HomeMy WebLinkAbout02-19-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA ]]128.0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
RECORDEr 0~~'!CE OF"
IOi3 FEB 19 F;7 i ~ 9?
LISA MARIE COYNE ESq
3901 MARKET ST CLERK Oi=
CAMP HILL PA0#t~f~-~~1FfS~L~GUPT
CUMBERLAND Ct}., ^s~.
(1) .00
(2) 2>166.36
(3) .00
CU7 ALONG THIS LINE ---- 1 RETAIN LOWER PORTION FOR YOUR RECORDS !-~
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HOLLAND EDNA MFILE N0.:21 12-0614 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A)
2. Stocks and Bontls (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mgrtgages/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 Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expanses (SChetlule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(4) .00
(s) .00
(b) .00
c7) • 00
~ pennsylvani
DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
NOTE: To ensure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
(s) 2.166.36
(g) 280.00
(1D) .00
11. Total Deductions (11) 280.00
12. Ne[ Value of Tax Return (12) 1,886.36
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) <)3) .00
14. Net Value of Estate Subject to Tax (l4) 4.800.21
NOTE: If an assesswent 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.
ASSESS MENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 7( 00 = .00
16. Amount of Line 14 taxable at lineal rate (1 b) G. Rnn_91 X 045 = 216.01
17. Amount of Line 14 at sibling rate (17) -OD X 12 = .00
18. Amount of Line 14 taxable at collateral rate (1 B) .00 X 15 = .00
19. Principal Tax Due (19)` 216.01
TAX CR EDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT Cr)
INTEREST/PEN PAID (-) AMOUNT PAID
D8-0 -2012 D016338 6.56 124. 6
11-29-2012 CD016857 .00 84.89
TOTAL TAX PAYMENT 216.01
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
DATE 02-L1-2013
ESTATE OF HOLLAND EDNA M
DATE OF DEATH 05-08-2012
FILE NUMBER 21 12-0614
COUNTY CUMBERLAND
ACN 101
-APPEAL DATE: 04-12-2013
(See reverse side under Objecrions )
Awount Rewitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE LS REFLECTED AS A CREDIT (CR). YOU MAV BE DUE ,~
FOR CALGULAT ION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.