HomeMy WebLinkAbout12-21-12
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
REGU ZD r ~ 'n or
Rm - DATE 12-17-2012
ESTATE OF CHIOVARO MARIE C
DATE OF DEATH 03-20-2011
FILE NUMBER 21 11 - 0467
COUNTY CUMBERLAND
KENNETH J MCDERMOTT C L
ACN 101
3425 SIMPSON FERRO R 'A" ,,'3 G_- APPEAL DATE: 02-15-2013
1a1 (See reverse side under Objections)
CAMP HILL G U'`S tM * 5411$. Y
a e
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: CHIOVARO MARIE CFILE NO.:21 11-0467 ACN: 101 DATE: 12-17-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 129, 900.00 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) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) 4,770.80
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 134,670.80
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,943.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 13, 175. 55
11. Total Deductions (11) 24, 118.55
12. Net Value of Tax Return C12) 110,552.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0-
14. Net Value of Estate Subject to Tax (14) 110,552.25
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 C15) 00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 1 0 , S52 . 25 x 045 = 4,974.85
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .00
19. Principal Tax Due C19)= 4,974.85
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-18-2012 CDO16519 .00 4,974.85
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-19-2012 TOTAL TAX PAYMENT 4,974.85
BALANCE OF TAX DUE .00
INTEREST AND PEN. 111.37
TOTAL DUE 111.37
* 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 OF THIS FORM FOR INSTRUCTIONS. .1