HomeMy WebLinkAbout12-17-12• NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT. ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE rAx DIMS IDN OF DEDUCTIONS AND ASSESSMENT OF TAX REV x547 Ex aFP nz-IZl
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED D~F~CE OF DATE 12-17-zolz
RE6ISTE~t OF i~'ii_~_S ESTATE OF SIPE CHARLES E
(~ F~ ~7 pp~ pp DATE OF DEATH 04-08-2012
(1;~~ CEC 11 Ilt l 11 L.,O FILE NUMBER 21 12-0457
COUNTY CUMBERLAND
RAYMOND W SIPE CLERK Cr ACN 101
321 RUN RD /~ APPEAL DATE: 02-15-2013
CARLISLE PA 170i~PHANS' ~~~Pil (See reverse side underObjeetions)
CUMBERLAND CD., P~ Amount Remittedr
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 (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SIPE CHARLES EFILE ND.:21 12-0457 ACN: 101 DATE: 12-17-2012
TAX RETURN WAS: C 7 ACCEPTED AS FILED ( X) CHANGED $EE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Raal Estate (S<hetlule A) C17 •00 NOTE: To ensure proper
2. Stocks and Bontls CSChedule B) (2) ,DD credit Yo your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) I3) of this form with Your
4. Mortgages/Notes Receivable (Schedule D7 C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (SChedul¢ E7 (5) 76,246.12
6. Jointly Ownetl Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. total Assets (8) 76.246.12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H7 (9) 11.484.16
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 11,484.16
12. Net Value of Tax Return (12) 64,761.96
13. Charitable/Governmental Bequests; Non-al¢ek¢tl 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject fo Tax (147 (>4,761.96
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflec t figures that include the total of ALL returns assessed to date.
ASSESS MENT OF TAX:
15. Amount of Line 14 at Spousal rata 115) .00 7( 00 = .00
16. Amount of Lina 14 taxable at Lineal/Class A rate (161 64.7A1 .9(, X 045 = 2,914.29
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Cpllateral/Class B rake (187 .00 X 15 = .00
19. Principal Tax Due (197= 2,914.29
TAX CR EDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
07-30-2012 (0016371 .00 3,070.06
TDTAL TAX PAYMENT 3,070.06
BALANCE OF TAX DUE 155.77CR
INTEREST AND PEN. .00
TOTAL DUE 155.77CR
+. IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR7, VDU MAV BE DU•:
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS *A.
' pennsylvania
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, INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 17126-0601
DECEDENT'S NAME
Charles Sipe FILE NUMBER
2112-0457
REVIEWED BY
Tamika Washington ACN 101
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
H Original Inheritance tax return has been adjusted to reflect
indicated from the correspondence sent to the department.
as
Row Paae 1