HomeMy WebLinkAbout02-06-13NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUA T x APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVI~F~4~~~~ d~~~(`j~IQ~EDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
~~ pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-12)
HARRISBURG PA 17128-OTYE~YIV~~i~. ~~ ~~~~`~
~G~~3 DEB ~ P~ 1 ~Z
CLERK Q~
CRAIG A ~~~~Q$' C~~~T
STE 1000 ~~~~A'i~~ ~ ~~
1013 MUMMA RD
LEMOYNE PA 17043-1144
DATE 01-29-2013
ESTATE OF FYRSTER CYRIL B
DATE OF DEATH 02-04-2012
FILE NUMBER 21 12-0228
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-30-2013
(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 ---- --> RETAIN LOWER PORTION FOR YOUR RECORDS f-
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REV-1547 EX AFP C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FYRSTER CYRIL BFILE N0.:21 12-0228 ACN: lnl neTF• n,_~o_~n,z
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) [1) .0 0 NOTE: To
2.
Stocks and Bonds (Schedule B)
~2)
4,38 6.3 3 ensure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4)
0 0 of this form with your
. tax Payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 2 2,616.4 5
6. Jointly Dwned Property (Schedule F) C6) .00
7. Transfers (Schedule G) ~7) 164, 100.00
8. Total Assets
cs) _ 191.102.78
APPROVED DEDUCTIONS AND EXEMPTIONS:
4. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) ~q) 1 ,10 .6 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 7,908.37
11. Total Deductions X11) 23,014.03
12. Net Value of Tax Return C12) 168, 088.75
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) ,0 0
14. Net Value of Estate Subject to Tax (14) _ 168,088.75
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 d ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (15) .00 X 00 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 168.088.74 x 045 = 7,563.99
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 =
.0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)=
TAX CREDITS: 7,563.99
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMDUNT PAID
11-01-2012 CD016736 .00 7,563.99
TOTAL TAX PAYMENT 7,563.99
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 OF THIS FORM FOR INSTRUCTIONS, n