HomeMy WebLinkAbout01-07-13NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL~4~'~y~~ .~t~j'~R. u NT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION D~~CTIONS AND ASSESSMENT OF TAX
PD BOX 280601 RE6lS ~ ~ G~ ';f~_~S
HARRISBURG PA 17128-0601
(.U~~ JtilY f ~~ i ~.3 V i
CLERIC C
ORPHANS' G~tLR~
ANDREW C S~gE~(} ~~,.~?.+ ~~
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055-0095
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-12)
DATE 01-07-2013
ESTATE OF NOSS LARRY E
DATE OF DEATH 09-28-2011
FILE NUMBER 21 11-1101
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-08-2013
(See reverse side under Objections)
Aaount Re~itted
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 C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NOSS LARRY EFILE N0.:21 ll-lln7 er_N• ~ni Herr. n,_n~ -,..,~
TAX RETURN WAS: (X ) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NDTE: To ens
2.
Stocks and Bonds (Schedule B)
(2)
,0 0 ure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) CS) .00 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(
00 of this form with your
4) . tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E] C5) 13,4 77.74
6. Jointly Owned Property (Schedule F) ~6) .0 0
7. Transfers (Schedule G) ~7) 43, 044.48
8. Total Assets [8) 56 , 522.22
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 4. 0.6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions C11) 4,250.61
12. Net Value of Tax Return (12) 52,271.61
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 52,271.61
NOTE: If an assesssent was issued previously, li nes 14, 15 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL ret urns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 52,271.61 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _00 x 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) ~~ =
_
X 12 ,0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = ,0 Q
19. Principal Tax Due (19) =
TAX CREDITS: .00
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT 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 INSTRUCTIDNS.