HomeMy WebLinkAbout02-06-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX ~ pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP clz-IZ)
RECORDED OFI.ICE OF
REGISTER OF ~';'1~LS
~C+13 FEB 6 F'~l I `i3
EDMUND G MYERS CLERK Or
301 MARKET ST
Po Box l09 ORPHANS' COURT
LEMOYNE CUMBERR.9Ai~DoB®: ~F~
DATE 01-29-2013
ESTATE OF NELL GARY E
DATE OF DEATH 03-14-2012
FILE NUMBER 21 12-0415
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 4- ___
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REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: NELL GARY EFILE N0.:21 12-0415 ACN: ~n~ neTF. n,_~o_~n,z
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
2. Stocks and Bonds (Schedule B) (2) 39,571.00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) 171 , 015.14
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
s. Total Assets
c8) _ 210 , 586.14
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 1 8 6. 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 28.500.00
11. Total Deductions C11) 41,786.20
12. Net Value of Tax Return C12) 168, 799.94
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) __ 168,799.94
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 Line 14 at Spousal rate C15) 168,799.94 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 0 0 x 04 5 =
17
A . .0 0
.
mount of Line 14 at Sibling rate (17) ~ ~ X 12 =
.0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 )( 15 = .00
19. Principal Taz Due
TAX CREDITS (19)= .00
:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER 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 OF THIS FORM FOR INSTRUCTIONS.