HomeMy WebLinkAbout01-14-13 (2)NOTICE OF INHERITANCE TAX i~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE `il DEPARTMENT OF REVENUE
INHERITANCE TA% ^IVISION OF-D€DUCTIONS AND. ASSESSMENT DF TAX REV-156] IX AFP (09-12)
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REG{C ~~,„~+• ESTATE OF FITZPATRICK MARJORIE A
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THOMAS E FLOWER `.L e~', ( ,
FLOWER LAW LLC ORPHApty,'
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CARLISLE ~~~~, OA~f~~9:22 ,
DATE OF DEATN 11-12-2011
FILE NUMBER 21 12-0004
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-11-2013
(See reverse side under Objections)
Asount Reaitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER DF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- -i RETAIN LOWER PORTION FOR YOUR RECORDS !-
REV-1547 EX AFP 012-11J NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF.: FITZPATRICK MARJORIE AFILE N0.:21 12-0004 ACN: 101 DATE: 11-12-2012
TAX RETURN WAS: O(7 ACCEPTED AS FILED ( ) CNANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (SChotlule A) (1) 75,000.00
NOTE: To ensure pro oar
2. Stocks antl Bon tls (Sehatlula 8) (2) .00 cry tlit to your account,
3. Closely Holtl Stock/Partnerzhlp Into rest (SChotlule C) (3) •00 submli the upper portion
of this Porm with your
4. Mortgages/Notes Recoivab la (Scha tlu to D> (4) •00 tax payment.
5. Cash/Bank DopOSlts/Misc. Personal Property (SChetlu la E) (5) 47,080.31
6. Jointly Ownetl Property (Sehetlulo F) (4) .00
7. Transf ors (SChotlule G) (7) 14,425.31
8. Total Assets
(8) 136.P:05.62
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Atl m. Costs/Misc. Expenses (Sehotlule H) (g) 37.072.91
10. Debts/Mp rt gage LSab111 ties/Lions (S ehatlule I) (10) 26.009.44
11. Total Ootluctions (11) 63,082.35
12. Net Value of Tax Rotu rn (12) 73,423.27
13. Charitable/GOVOrnmental Beq uoats; Non-alectetl 9113 Trusts (SChotlule A (13) 1,000.00
14. Net Value oP Estate Sub1o<t tp Tax 71
923
27
(14) ,
.
NOTE: If an assess~ent 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 pP Line 14 at spousal rata
16. Amount of Line 14 taxably at 11noa1 rata
1]. Amount oT line 14 at sSb13 n9 rata
18. Amount of Lina 14 taxable at collateral rate
19. Prl nclpal Tax Ouo
TAX CREDITS:
as> .00 x 00 .00
(16> nn x 045 ,00
aT) T 1.92a-27 x 12 8.630.79
(1e) .00 x 15 = .00
(19)= 8,630.79
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (a)
INTEREST/PEN PAID <-)
AMOUNT P4ID
OB-15-2012 00016388 .00 8,630.79
11-05-2012 SBADJUST .00 2.12
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF AODITIDNAL INTEREST.
TOTAL TAX PAYMENT 6,630.79
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDiT (CR). YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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