HomeMy WebLinkAbout02-19-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BO% 280601
HARRISBURG PA }]128-0601
NOTICE OF INHERITANCE TAX ~ pennsylvani
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS AND ASSESSMENT OF TAX REV •1547 EX AFP (09-12)
RECORDED Cr~ICE 0~
REG-STE,~ OP ~,"~L,p_S
ZOt3 FE8 19 ?~~ 1 32
THOMAS P GACKI CLERK 0~
FL B ORPHANS' COURT
213 MARKET ST CUMBERLAND ~~ , pA
HARRISBURG PA 17101-2 I
DATE 02-11-2013
ESTATE OF CULLEY DEBBIE A
DATE OF DEATH 02-19-2012
FILE NUMBER 21 12-0302
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-12-2013
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CULLEY DEBBIE AFILE N0.:21 12-0302 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: (JO ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schetlule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total AssatS
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H7
10. Debts/Mortgage Liabilities/Liens (Schedule I)
C17 169,000.00 NOTE: To ensure proper
12,995.55 credit to your account.
(2) .00 submit the upper portico
(3) of this form with your
(4) .00 tax payment.
24.334.05
I5)
.00
c4)
19,468.03
(7)
Is) 225.797.63
(g) 34.125.15
Ilo) 15.375.14
(ill 49,500.29
11. Total Deductions
176>297.34
12. Net Value of Tax Return (12)
cted 9113 Trusts (Schetlule J)
N
l
B
t
- (13) .DO
13. e
e
eques
s{
on
Charitable/Governmental
14. Net Value of Estate Su6leet to Tax (14) 176.297.34
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 Lina 14 at spousal rate
16. Amount of Lina 14 taxable at lineal rake
17. Amounk of Lina 14 at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Principal Tax Due
TAY rR FT1TTSc
I15) .00 x 00 = .00
cis) I7 c.nnn.~R x 045 = 7,830.03
c17) 2.96.76 X 12 - 275.61
c1B) .00 x 15 = .00
I19)= g,1D5.64
PAYMENT
DATE RECEIPT
HUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-19-2012 CD015 98 405.28 10,000.00
TOTAL TAX PAYMENT 10,405.28
BALANCE OF TAX DUE 2.299.64CR
INTEREST AND PEN. .00
TOTAL DUE 2,299.64CR
• IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY HE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. Np.