HomeMy WebLinkAbout11-30-12NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 260601 /~ A REY-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601 R EC Q R D E(,f
REGISTER 4r~'FJC~ A~`
~~ ~~~.~5 ESTE 11-26-2D12
t9 rt ~j
~~zC
~ ATE OF MARTIN NANCY M
Q
U ~~ rl~ ~~ 7
~
t4 TH
, FILE NUMBER
21 12-0924
EDWARD P SEEBER C~ERK ~~ COUNTY CUMBERLAND
STE (400 ORPH
' ACN
ANS
555 GETTYSBURG PIKE ~eERLAND COR P APPEAL DATE: 01-25-2013
(See reverse side under Objections
A
MECHANICSBURG PA 17055-5207
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AL
------ ONG THIS LINE --~ --RETAIN LOWER PORTI
------------------ ------ ON FOR YOUR RECORDS f-
REV-15 _
-------------
-----------------
47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTION S AND ASSESSMENT OF TAX
ESTATE OF: MARTIN NANCY MFILE N0.:21 12-0924 ACN: 101 DATE: 11-2
b-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
2.
Stocks and Bonds (Schedule B) NOTE: To ensure proper
D D cr
C2)
dit
3.
Closely Held Stock/Partnership Interest (Schedule C) ,
e
to your account,
(3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) .DO of this form with your
C4)
5.
Cash/Bank Deposits/Misc. Personal Property (Schedule tax payment.
E) (5) 5,6 65.91
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transters (Schedule G) C7) 154,555.42
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (B) 160. ~
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10.
Debts/Mortgage Liabilities/Liens (Schedule I) C9) 1 0 0
C10) .0 0
11. Total Deductions
12. Net Value of Tax Return C11) 15.00
13. C12) 160,206.33
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax C13) 0 0
(14) 160,206.33
NOTE: If an assessment was issued previously, Lines 14, 15, 16
17 18
reflect figures that
include the total
of all ,
,
returns and/or 19 will
ASSESSMENT OF TAX: assessed to date.
15. Amount of Line 14 at spousal rate C15) 160,206.33 00
16. Amount of Line 14 taxable at
lineal rate
(16) X
nn =
045 =
.0 0
17. Amount of Line 14 at sibling
rate X .00
18. Amount of Line 14 taxable at
collateral rate (17)
(lg) 0 0
x =
12
.00
19. Principal Tax Due
.00 x _
15 -
.00
TAX CREDITS:
(19)=
.00
r,arntn~ I RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TDTAL 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.
~y%