HomeMy WebLinkAbout01-18-13NOTICE OF INHERITANCE 7AX ~ Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAZ Drv1sIDN OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP azan
PO BOX 280601
HARRISBURG PA 17128-0601
R ~CQ~~r I n' DgSATE 01-14-2013
~~~~- w ~ TATE OF KIMMEL LOUISE R
Re~~$"-i~ Ur~ ;~ ;DATE OF DEATH 06-15-2009
Jpp7799 ~p5~ FILE NUM$ER 21 09-0713
GUIJ W11V 1 pp ~I~' ; COUNTY CUMBERLAND
SAMUEL L ANDES iU ~~~ ~ ' -• `aCN 101
525 N 12TH ST APPEAL DATE: 03-15-2013
CLEj1~ ~~:.
LEMOYNE PA 1704~til,2Fi5N (See reverse side under Objections)
CUMBERLAFlC Amount Remitted
--.C MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CU7 ALONG THIS LINE ---- --i RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP (12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KIMMEL LOUISE RFILE N0.:21 09-0713 ACN: 101 DATE: 01-14.2013
TAX RETURN WAS: (X ) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchetlule A) O) ,00
NOTE: To ensure proper
2. Stocks and Bontls (Sche du l0 B) (y) .00 <re dit to your account,
3. Closely Haltl Stock/Partnership Interest CSchetlule C) (;) .00 submit the upper portion
of this farm with your
4. Mo rt ea ge s/Notes Raceiva6le (Schedule D) (4) .00 tax payment.
5. Lash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 152,520.64
b. Jointly Ownetl Property (Schedule F) (4) 207.93
7. Transfers (Schedule 6) (7) .00
e. Total Assets (s) 152.728.57
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Losts/Misc. Expenses CSchetlule H) (g) 99.939.41
30. Debts/MOrtga Be Liabilities/Liens CSchetlule I) (10) .00
11. Total Deductions (11) 99,939.41
12. Net Value of Tax Return (12) 52,789.16
13. CharsYable/Governmental Bequests; Non-ele<tetl 9113 Trusts CSCne tlu to J) (13) .00
14. Net Yalue of Estate Subject to Tax 014) 52.789.16
NOTE: If an assessment was issued previously, lines 14. 15 and/or 16. 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Lina 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) F 7'.789.16 X 045 = 2,375.51
17. Amount of Line 14 at Sib11n9 rake (17) DO X 12 = .00
IB. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00
19. Principal Tax Due u9)= 2,375.51
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-09-2012 00016366 190.19- 2,565.70
08-09-2012 WRITEOFF ,00 190.38
TOTAL TAX PAYNENT 2,565.70
BALANCE OF TAX DUE 190.19(8
INTEREST AND PEN. .00
T07AL DUE 190.19(8
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAV BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. p REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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