HomeMy WebLinkAbout03-18-13NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128 -0601
R E C 0 RID.
REC1S, �.
{ 8
KEITH A BRENNEMAN ESQ C LE ,E
44 W MAIN ST
ORPHANS'
MECHANICSBURG „P,A. x.4„55¢2,9
pennsylvania
- - - -f DEPARTMENT OF REVENUE
REV -1547 EX AFP (09 -12)
DATE 03 -18 -2013
ESTATE OF RICHWINE CHESTER L
DATE OF DEATH 12 -30 -2011
FILE NUMBER 21 12 -0235
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05 -17 -2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -) RETAIN LOWER PORTION
-
--------- ----- --------- - ----- ------- ------ --------
REV -1547 EX AFP (12 -11) NOTICE OF INHERITANCE TAX
DISALLOWANCE OF DEDUCTIONS
ESTATE OF: RICHWINE CHESTER LFILE NO.:21
FOR YOUR RECORDS
---- ----- -------------------------------
APPRAISEMENT, ALLOWANCE
AND ASSESSMENT OF TAX
12 -0235 ACN: 101
OR
DATE: 03 -18 -2013
AMOUNT PAID
TAX RETURN WAS: C X) ACCEPTED AS FILED C
) CHANGED
12.
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1.
Real Estate (Schedule A)
(1)
•00
NOTE: To ensure proper
2.
Stocks and Bonds (Schedule B)
(2)
.00
credit to your account,
(14)
00
submit the upper portion
3.
Closely Held Stock /Partnership Interest (Schedule C)
C3)
18 and /or
of this form with your
4.
Mortgages /Notes Receivable (Schedule D)
(4)
•00
tax payment.
5.
Cash /Bank Deposits /Misc. Personal Property (Schedule E)
(5)
56,226.31
6.
Jointly Owned Property (Schedule F)
(6)
.00
53,318.66 X
7.
Transfers (Schedule G)
(7)
.00
(16)
8.
Total Assets
.00
C8)
56,226.31
APPROVED
DEDUCTIONS AND EXEMPTIONS:
12 =
.00
18.
9.
Funeral Expenses /Adm. Costs /Misc. Expenses (Schedule H)
(9)
2,907.65
.00
10.
Debts /Mortgage Liabilities /Liens (Schedule I)
(10)
.00
(19)=
11.
Total Deductions
DISCOUNT ( +)
INTEREST /PEN PAID ( -)
AMOUNT PAID
(11)
2,907.65
12.
Net Value of Tax Return
(12)
53,318.66
13.
Charitable /Governmental Bequests; Non - elected 9113
Trusts
(Schedule J)
(13)
.00
14.
Net Value of Estate Subject to Tax
(14)
53, 318.66
NOTE:
If an assessment 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
(15)
53,318.66 X
00 =
.00
16.
Amount of Line 14 taxable at lineal rate
(16)
-()(I x
045 =
.00
17.
Amount of Line 14 at sibling rate
(17)
00 X
12 =
.00
18.
Amount of Line 14 taxable at collateral rate
C18)
.00 X
15 =
.00
19.
Principal Tax Due
(19)=
.00
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT ( +)
INTEREST /PEN PAID ( -)
AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE `•;
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.