HomeMy WebLinkAbout12-17-12 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280bD1
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX ~ pennsylvania
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
DF DEDUCTIONS AND ASSESSMENT OF TAX REV-1x47 Ex AFP (D9an
RECORDED OErlCE OF
REGISTER OF :'lI:.~S
~L'l~ DEC I7 Aid ll Sl
GERALD J SHEKLETSKI Es~LERK OF
414 BRIDGE ST ORPHANS' COURT
PO BOX E
NEW CUMBERLAND PR~49B1~0-+B:I DOC O•. PA
DATE 12-10-2012
ESTATE OF OTT MARIE E
DATE OF DEATH 12-24-2010
FILE NUMBER 21 12-0769
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-OB-2013
(See reverse side under Objections)
Amount Remittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: OTT MARIE EFILE N0.:21 12-0769 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 (Sehetlule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Sehetlulo C1
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Pars oval Property (Schedule E)
6. Jointly Owned Prp pertY (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CS Chedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
t1) .00
(2)
t3) .00
.00
t4)
(57 .00
11,540.04
(s) .00
(7) .00
NOTE: To ensure proper
eretlit to your account,
submit the upper portion
of this form with your
tax payment.
(a) 11.540.04
(g7 6.0 x•96
C10) .00
11. Total Deductions (lI7 6,055.96
12. Net Value Of Tax Return (127 5,484.08
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (137 .00
14. Net Value of Estate Subject to Tax 5
484
0$
(147 .
.
NOTE: If an assessment was issuetl previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESS MENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 )t 00 - .00
16. Amount of Lina 14 taxable at lineal rate (16) ~. GR4 nR x 045 = 246.78
17. Amount of Line 14 at sibling rake (17) -00 X 12 - .00
18. Amount Of Line 14 taxable at collateral rate (18) .00 X 15 .00
19. Principal Tax Due (197= 246.78
TAX CR EDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-04-2012 CD016466 7.00- 259.29
TOTAL TAX PAYMENT 252.29
BALANCE OF TAX DUE 5.51CR
INTEREST AND PEN. .00
TOTAL DUE 5.51CR
~ IF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), VOU MAY BE DUEA
FOR CALCULATION OF ADDITIONAL INTEREST. q REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. Ht~1