HomeMy WebLinkAbout10-26-12NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVIDUAL TA7~$/~ () APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TqX DIVISION r'r ~o!~!~^G'~ ++y.}t-~~p~~CTIDN$ AND ASSESSMENT OF 7AX DEPARTMENT OF REVENUE
PO BOx 280601 p[ ~ ~ ~"`- ~/~ REV-154] IX AFP (09-1b
HARRISBURG PA 17128-0601 REII'~!~? ;~^ '~i11;~~ ~ Q
a(20CT26 AM I(( 36
CHARLES E S{``{.~ P ~!~~ ~~,jj~~LUU~iI
6 CLOUSER RL~'~"`~~ CO., Pq
MECHANICSBURG PA 17055-9751
DATE 10-22-2012
ESTATE OF MINICK DEAN K
DATE OF DEATH 10-10-2011
FILE NUMBER 21 12-0794
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-21-2012
(See reverse side under Objecdeons)
A~ount 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 REC O_RDS F
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MINICK DEAN KFILE N0.:21 12-0794 ACN: 101 DATE: 10-22-2012
TAX RETURN WAS: (JO ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (SChetlule A)
2. Stocks antl Bontls (Schedule B)
3. Closely Heltl Stock/Partnership Interest (S<hetlule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E7
6. Jointly Dwnetl Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
30. Debts/Mortgage Liabilities/Liens (Schedule I)
(1) .00
(z)
(3) .00
.00
(4)
(s) .00
.00
(s) .00
(7) 89,870.00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this farm with Your
tax payment.
Ce) 89.870 00
(9)- ) 00
(io) 00
11. Total Deductions
12.
Net Value of Tax Return (11) 15.00
13.
Cheri Table/Gov
(12) 89,855.00
ernmental Bemuests; Non-ele<tetl 9113 Trusts (Sch
d
l
14. Net Value of E
t e
u
e J)
(13) -00
s
ate Subject to Tax
(14) 89.855.00
NOTE: If an assesseent was issued previously, Lines 14, 15, 16
17
18
d/
reflect figures that
include the total of all
ret ,
,
an
or 19 will
ASSESSMENT OF 7AX• urns assessed to date.
15. Amount of Line 14 at spousal rake
16. Amount of Lf ne 14 taxable at lineal rate
17. Amount of Line 14 at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Principal Tax Due
7AX CREDITS:
nB) 89,855.00 x 00 = .00
(ls) nn X 045 = .00
un nn x 12 = .00
(19) .00 x 15 = .00
(19)= .UD
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
INTEREST/PEN (+)
PAID
(-)
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 (CR), YOU MAY BE DUE
FDR CALCULATION OF gD0ITI0NAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
ay