HomeMy WebLinkAbout11-30-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JOHN GEORGE JR
141 IMPERIAL DR
GAHANNA
NOTICE OF INHERITANCE TAX ~ pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
RECORDED OPFlCE OF
REGISTER OF' WILLS
~L1~ NDIJ 30 fl~ 11 `~0
GLERK 0~'
oH06~~'4~aOURT
GU!MflERLAND GO., PA
DATE 12-03-2012
ESTATE OF GEORGE MILDRED G
DATE OF DEATH 08-16-2011
FILE NUMBER 21 11-1011
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-01-2013
(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 f-- _
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GEORGE MILDRED_ GFILE N0.:21 11-1011 ACN: 101 DATE: »-nz_~n»
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)
(1) .0 0 NOTE: To ensure proper
C2) .0 0 credit to your account,
C3) .00 submit the upper portion
DO of this form with your
C4) • tax payment.
c5) . 00
c6) .00
c7) .00
C8) .00
C9) 9,000.00
Cio) . DO
11. Total Deductions C11) 9, 000.00
12. Net Value of Tax Return 9
000
00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) .
,
0 0
14. Net Value of Estate Subject to Tax C13) .
C14) 9,000.00-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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) .00 X 00 - .0 0
16. Amount of Line 14 taxable at lineal rate C16) ~ ~ X 04 5 = .00
17. Amount of Line 14 at sibling rate C17) _ 0D )( 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .0 0
19. Principal Tax Due C19)=
TAX CREDITS: .0 0
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIDNAL INTEREST.
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 REYERSE SIDE FOR INSTRUCTIONS. f~!~
~\yF~