HomeMy WebLinkAbout02-19-13NOTICE OF INHERITANCE TAX s pennsylvani~
BUREAU OF TNDIYIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTME NT OF REVENUE
INHERITANCE TAx DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-I9w Ez AFP (o9an
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HARRISBURG PA 17126-0601
RECORDF~J OFFICE OF DATE o2-11-2D13
RE ~1`'''R OF F7ILLS ESTATE OF GILBERT EVELYN M
[^ 7 U DATE OF DEATH 04-17-2012
;'1i~3 ~LU 19 ~~~ li 3 (FILE NUMBER 21 12-1173
COUNTY CUMBERLAND
RUTH JURKIEWICZ C~ERK Dr ACN 101
7 OVIS DR ~9 ~QN APPEAL DATE: 04-12-2013
MECHANICSBURG PA lZq¢~Pk~¢"5"S~ COURT (See reverse side under Objections)
GUUU BtKLAND CO., PA A~ount 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 (12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GILBERT EVELYN MFILE N0.:21 12-1173 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: (J() ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE DF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .D0 NOTE: To ensure proper
2. Stocks antl Bonds (Schedule B) (p7 .00 cre d3t to your account,
3.
Closely Hald Stock/Partnership Interest (Schedule Cj
C3) .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. Personal Property (Schedule E) (51 3,542.32
6. Jointly Ownetl Property (Schedule F) (6) •00
7. Transfers (Schedule G) (7) 54,091.28
8. Total Assets (8) 57.633.60
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (SChetlule H) (9) 10.842.60
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 10,842.60
12. Net Value of Tax Return (12) 46,791.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sehetlule J) (131 .00
14. Net Value of Estate Subject to Tax 46
791
00
C14) ,
.
NOTE: If an assessment was issued previously, Lines 14, 15. 16, 17, 18 and/or 19 will
reflect fi8ures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 7( 00 - .00
16. Amount of Line 14 taxable at lineal rate (16) G6.7g1 . nD X 045 = 2, 105.60
17. Amount of Line 14 at sibling rata C17) .00 X 12 .00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 - .00
19. Principal Taz Due (19)= 2,105.60
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+7
INTEREST/PEN PAID (-) AMDUNT PAID
11-0 -2012 CD016741 ,00 2.105.60
TOTAL TAX PAYMENT 2,105.60
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 (CRT, YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST, q REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. .t
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