HomeMy WebLinkAbout02-19-13 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
ROBERT F CLARAVAL
FL 2
500 N 3RD ST
HARRISBURG PA
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~ pennsylvani
DEPARTMENT OF REVEN UE
REV-154] EX AFP (09-12)
RECORDED OFFICE OF DATE oz-11-2013
REGIS ; ER OF ,a 3LLS ESTATE OF BOWSER KRISTIN M
f ~~~?ry~ DATE OF DEATH 10-03-2009
'G13 FEB 19 {iil li r3'ZFILE NUMBER 21 09-0967
COUNTY CUMBERLAND
CLERK OF' AcN 501
APPEAL DATE: 04-12-2-13
ORPHANS' COURT (See reverse side underObjeedons)
16,i~M@ff~AND CO., PA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BOWSER KRISTIN MFILE N0.:21 09-0967 ACN: 501 DATE: 02-11-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: LITIGATION RETURN
1. Real Estate (Schetlule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schetlule B) (2) .00 cretlit to your account,
3.
Closely Held Stock/Part narship Interest (Schetlule C)
(3) .00 submit the upp¢r portio
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schetlule E) (5) 80,000.00
6. Jointly Own¢tl Property (Schedul¢ F) (6) .00
7. Transfers (Schetlule G) (7) .00
e. Total Assets (B7 80.000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 18.382.68
10. Debts/Mortgage Liabilities/Liens (Schedule I7 (107 .00
11. Total Detluctions (117 18,382.68
12. Nek Value of Tax Return (12) $1,617.32
13. Cheri kable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 61.617.32
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 Line 14 at spousal rate (15) 38,204.27 X DO - .00
16. Amount of Line 14 taxable aY lineal rate (16) 93.413-Dr. X D45 = 1,053.58
17. Ampunt of Line 14 at sibling rate (17) -00 X 12 - .00
38. Amount of Lina 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1.053.58
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
05-03-2012 CD015948 .00 1,053.58
TOTAL TAX PAYMENT 1,053.58
BALANCE OF TAX DUE .DO
INTEREST AND PEN. .00
70TAL DUE .00
~ IF PAID AFTER GATE INDICATED. SEE REVERSE IF TOTAL OUE IS REFLECTED AS A CREDIT (CR), YOU MAV BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. ~'.