HomeMy WebLinkAbout11-16-12NOTICE OF INHERITANCE TAX
BUREAU DF INDIVIDUAL r7~~~ (?~~4~; ~~r ~ S~R'MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TA% OIV ISIDN UCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 r~~` r ^ ,~'~_~. ~j
i l_~.r '._..
HARRISBURG PA 17128-0601
GLENN A SC H,~~i~~,T{Lj~~ j9~'~J~ (;~~„ ~,q
3873 LARABY DR
HARRISBURG PA 17110-3650
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
DATE 11-12-2012
ESTATE OF COUSART SARA N
DATE OF DEATH 05-31-2012
FILE NUMBER 21 12-0632
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-11-2013
(See reverse sdde under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CU7 ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COUSART SARA NFILE N0.:21 12-0632 ACN: 101 DATE: 11-12-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G7
e. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
NOTE: To ensure proper
credit to your account,
submit the upper portion
pf this farm with your
tax payment.
ce) 139.862.70
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) I9) 2.4 81.89
10. Debts/Mortgage Liabilities/Liens (Schedule I7 (10) 8.6 23.56
11. Total Deductions (11) 11,105.45
12. Net Value of Tax Return C1P7 128,757.25
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 1137 .00
14. Net Value of Estate SubOect to Tax (14) 128,757.25
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 (157 .00 X 00 = .00
16. AmounT of Line 14 taxahla ai lineal rake (167 19A-7r,7-~F X 045 = 5,794.08
17. Amount of Line 14 at sibling rate (177 .DD X 12 - .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due 119)= 5,794.08
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-7 AMOUNT PAID
08-13-2012 CD016375 288.90 5.489.14
PAYMENT MUST BE MADE BY 02-28-2013•.
( ) CHANGED
c17 .00
127 .00
I3) .00
I4) .00
I5) 139,862.70
Is) .00
I7) .00
TOTAL TAX PAYMENT 5,778.04
BALANCE OF TAX DUE 16.04
INTEREST AND PEN. .00
TOTAL DUE 16.04
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL OUE IS REFLECTED AS A CREDIT CCR), VOU MAV BE DUE a
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.