HomeMy WebLinkAbout10-26-12~Cl~/1 t5 NOTICE OF INHERITANCE TAX
BUREAU aF INDIVIDUAL iA~kFS'~JFCi !R'iCEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE Tax urvISIOH ('~ ~.c DUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 F~~uia!~ ~' '1~.~
HARRISBURG PA 1]128-0601 ~~~ ~
?31TOCT26 APiIf136
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ANDREW C sGktL~~R~D gyp., pq
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055-0095
(1) .00
(2) 1,661,281.73
(3) .00
(4) .00
(B) 25,479.35
(6) .00
(7) .00
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS !-~ _
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KELLY W WFILE N0.:21 12-0022 ACN: 101 DATE: 10-22-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (S ehetlule A)
2. Stocks antl Bonds (Schedule B)
3. Closely Heltl Stock/Partnership Interest (Schetlule C)
4. Mortgages/Notes ReceSvable CSChetlule D)
5. Cash/Bank Deposits/Misc. Personal Property CSChetlule E)
6. Jointly Owned Property CSChetlule F)
7. Tran sfars (Schedule G)
8. Total Assts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mprt9age Liabilities/Liens (Schedule I)
~ pennsylvania
DEPARTMENT OF REVENUE
REV-354] EX qFP (09-12)
NOTE: To ensure proper
cretlit to your account,
submit the upper portion
of this form with your
tax payment.
(8) 7.686.761.08
(9) 14.814.79
(10) 1 • F.979 99
11. Total Deductions
12. Nat value of Tax Return (11) 1,370,794.78
nz) 315,966.30
13. Charitable/Governmental Bequests; Non-elected 9133 Trusts (S<h¢tlule J)
14. Net Value of Estate Subject to Tax C13) -00
(14) 315.966.30
NOTE: If an assesseent 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
16. Amount of Line 14 taxable at lineal rata
17. Amount of Line 14 at sibling rate
16. Amount of LSne 14 taxable at Collateral rate
19. Principal Tax Due
TAX CREDITS:
DATE 10-22-2012
ESTATE OF KELLY W W
DATE OF DEATH 09-27-2011
FILE NUMBER 21 12-0022
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-21-2012
(See reverse side under Objections)
Anount Reaitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
(ls) 315,966.30 x 00 = .00
nc) ^^ x 045 = .00
(ls) .00 x 15 = .00
(19)= 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
INTEREST/PEN (+)
PAID
(-)
AMOUNT
PAID
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. .~