HomeMy WebLinkAbout11-30-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 260601
HARRISBORG Pe t7va-ncn,
NOTICE OF INHERITANCE TAX ~ Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
REY-1547 EX AFP (09-12)
RECORDED OFFICE OF
REGISTER OF !! LS
~G12 SOU 30 Afi 1~. ~Q
WILLIAM A DUNCAN CLERK OF
1 IRINE ROW QRPHANS' COURT
CARLISLE Ci~gLIT~.~lTFU~O., PA
DATE 12-03-2012
ESTATE OF KENNY CLARA D
DATE OF DEATH 03-19-2012
FILE NUMBER 21 12-0535
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 ---- ~ 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: KENNY CLARA DFILE N0.:21 12-0535 ACN: 101 DATE_ 17_nz_~n
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A] C1) 192, 000
00
2.
Stocks and Bonds (Schedule B) .
0 0 NOTE: To ensure proper
C2) , 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)
18,1 2 3.57 tax payment.
6. Jointly Owned Property tSchedule F) C6) 3,246.80
7. Transfers (Schedule G) C7) .00
8. Total Assets
APPROV
ED DEDUCTIONS AND EXEMPTIONS: Ca) 213.370.37
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq)_ 5.2 7 7.4
10. Debts/Mortgage Liabilities/Liens (Schedule I) Clp) 118. 90.14
11. Total Deductions C11) 123,667.56
12. Net Value of Tax Return 89
702
81
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) ,
.
0 0
14. Net Value of Estate Subject to Tax C13) .
C14) __ 89,702.81
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) R9.707_R1 X 045 = 4,036.63
17. Amount of Line 14 at sibling rate (17) -~ n X 12 =
18
A .0 0
.
mount of Line 14 taxable at collateral rate C18) 0 0 X 1 5 =
19. Principal Tax Due . .0 0
TAX CREDITS: C19)= 4, 036.63
PAYMENT
DATE
05-18-2012
08-31-2012 RECEIPT
NUMBER
CD015989
CD016456 DISCOUNT (+)
INTEREST/PEN PAID C-)
184.21
.DO
AMOUNT PAID
3,500.00
352.42
~ IF PAID AFTER-DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIDNAL INTEREST.
TOTAL TAX PAYMENT 4,036.b3
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 \ `1~
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. '~~