HomeMy WebLinkAbout12-17-12 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 1]128.0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMEN7 OF TAX
RECORDED OFFICE OF
REGiS7ER OF raILLS
2012 DEC 17 ~(~ 11 51
ANDREW H SHAW ESQ
srE II CLERK OF
200 S SPRING GARD~I3NANS' (C;~~1RT
CARLISLE ~iltM gl7,p,I3c2~
1tM tKnLAAIIIIVVVVUUUU CO., PA
C1) .OD
(z) .00
(3) .00
(4) .00
(5) .00
(c) 27,500.00
(7) .00
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--~
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COOPER MARY AFILE N0.:21 12-0957 ACN: 101 DATE: 12-10-2012
_ TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE DF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Heltl Stock/Partnership Interest (SChe tlule 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 G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H)
10. Debts/MOrt9age Liabilities/Liens (Schedule I)
~ Pennsylvania
D EPARTMENT OF REVENUE
REV-1547 EX AFP (09-1D
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
taX payment.
(e) 27.500.00
(q) 365.00
(10) .00
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to TaX
NOTE: If an assessment was issued prevlouslV.
reflect f39ures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rata
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. Principal Tax Due
TAX CREDITS:
DATE 12-10-2012
ESTATE OF COOPER MARY A
DATE OF DEATH 02-14-2012
FILE NUMBER 21 12-0957
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-08-2013
(See reverse side under Objections )
Amount Remittedr---,
MAKE (NECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
(11) 365.00
(12) 27,135.00
(13) .00
(l4) 27,135.00
Lines 14, 15, 16, 17, 18 and/or 19 will
of all returns assessed to date.
(15) .00 x 00 - .00
us) nn x 045 = , 00
cm nn x 12 - ,00
(1B) 27,135.00 x 15 = 4,070.25
(19)= 4,070.25
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-05-2012 CD016469 .00 4,070.25
TOTAL TAX PAYMENT 4,070.25
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
x 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.