HomeMy WebLinkAbout09-04-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2806D1
HARRISBURG PA 17128-0601
JOHN KEEN
100 FURMAN RD
DILLSBURG
NOTICE OF INHERITANCE TAX
R~IS'EMEt~f-T~;i-~-LOWANCE OR DISALLOWANCE
-~,. ~F 1~ED~C7 . ~ AND ASSESSMENT OF TAX
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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: KEEN WILLAIM JFILE N0.:21 11-1259 ACN: lnl DATE: nR-~~-~ni~
TAX RETURN WAS: CX) 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 (12-11)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C8) 21 , 368.16
c9) 16,558.00
clo) 78,369.87
11. Total Deductions C11) 94,927.87
12. Net Value of Tax Return (12] 73, 559 . 71 -
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 73, 559 . 71 -
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) .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.
C1) .00
c2) .00
C3) .00
C4) .00
c5) 21 , 368.16
C6) .00
~7) .00
~`~-" ~''=~ ~', F~ ~ DATE 08-27-2012
ESTATE OF KEEN WILLAIM J
DATE OF DEATH 11-19-2011
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~ FILE NUMBER 21 11 - 1259
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APPEAL .DATE: 10-26-2012
P A 17 019 - 9 6 8 9 ( 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. ~ \