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NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
- a. _ DATE 12-24-2012
RECEZ -
7 VO ' ESTATE OF PROKOPVLADYKA FREDA
DATE OF DEATH 10-03-2011
` `,E L 1 FILE NUMBER 21 11-1196
,~:j COUNTY CUMBERLAND
STEVE C NICHOLAS EXEC CLEPki. ACN 101
STE 37 ^t' 11' APPEAL DATE: 02-22-2013
2 215 FOREST HILLS (See reverse side under Objections)
HARRISBURG PA~7~1~Ig Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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: PROKOPVLADYKA FREDA FILE NO.:21 11-1196 ACN: 101 DATE: 12-24-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 120,536.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
. submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 1,377,266.33
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 1,497,802.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 29,649.93
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 8,535.20
11. Total Deductions (11) 38, 185.13
12. Net Value of Tax Return (12) 1,459,617.20
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1,318,655.48
14. Net Value of Estate Subject to Tax (14) 140,961.72
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 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 (15) 00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .0 0 X 045 = .00
17. Amount of Line 14 at Sibling rate C17) .0 n x 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 140 , 961 .72 X 15 = 21,144.26
19. Principal Tax Due (19)= 21, 144.26
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
12-29-2011 CDO15398 1,057.21 21,500.00
TOTAL TAX PAYMENT 22,557.21
BALANCE OF TAX DUE 1,412.95CR
INTEREST AND PEN. .00
TOTAL DUE 1,412.95CR=`1
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.