HomeMy WebLinkAbout02-06-13NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIDNS•.AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-12)
DATE 01-29-2013
ESTATE OF FLEISHER ARLENE A
DATE OF DEATH 07-01-2012
FILE NUMBER 21 12-1026
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 ~
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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: FLEISHER ARLENE AFILE N0.:21 12-1026 ACN: 101 DATE: 01-29-2D13
TAX RETURN WAS: C X) ACCEPTED AS FILE D C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 NOTE: To en
2. Stocks and Bonds (Schedule B)
C2) .0 0 sure proper
credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
0 0
(4) of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) .
C5) 7,5 80.0 0 tax payment.
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G] C7) 960,323.52
8. Total Assets
cs) _ 967.903.52
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cq) 1,$ 08.17
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)__ 9,28 6.4 9
11. Total Deductions C11) 31,094.66
12. Net Value of Tax Return C1P) 936,$08.86
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 936,808.86
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) .0 0 X 00 - .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16). .0 0 x 04 5 =
17. Amount of Line 14 at Sibling rate C17)
00 X 12 .0 D
=
18. Amount of Line 14 taxable at Collateral/Class B rate C18) _
936,808.86 X 15 .0 0
= 140,521.33
19. Principal Tax Due
TAX CREDITS: C19) = 140,521.33
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
09-19-2012 CD016524 7,000.00 133
000
00
11-08-2012 CD016757 00 ,
.
01-22-2013
SBADJUST .
00 521.24
. .09
TOTAL TAX PAYMENT 140,521.33
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" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.