HomeMy WebLinkAbout11-30-12BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BDX 280601
HARRISBURG PA 17128-060]
NOTICE OF INHERITANCE TAX ~ Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
REV-1547 EX AFP C09-12)
RECORDED OFFICE O!~"
REGISTER OF 1~ILLS
~~~~ ~+QU 30 Ail 1 i 'gyp
DAVID J LENOX
3 BALTIMORE ST CLERK OF
DILLSBURG ~RR~1~~S' COURT
Gll"MBERLAND CO., PA
DATE 12-03-2012
ESTATE OF SEALOVER MARY I
DATE OF DEATH 06-03-2012
FILE NUMBER 21 12-0681
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-15 -----------
47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _________
DR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SEALOVER MARY IFILE N0.:21 12-0681 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) ~1) 13,8 5 0
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) (3) .00 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)
41,327.4 6 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) 500,540.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ca) .77 7.46
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) _ 5 2.20 3 30
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 19.4 37.77
11. Total Deductions C11) 71 , 641.07
12. Net Value of Tax Return (12) 484, 076.39
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 0
14.
Net Value of Estate Subject to Tax C13) .
0
X14) 484,076.39
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 (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16)_ 4R4 . 076 _ 39 X 045 = 21 , 783.44
17. Amount of Line 14 at sibling rate (17) _ 00 )( 12 =
18. Amount of Line 14 taxable at
collateral rate
(18)
00 X
15 = . 00
19. Principal Tax Due . .0 0
TAX CREDITS: C19)= 21 , 783.44
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
08-28-2012 CD016440 1,089.17 20,694.27
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 21,783.44
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YDU MAY BE DU ~~1
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. Il`?1
./