HomeMy WebLinkAbout02-19-13N07ICE OF INHERITANCE TAX ~ pennsylvani~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 Ex AFP cog-lz)
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HARRISBURG PA 17128-0601 RECORL~Ea /JF ~IGE QI•
REGI/~\TI:R ~i iILLSDATE 02-11-2013
ESTATE OF DUBLE CAROL A
1[;13 FEB 19 Fj;~ I ' 3 TE OF DEATH 08-30-2012
' F'i LE NUMBER 21 12-0985
HAROLD S IRWIN III CLERK 0 COUNTY CUMBERLAND
64 S PITT ST ORPHANS GGURT ACN APPEAL DATE: 04-12-2013
CARLISLE PA 170~RLANO GO., PA (Se¢reversesideunderObjections)
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 ~
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DUBLE CAROL AFILE N0.:21 12-0985 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN
1. Real Estate CSChetlule A) O7 .00
NOTE: To ensure proper
2. Stocks and Bontls (Schedule B) (2) .00 cretlit to your account,
3. Closely Held Stock/Partnership Interest CSChetlule C] (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Porsonal Property LSChedule E) (5) b.306.95
6. Jointly Owned Property (Schedule F7 (57 .00
7. Transfers (Schedule G) (77 .00
e. Total Assets (87 6.306.95
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Exp ensas (Schedule H] (97 6.632.50
10. Debts/Mortgage Liabilities/Liens (S<hetlule I) (10) 229.646.96
11. Total Datl uc tions (117 236.279.4b
12. Net Value of Tax Return (127 229,972.51-
13. Charitahle/Governmental Bemuests; Non-elected 9113 Trusts (Schedule J) (137 .00
14. Net Value of Estate Subject to Tax (147 229.972.51-
NOTE: If an assessment was issued previously, Lines 14, 15. 16, 17> 18 and/or 19 will
reflect fiDUres that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15J .00 R 00 - .00
16. Amount of Line 14 taxable at lineal rata (16) -OD X 045 = .00
17. Amount of Line 14 at sibling rate C17) -00 X 12 - .00
18. Amount of Line 14 taxable at collateral rata (18) .00 X 15 = .00
19. Principal Tax Due (197= .00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
T07AL TAX PAYMENT .DO
BALANCE OF TAX DUE .00
INTEREST AND PEN. ,p0
TOTAL DUE .00
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), VOU MAY BE~UE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.