HomeMy WebLinkAbout11-30-12NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND... ASSESSMENT OF TAX
HARRISBURG6PA 17128-0681 R E C O R D E D O F F1C E O F
REGISTER OF- ~,1.E.5
C~12 ItOU 30 0~ 11 `~~
CLERK 01=
MICHAEL BISCHOF ORPHANS' COURT
937 WOODRIDGE DR~~~~AND CO., PA
ENOLA 1547
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C09-12)
DATE 12-03-2012
ESTATE OF BOYER LEROY P
DATE OF DEATH 01-12-2012
FILE NUMBER 21 12-0065
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-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BOYER LEROY PFILE N0.:21 12-0065 ACN: 101 DATE: )7-nz_~ni~
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1? 136,000.00
2.
Stocks and Bonds (Schedule B)
C2)
.0 0 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
C4)
.0 0 of this form with your
5.
Cash/Bank Deposits/Misc. Personal Property [Schedule E)
(5)
11,6 38.79 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers [Schedule G) C7) .0 0
8. Total Assets
C8) 147,638
79
APPROV ED DEDUCTIONS AND EXEMPTIONS: .
9. Funeral Expenses/Adm. Costs/Nfsc. Expenses (Schedule H) C9) 38.364.5
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 7.8 9 7.9 3
11. Total Deductions C11) 46,262.46
12. Net Value of Tax Return 101
376
33
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) ,
.
00
14. Net Value of Estate Subject to Tax C13) .
( 14) 101 , 376.33
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 0 0 = .00
16. Amount of Line 14 taxable at lineal rate C16) ) nl -376 ;; X 045 = 4,561 .95
17. Amount of Line 14 at sibling rate C17) -~ ~ X 12 =
.0 0
18. Amount of Line 14 taxable at collateral rate C18) 0 0 X 15 =
19. Principal Tax Due . .0 0
TAX CREDITS: C19)= 4,561.95
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
08-28-2012 CD016436 .00 4,561.95
TOTAL TAX PAYMENT 4,561.95
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DU
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. (~'~
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