HomeMy WebLinkAbout02-06-13NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL rpR~CORT}~z7 tirrTt-:~~• ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION REolS~E~'{ AF ~~}E~i1~TIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ J i . Vt rT C
HARRISBURG PA 17128-0601
`~~ . ~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-12)
?013 EEB ~ P11 ~ ~~
DATE 01-29-2013
ESTATE OF KISTLER KELLY J
CLERK OF DATE OF DEATH 06-02-2012
ORPHANS' COURT FILE NUMBER 21 12-0913
MARK w ALLSHO~I~I~~~$LAND CO., PA COUNTY CUMBERLAND
ACN 101
4833 SPRING RD APPEAL DATE: 03-30-2013
S H E R MA N S DAL E P A 17 0 9 0- 8 313 ( 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 ~
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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: KISTLER KELLY JFILE N0 .:21 12-0913 ACN: 101 DATE: 01-29-2013
TAX RETURN WAS: (X ) ACCEPTE D AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) ,0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 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) (5) 15,55 5.0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) ~7) .0 0
8. Total Assets (8) 15.555.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Sched ule H) C9) _ 7,76 2.07
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
11. Total Deductions X11) 7,762.07
12. Net Value of Tax Return (12) 7,792.93
13. Charitable/Governmental Bequests; Non-elected 911 3 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 7,792.93
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) 7,792.93 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 0 0 x 04 5 = .00
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) .00 X 15 = .0 0
19. Principal Tax Due C19)=
TAX CREDITS: .0 0
PAYMENT RECEIPT DISCOUNT [+)
DATE NUMBER INTEREST/PEN PAID C-) 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.