HomeMy WebLinkAbout11-30-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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 OFFICE OF
REGISTER OF WILLS
2~I2 NOU 30 A~1 11 `i0
CHARLES E SHIELDS III CLERK OF
6 CLOUSER RD O:RPHANS' COURT
MECHANICSBURG P~1rJDC~LAi1~ CO., PA
DATE 12-03-2012
ESTATE OF DILKS EDGAR A
DATE OF DEATH 10-01-2011
FILE NUNBER 21 11-1121
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-01-2013
(See reverse side under Objections)
Amount Re^itted~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE ---- ~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~
REV-15 _
_
47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DILKS EDGAR AFILE N0.:21 11-1121 ACN: 101 DATE: 12-03-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) ~2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D) ~y)
.0 0 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4 7,7 9 2.79
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) ~~) .0 0
8. Total Assets
C8) 47 , 792.79
APPROVED DEDUCTIONS AND EXEMPTIONS:
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)_ .4 9 .48
10. Debts/Mortgage Liabilities/Liens (Schedule I) (lp)_ 13.093 .67
11. Total Deductions cll) 25,585.15
12. Net Value of Tax Return X12) 22,207.64
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 0 0
14. Net Value of Estate Subject to Tax C13) .
22
207
64
(14) ,
.
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of sll returns assessed to date
ASSESSMENT OF TAX: .
15. Amount of Line 14 at spousal rate c15) 9, 155.73 X 00 - . 00
16. Amount of Line 14 taxable at lineal rate (16) 1 ~ • f1F1 91 X 045 = 587.34
17. Amount of Line 14 at sibling rate (17) _0 0 X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .00
19. Principal Tax Due
TAX CREDITS: (19)= 587.34
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
08-03-2012 CD016343 1.44- 588
78
11-26-2012 SBADJUST .00 ,
.15
TOTAL TAX PAYMENT 587.34
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.