HomeMy WebLinkAbout12-17-12
NOTICE OF INHERITANCE TAX ` copennsyLvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFF 'ZE OF DATE 12-10-2012
R E G I S T E R' Of-f.LJ ESTATE OF GOETZ ROMAYNE G
n ~7 r~ DATE OF DEATH 04-18-2012
f! i FILE NUMBER 21 12-0505
COUNTY CUMBERLAND
SANDRA J CURLEE C LE RK C ACN 101
1115 ANDERSONTOt S, APPEAL DATE: 02-08-2013
MECHANICSBURG "PAA 55-Cm (See reverse side under Objections)
CUMBERLAND GO., FIA 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 - -F-
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GOETZ ROMAYNE GFILE NO.:21 12-0505 ACN: 101 DATE: 12-10-2012
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) 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) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 10,321.13
6. Jointly Owned Property (Schedule F) C6) 00
7. Transfers (Schedule G) (7) 00
8. Total Assets (8) 10 , 321 .13
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9)4,719.76
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)- 1,288.29
11. Total Deductions (11) 6,008.05
12. Net Value of Tax Return (12) 4,313.08
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 4.313.08
14. Net Value of Estate Subject to Tax (14) .00
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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 rate C16) nn x 045 = 00
17. Amount of Line 14 at sibling rate (17)_ nn x 12 = 00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = 00
19. Principal Tax Due (19)= 00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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 (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.