HomeMy WebLinkAbout03-18-13NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and /or 19 will
reflect figures that
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NOTICE OF INHERITANCE
TAX
pennsytvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
ASSESSMENT OF TAX:
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND
ASSESSMENT OF TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
REV -1547 EX AFP (09 -12)
PO BOX 280601
(15)
.00 X
HARRISBURG PA 17128 -0601
RECCi
.00
16. Amount of Line 14 taxable at
e
(16)
- 7I X
REG
DATE 03 -18 -2013
17. Amount of Line 14 at sibling
;_ 'f -
ESTATE OF CLEPPER
RICHARD D
(�13 FIRR 1
R
DATE OF DEATH 10 -13 -2012
18. Amount of Line 14 taxable at
U i (
FILE NUMBER 21 12 -1158
00 X
15 =
COUNTY CUMBERLAND
19. Principal Tax Due
THEDORE L BRUBAKER EsQC LEr r,
ACN 101
STE 6205 ®R�htlr r
APPEAL DATE: 05 -17 -2013
480 NEW HOLLAND
(See reverse side under Objections)
G
-�C27
LANCASTER PA" 6'02`
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-FOR-YOUR-RECORDS--4
------------ - - - ---------
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REV -1547 EX AFP (12 -11) NOTICE OF INHERITANCE
TAX APPRAISEMENT, ALLOWANCE
OR
DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX
ESTATE OF: CLEPPER RICHARD DFILE NO.:21
12 -1158 ACN: 101
DATE: 03 -18 -2013
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
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) 51,589.16
credit to your account,
00
submit the upper portion
3. Closely Held 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 CSchedule
E) (5) 32,793.13
6. Jointly Owned Property CSchedule F)
(6) .00
7. Transfers (Schedule G)
(7) 81,464.49
8. Total Assets
(8)
165,846.78
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses /Adm. Costs /Misc. Expenses (Schedule
H) (9) 4,8 93.62
10. Debts /Mortgage Liabilities /Liens (Schedule I)
(10) 5,797.95
11. Total Deductions
(11)
10,691.57
691.57
12. Net Value of Tax Return
(12)
155,155.21
13. Charitable /Governmental Bequests; Non - elected 9113
Trusts (Schedule J) (13)
.0 0
14. Net Value of Estate Subject to Tax
C14)
155, 155.21
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.
CDO17020
ASSESSMENT OF TAX:
6,632.88
15. Amount of Line 14 at spousal
rate
(15)
.00 X
00 =
.00
16. Amount of Line 14 taxable at
lineal rate
(16)
- 7I X
045 =
6,981 .98
17. Amount of Line 14 at sibling
rate
C17)
00 X
12 =
.00
18. Amount of Line 14 taxable at
collateral rate
(18)
00 X
15 =
.00
19. Principal Tax Due
(19)=
6,981.98
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT C +)
INTEREST /PEN PAID C -)
AMOUNT PAID
01 -08 -2013
CDO17020
349.10
6,632.88
TOTAL TAX PAYMENT 6,981.98
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 (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.