HomeMy WebLinkAbout11-26-121~,QJ~~ OF INHERITANCE TAX
err °,~p~~~~I~fh~l,~', ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ' : p.F -D-ED`'((~~T~IONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION - '4'~T -,
PO BOX 280601 r , .., ' _ ~ , , . _.:._'.;
HARRISBURG PA 17128-0601
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RICHARD L WEBBE~~R ~-
126 E KING ST
SHIPPENSBURG PA 17257-1326
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HAWKINS DAVID LFILE N0.:21 12-0657 ACN: 101 DATE: 11-20-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers tSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses tSchedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
c4) .00
c5) 58,814.49
c6) 903.62
t7) 11 , 507.09
~ ~ pennsylvania
DEPARTMENT OF REVENUE
REV-1547 IX AFP C09-12)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 71 , 225.20
c9) 12,808.09
tlo) .00
11. Total Deductions (11) 12,808.09
12. Net Value of Tax Return C12) 58,417.11
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax t 14) 58 , 417.1 1
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate
16. Amount of Line 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
TAX CREDITS:
DATE 11-20-2012
ESTATE OF HAWKINS DAVID L
DATE OF DEATH 05-11-2012
FILE NUMBER 21 12-0657
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-19-2013
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
Lines 14, 15, 16, 17, 18 and/or 19 will
of all returns assessed to date.
c15) 58,417.11 x 00 = .00
cl6) - ~~ x 045 = . 00
c17) _ oo x 12 = . 00
c18) .00 x 15 = .00
c19)= . 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.