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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.-C .~i
i t
DATE 12-17-2012
ESTATE OF KEMP ROBERT J
~-PATE OF DEATH 12-17-2011
L" `1*ILE NUMBER 21 11-1353
COUNTY CUMBERLAND
I VO V OTTO III
ACN 101
10 E HIGH ST A r; ?v 'r'3" T APPEAL DATE: 02-15-2013
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CARLISLE PA 17 5 n (See reverse side under Objections)
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: KEMP ROBERT JFILE NO.:21 11-1353 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) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 761,28 1.15 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property CSchedule F) C6) 77,261.05
7. Transfers (Schedule G) (7) 39,763.56
8. Total Assets C8) 878,305.76
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 38,292.66
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 7,852. 85
11. Total Deductions C11) 46, 145.51
12. Net Value of Tax Return C12) 832, 160.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 832, 160.25
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 (15) 00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 822.212.64 X 045 = 36,999.57
17. Amount of Line 14 at Sibling rate (17) -001 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 9 , 947.61 X 15 = 1,492.14
19. Principal Tax Due (19)= 38,491.71
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-15-2012 CDO15707 1,789.47 34,000.00
09-22-2012 CDO16541 .05- 2,702.29
12-10-2012 SBADJUST .00 1.06
TOTAL TAX PAYMENT 38,491.71
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
1
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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