HomeMy WebLinkAbout02-19-13NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAxss OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED O~ f90E OF
REGISTER OF 1~lLLS
;'.013 fE8 19 Pfl 11 32
ROBERT L KNUPP ESQ
4431 N FRONT ST CLERK OF
Po aox 63B ORPHANS' COURT
HARRISBURG PA G~1~.M~Rf~ID CO., PA
~ Pennsylvania
DEPARTMENT OF gEVENUE
REV-1547 EX AFP (09-1D
DATE 02-11-2013
ESTATE OF GOTSHALL DOROTHY M
DATE OF DEATH 05-02-2009
FILE NUMBER 21 09-0449
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-12-2013
(See reverse side under Objecrions
Aeount Resitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WLLLS
L COURTHOUSE SQUARE
CARLISLE PA 17013
CU7 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: GOTSHALL DOROTHY MFILE N0.:21 09-0449 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. 02
1. Real Estate (Schedule A) (11 •00 NOTE: To ensure proper
2. Stocks antl Bontls (Schetlule B) (2) .00 eretlit to your account.
.BU submit the upper portioi
3. Closely Heltl Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E7 (5) 1.361.91
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (77 .00
e. Total Assets (e) 1.361.91
APPRDVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (97 300.00
30. Debts/Mortgage Liabilities/Liens (Schetlule I) (10) .00
11. Total Detluetions (11] 300.00
12. Net Value of Tax Return (127 1,061.91
13. Charikable/Governmental Bequests; Non-elected 9113 Trusts (Schetlule J) (137 .00
14. NeT Value of Estate Subject to Tax (147 510.861.73
NOTE: If an assess~ent 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 (157 .00 X 00 - .00
16. Amount of Line 14 taxable ak lineal rata (167 FI n-R61-7; x 045 = 22,988.78
17. Amount of Line 14 at sibling rate (17) -00 X 12 - .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Oue (19)= 22,988.7E
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
07-27-2009 CD011530 1,112.85 21,144.17
12-14-2010 CD013796 .00 708.94
10-24-2012 CD016696 26.64- 52.16
TOTAL TAX PAYMENT 22,991.48
BALANCE OF TAX DUE 2.70CR
INTEREST AND PEN. .00
TOTAL DUE 2.70CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.