HomeMy WebLinkAbout01-31-13 (2)NOTICE OF INHERITANCE TAX
suREAU DF INDIVIDUAL TAxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
)NNERITANCE TAX DIVISION RECQ~{{p DEDUCTIONS AND ASSESSMENT OF TAX
PO lmt -~~j;,-~ S'U OFFJCE OF
~~E~ V ~:,;, REGISTER OF ~,,
Pennsylvania
DEPARTMENT OPRlVlNUE
REY-ltf~ EX AFP C12-12)
~FtLL$ DATE 12-24.2012
is JAN U 2 i3 i;:Qi3 JR,1~ 31 P~ j
er-•_ _ 12
' _~'- CLERK 0~"
STEVEN NYDER ESQ~RRMANS' CO(jRT
155 S HANOVER ST CUMgERL~j(j CC , PA
CARLISLE PA 17013-3455
ESTATE OF 60FORTH LORRAINE A
DATE OF DEATH 07.22-2011
FILE NUMBER 21 11-1039
COUNTY CUMBERLAND
ACN l0I
APPEAL DATE: 02-22-2013
(S'u neRSrsa a0~ ' Ob}scA-e/ra)
Aoount Raritted~j~~~~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ^~- RETAIN LOWER PORTION FOR YOUR RECORDS 4^-
REY•1547 EX AFP C12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS ANO ASSESSNENT OF TAX
ESTATE OFs 60FORTN LORRAINE AFILE NO.:21 11-1039 ACN: 101 DATES 12-24-2012
TAX RETURN HAS: C x) ACCEPTED AS FILED ( ) CNANOED
APPRAISED VALUE OF RETURN BASED ONs ORIGINAL RETURN
1. Real Estate {Schedule A) CL) 12, 000.00 NOTE: To anaure proper
2. ftoeks and fonds CfaMdula t) {2) •00 credit to your socount,
3. CloseiY Ne1d Stook/partnership Intaraat CSehadul• C) {3) .00 suhslt the upper portion
of this form with your
4. Mertts0as/Notas Raeelveble CSohadula D) C4) •00 tax pdywont.
t. Ceah/tank Deposits/Vise. Personal Properly tfohsdule E9 C3) 124L334.33
6. JaintlY Owned Proparty tfehadule F) C67 .DD
7. 7rsnsfers CSehadul• O) C7) .00
s. Total Asaats tt) 136.334.33
APPROVED DEDUCTIONS AND EXENPTIONSs
4. Funarel Expanses/AdM. Costa/Misa. Expanses CSehadul• N) {y) t.bRb.rn
10. Debts/Mortasfa Liebilities/Lians CSehadul• I) C10). 3.764.55
11. 7ats1 Deduotions Cil) 10,249.05
12. Nat Yelua of Tax Return 1127 126 - 085.28
13, CAeritabia/Yovarneantel Dagwstsj Non-elected 1113 Trusts CSohaduie J) t13) .DO
14. Nat Value of Estate Subject to Tax {.147 126.085.28
NOTE: If Rn sissossfient rns 3asYOd preYlOClaly,
rsfiact fioaras that include the total
ASSESSMENT OF TAXs
1S. Amount of Lina 14 ai Spousal rale
16. Aiaount of Lina 14 tsxabla at Linul/Class A rate
linos 14, 15 and/or i6, 17, 18 and 14 rill
of ALL returns assoasod to data.
17. Amount of Lina 14 at Siblint rate
if. Amount of Lina 14 taxable at Colistarel/Cless t rata
19. Principal Tax Due
TAx cREDIrs:
t167 .OD x 00 ^ . DO
c1s) - oe ~ 045 ' . 00
t17) )ze.ale4_sa x 12 ^ 15,130.23
t1a) • 00 x 15 . QO
ti!)^ 15.130.23
PA MENT
DATE RECEIPT
NUNfER COUNT C+)
INTERESTlPEN PAID C-) AMOUNT PA1D
09-2 - 2 CD016 6 .OD 15,1 .23
BALANCE OF UNPAID INTERESTlPENALTY AS OF 04-27-2D12
TOTAL TAX PAYMENT 15,130.23
BALANCE OF TAX DUE .00
INTEREST AND REM. 194.74
TOTAL DUE 194.79
+~ IF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE L9 REFLECTED Af A ^CREDIT° CCR), YOU NAY tE DUE
FOR CALCULATION OF ADDITIONA4 INTEREST. A REFUND. SEE REVERSE SIDE OF THIf FORM FOR ZNSTRUCTIONf.