HomeMy WebLinkAbout01-14-13NOTICE OF INHERITANCE TAX ~ Penns
BUREAU OF INDIVIDUAL TAxes APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Ylvania
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 REV-1547 IX AFP (12 -12)
BARBARA J NELSON
829 MANDY LN
CAMP HILL
;~ECC~i~ic~ ~';;°i `' ®FrE 01-14-2013
*~EC;C ~ ~ CP '~J jl t ~S TATE OF REMTH
JEAN A
u DATE OF DEATH 11-01-2011
~'.!3 u~F I'~ ~ i Fil 12 ~~E NUMBER 21 11-1240
NTY CUMBERLAND
ACN
CLERK. (if APPEAL DATE: 03-15-2013
PA 17 011 C p ~ ~,~ Q ~ ~ ~ ~ v~ ~ ~-~ (See reverse sdde under Objeedions )
CUP.96ERLAPJC ~'}.,A~Idpunt Renitted~- ~
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
REV-1547 EX AFP RECORDS
(12-12) NOTICE OF INHERITANCE TA F
X APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF
ESTATE OF OR
: REITH JEAN gFILE N0.:21 11-1240 TAX
ACN: 101 DATE: 01-14-2013
TAX RETURN WqS: ( ) ACCEPTED AS FILED ( X)
APPRAISED VALUE OF RETURN BASED ON
ORIGINAL CHANGED $EE ATTACHED NOTICE
:
RETURN
1. Real Estate (Schedule q)
2. Stgcks antl Bontls (Schetlule B) (1)
~~00
NOTE: To ensure proper
3. Closely Held Stock/Partnership Inte
(2) 3~ 3 cretlit to your account,
rest (Schetlule C)
(3)--
4. Mortgages/Notes Receivable (Schedul ~. •DO submit the upper portion
e D)
(4)
5. Cash/Bank Deposits/Misc. Personal Propert
(S
-- of this form with your
tax payment.
y
chetlule E)
6. Jointly Owned Properly (Schetlule F) (5) 30'47
7. Transfers (Schedule G) C6) ~64
(n
~
8. Total gsseYs 6
9,gg6.6?
APPROVED DEDUCTIONS AND EXEMPTIONS: (e) 142 159 06
9. Funeral Expenses/gtlm. Costs/Misc. Expenses (Schedule H)
(y)_
30. Debts/Mortgage Liabilities/Liens (Schedule I) ~~1
(10)_~
11. Total Deductions 280 UO
12. Net Value of Tax Return (11) 7,476.61
13. Charitable/Governmental Bequests; Non-elected 9 (12) 134,682.45
113 Trusts (Schedule
14. Nei Value of Estate Subject to Tax J)
(13) - 0
N07E: If an assessment was issued previously
line
1 14 2
,
s
4, 15 a
reflect figures that include the tot
l nd/or 16,
17, 18 and 19
will
a
of ALL returns
ASSESSMENT OF TAX: assessed to d ate.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class q
(15)- 00 X 00 -
00
rate
17. Amount of Line 14 at SihlSng rate I16) 1;~ sj_ X 045 ° --
6,060 71
C17)~
18. Amount of Lina 14 taxable aY Collateral/Class B n~ X 12 _
X00
rate C18)
19. Principal Tax Due ----~ 0~ X 15 = 00
TAX CREDITS: (19)=
6,060
71
PAVNFNT ______ .
DATE I I ...+woni u)
NUMBER INTEREST/PEN PgID (-J AMOUNT PAID
D1 ten,
INTEREST IS CHARGED THROUGH 01-29-2013
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT
tALANCE OF TAX DUE 5,993.21
67.50
INTEREST AND PEN. 30.98
TOTAL DUE 98 48
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~~
AEV~ta]0 E%~O1-ID) ~ ~
~ ";~~ Pennsylvania
~~ ~~~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
Reith, Jean
Justin R. Gilmore
SCHEDULE I INO
INHERITANCE TAX
EXPLANATION
OF CHANGES
EXPLANATION OF CHANGES
Total on Schedule E was not correctly carried forward to recapitulation page.
2111-1240
101
ROW
Page 1