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NOTICE OF INHERITANCE TAX pennsy vania
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 j
_ M E DATE 12-17-2012
E" , ESTATE OF PANE ANITA P
DATE OF DEATH 07-03-2011
FILE NUMBER 21 11-0814
COUNTY CUMBERLAND
SAMUAL L ANDES E `R K C'1 ACN 101
525 N 12TH ST ~►q 0 ' APPEAL DATE: 02-15-2013
` See reverse side under ObJections
L EMOYNE % - #1
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OB~ LA M
' 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 E-
REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PANE ANITA PFILE NO.:21 11-0814 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) 146,000 .00 NOTE: To ensure proper
.00 credit to your account,
2. Stocks and Bonds (Schedule B) (2)
. 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) 113, 179.66
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 259, 179.66
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 22,407.68
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 687.4 0
11. Total Deductions (11) 23, 095.08
12. Net Value of Tax Return C12) 236, 084.58
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00.
14. Net Value of Estate Subject to Tax (14) 236,084.58
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) 236,084.58 X 045 = 10,623.81
17. Amount of Line 14 at Sibling rate C17) -001 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .00
19. Principal Tax Due (19)= 10,623.81
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-12-2011 CDO14949 526.32 10,000.00
09-10-2012 CDO16482 .00 97.49
12-10-2012 SBADJUST .00 1.28
TOTAL TAX PAYMENT 10,623.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00j
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU 1
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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