HomeMy WebLinkAbout12-17-12 (2)NOTICE OF INHERITANCE TAX ~ Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES - OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-154? EX AFP (g9-12)
NARRISBURG6PA 17128-0601 RECORD E d D ~;;:C E 4 F-
REGISTwR OE'c''-LS DATE 12-ID-zolz
2012 ['.•EC 17 fli ~i ~ i 5?
CLERK Cr
LINDA J OLSEN ~~HANS' CO!'t~T
20002DINGLESTQWN$({D~~ANC f%C`_.. °.°&
HARRISBURG PA 17110-9347
ESTATE OF RICHMOND CHARLES
DATE OF DEATH 06-06-2012
FILE NUMBER 21 12-0668
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-08-2013
(See reverse sBde under Objections)
Anount Renitted
MAKE CHECK PAYABLE AND REMIT PAYMENT 70:
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: RICHMOND CHARLES FILE N0.:21 12-0668 ACN: 101 DATE: 12-10-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED (_) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSChetlule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable CSchetlule D)
5. Cash/Bank DepositslMisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
E. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Cost slMisc. Expenses (Schedule H)
10. 0¢6tslMOrtgage Liabilities/Liens (Schedule I)
C1) .00
C2) .OD
<3) .00
14) .00
I5) 42,080.12
C6) .00
C7) .00
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ca) 42.080.12
I9) 715.50
no) 10.524.48
(11) 11,239.98
11. Total Deductions 30,848.14
12. Net Value of Tax Return C12)
d 9113 Trusts (Schedule J)
t
N
-
l (13) .00
13. e
ec
e
on
Charitable/Governmental Beeuests;
14. Net Value of Estate Subiect tp Tax (14) 30,840.14
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
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Principai Tax Due
rAV rmcnTrc•
(15) .00 x 00 = .00
(lc) ; n.a4n_I4 X 045 = 1.387.81
cv) •nn x 12 - .00
I16) .00 x 15 = .00
I19)= 1,387.81
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-31-2012 CD016468 69.39 1,318.42
TOTAL TAX PAYMENT 1,387.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. .OD
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CRT, YOU MAY BE DUE •7; ,{
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.