HomeMy WebLinkAbout11-30-12NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVIDUAL rnxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION DF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601
RECORDED OFt"`!CE OF
REGISTER OF ~l~.LS
Z~l? IVOU ;30 fl~ l ~;~.
THOMAS A CAPPER
2303 MARKET ST CLERK OF
CAMP HILL ORA,.L7.p11~~~„
t~$ERLAND CO., PA•
DATE 11-26-2012
ESTATE OF LYTLE TAMI N
DATE OF DEATH 05-31-2011
FILE NUMBER 21 11-0919
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-25-2013
(See reverse side under Objections)
Auount Resitted
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: LYTLE TAMI NFILE N0.:21 11-0919 ACN: 101 DATE: 11-26-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPR
AISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0
2. Stocks and Bonds (Schedule B) C2)
3 2 5.61 NOTE: To ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) C4)
.00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
1,354.38 tax payment.
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: c8) 1 , 679.99
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 3,0 00.0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)- 26.076.56
11. Total Deductions
(11) 29, 076.56
12. Net Value of Tax Return 27
396
57-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) ,
.
00
14.
Net Value of Estate Subject to Tax C13) .
(14) 27,396.57-
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) .0 0 x 00 = .0 0
16. Amount of Line 14 taxable at lineal rate (16) ~ ~ x 04 5 = .0 0
17. Amount of Line 14 at sibling rate C17) 0 0 X 12 =
18
Amo
t
f _ .00
.
un
o
Line 14 taxable at collateral rate (18) 0 0 X 15 =
19. Principal Tax Due . .0 0
TAX CREDITS: (19)= .0 0
rATntni I RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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 DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. n~
_ l~./