HomeMy WebLinkAbout01-07-13NOTICE OF INHERITANCE TAX ~ Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX~L~iQr~.-~
INHERITANCE TAX DIVISION L ~ ~ ~0~ ~~~~N$ AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
PO BOX 280601 RE6lS ~ ~ V~ _~
HARRISBURG PA 17128-0601 R G V V
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CLERK Qr
QRPNANS' CC~~~;~'
R MARK THOMAS tIBERLAf~D {;~., ~~1
101 S MARKET ST
MECHANICSBURG PA 17055-6328
DATE 01-07-2013
ESTATE OF CORNMAN RODNEY L
DATE OF DEATH 01-26-2012
FILE NUMBER 21 12-0233
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-08-2013
(See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON_6 THIS LINE ---- ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP (12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CORNMAN RODNEY LFILE N0.:21 12-0233 ACN: 101 _
OR
DATE: 01-07-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 201,200.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,QO credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
.0 0 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 11,6 81.3 3
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets c$) _ 212,881.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 9,771. 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (LO) 56,723.93
11. Total Deductions (11) 66,495.13
12• Net Value of Tax Return (12) 146,386.20
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 146.386.20
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 d ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) 146,386.20 X 00 - .00
16. Amount of Line 14 taxable at lineal/Class A rate (16) .0 0 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) 00
=
_
X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due C19)=
TAX CREDITS: .00
AMOUNT PAID
DATE ' I RNU BER ~ INTEREST/PENT 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 OF THIS FORM FOR INSTRUCTIONS.