HomeMy WebLinkAbout11-16-12NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU DF INDIVIDUAL raxss Rc~~~~pP,~~AS 1~ ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION r - ~F30N$ AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BO% 280601 ' '~.n (1
HARRISBURG PA 17128-0601 ~ ~~~- ~ REV-154] IX AFP (09 -12)
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JOHN E SLIKE ES6UMBERL.APJi~ (~~„ PA
SAIDIS SULLIVAN STE 400
635 N 12TH ST
L EMOYNE PA 17043-1247
DATE 11-12-2012
ESTATE OF SLIKE MARY JANE
DATE OF DEATH 05-19-2011
FILE NUMBER 21 11-0656
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-11-2013
(See reverse side under Objections)
Anount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT 70:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR REC O_RDS ~
REV-1547 EX AFP C12-11) N07ICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
'-'--------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SLIKE MARY JANE FILE N0.:21 11-0656 ACN: 101 DATE: 11-12-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
3. Real Estate (Schetlule A)
C1J .OD NOTE: To ensure proper
2. Stocks antl Bonds (Schetlule B)
3. Closely Heltl Stock/Partn¢rship Interest (Schetlule C) (2) eredlY to your account,
(3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schetlule D) of this form wikh your
(4) •DO tax payment.
5. Cash/Bank Deposits/Misc. Pa rs onal Property (Schedule E) (5)- DQ
6. Jointly Ownetl Property (Schedule F) (6)_~DU
7. Transfers (Schedule G) 00
(7J~~~
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (B) 7.469 00
9. Funeral Expenses/Atlm. Costs/Misc. Expenses (Schedule H) (9)08
10. Debts/Mortgage Liabilities/Liens (schedule I)
(10)~~D
11. Total Deductions
12. Net Value of Tax Return (11) 440.08
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) 2,U2B.92
14. Net Value of Estate Subject to Tax (13) 00
NOTE: (14) 1.573.186 84
If an assessnent was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that inclutle the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 at sibling rate
18. Amount of Line 14 taxable at coil aferal rate
19. Principal Tax Due
7AX CREDITS:
DATE
08-15-2011 NUMBER
CD014856 INTEREST/PEN PAID (-)
10-25-2011
CD015115 3,500.00
OS-13-2012
CD016385 .00
11-05-2012 SBADJUST •11-
.00
c15)~,Op x 00 = .00
(16)- ~ •F7~.tnA nr x 045 = 70,793.41
an nn x 12 =
~~
(ls)~~Op x 15 = .00
(19)= 70,793.41
AMOUNT PAID
702.22
91.30
1.21
70TAL TAX PAYMENT 70,793.41
fALANCE OF TAX DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAV BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.