HomeMy WebLinkAbout03-08-13NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ~ Pennsylvania
BUREAU OF INDIV~~A~( ,~~~-1~'~Q¢bEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DI CC1! JJ V a ~.+
PO BOX 280601 pp~~r~A•Tr~ n -- y ~ REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0~60.~ i ~'' i ~ i` V (- ti: ~ "_ ~J
;'!'i3 f1flR 8 ( I i 1 ~1 DATE 03-04-2013
, ESTATE OF HAAS JUILA
~LG(`il~ ~.j. DATE OF DEATH 08-31-2012
~R~'~A~cJ• ~~~~.~. FILE NUMBER 21 12-1029
GREGOR~~~T~~I~~~~
~A COUNTY CUMBERLAND
~
900 MARKET ST ACN 101
L E M O Y N E P A 17 0 4 3- 1410 APPEAL DATE: 05-03-2013
( See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AL
------ ONG THIS LINE ~ RETAIN LOWER POR
----------------------------------- TION FOR YOUR RECORDS •-
REV-15 -----
47 EX AFP C12-11) NOTICE OF INHERITANCE ----
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TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTI ONS AND ASSESSMENT OF TAX
ESTATE OF: HAAS JUILA FILE N0.:21 12-1029 ACN: 101 DATE: 03-04-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0
2.
Stocks and Bonds (Schedule B) NOTE: To ensure proper
00 c
dit
(
re
2) .
to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
00
5. (4) .
tax payment.
Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 364.58
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 364 8
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) - 74 6 6
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 5,586.65
11. Total Deductions
12. Net Value of Tax Return (11) 6,332.31
13. Charitable/Governmental Bequests; Non-elected 4113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax (13) 00
(14) _ 5,967.63-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
ASSESSM reflect figures that include the total
ENT OF TAX: of all returns assessed to date.
15. Amount of Line 14 at spousal rate (15) 00 00 =
16. Amount of
Line
14
taxable at
lineal rate
C16) .
X
nn .00
17. Amount of
Line
14
at sibling
rate X 04 5 =
.00
18. Amount of
Line
14
taxable at
collateral rate (ln
(lg) n0 x 12 = .00
19. Principal
Tax Due
.00 x _
15 -
.00
TAX CREDITS:
(14)=
.00
`'°`r' DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
TOTAL TAX PAYMENT .00
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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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