HomeMy WebLinkAbout02-06-13NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601 n
HARRISBURG PA 17128-0601 RECORDED ~ ~ ~~~tr Q F
REGt57ER 4~ ~~~_t_S
~OI3 FE8 ~ P(~ 1 ~0~
ROBERT C SAIDIS E~~.ERK OF
26 W HIGH ST ORPHANS' COURT
CARLISLE CUMB~RI_~hD~~92~Q
~~- ~r~ pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C09-12)
DATE 02-04-2013
ESTATE OF ADAMS DENITA L
DATE OF DEATH 02-20-2012
FILE NUMBER 21 12-0299
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-05-2013
(See reverse side under Objections)
Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS t--
REV-1547 EX AFP (12-11 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ADAMS DENITA LFILE N0.:21 12-0299 ACN: 101 _ _______________
OR
DATE: 02-04-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) ~1) 7 2,00 0.0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0 credit to your account,
3.
Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 27,4 01.12
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) ~7) .0 0
8. Total Assets cs) 99.401.12
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) fig) 21.54 6.5 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) X10) 81 , 063.90
11. Total Deductions C11) 102,610.40
12. Net Value of Tax Return (12) 3,2D9.28-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) - .00
14. Net Value of Estate Subject to Tax (14) 3,209.28-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .0 0 X 00 - .0 0
16. Amount of Line 14 taxable at lineal rate (16) ~~ X D4 5 = .00
17. Amount of Line 14 at sibling rate (17) .n 0 X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = ,00
19. Principal Tax Due C19?= .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
+~ 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.