEATH 10-07-2011
FILE NUMBER 21 11-1072
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 5,206.57
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE `,~
A REFUND. SEE REVERSE SIDE OF THIS FORM FORA REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. (\\