HomeMy WebLinkAbout03-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128 -0601
SAMUEL L ANDES
525 N 12TH ST
LEMOYNE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
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DEPARTMENT OF REVENUE
REV -1547 EX AFP (09 -12)
DATE 03 -18 -2013
ESTATE OF GRONINGER SARA C
DATE OF DEATH 08 -07 -2012
FILE NUMBER 21 13 -0019
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 FOR YOUR RECORDS
------------ - - - -- ------------------------------------------------------------
REV -1547 EX AFP (12 -11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GRONINGER SARA CFILE NO.:21 13 -0019 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)
3. Closely Held Stock /Partnership Interest (Schedule C)
4. Mortgages /Notes Receivable (Schedule D)
5. Cash /Bank Deposits /Misc. Personal Property CSchedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
(2)
.00
(3)
.00
C4)
.00
(5)
523.08
(6)
69, 721.92
(7)
.00
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8) 70,245.00
9.
Funeral Expenses /Adm. Costs /Misc. Expenses (Schedule H) C9) 11,5
37.4 7
to date.
10.
Debts /Mortgage Liabilities /Liens CSchedule I) (10) 1,736.50
.00
2,563.70
11.
Total Deductions
(11)
13,273.97
12.
Net Value of Tax Return
(12)
56,971.03
13.
Charitable /Governmental Bequests; Non - elected 9113 Trusts (Schedule J)
(13)
.00
14.
Net Value of Estate Subject to Tax
(14)
56, 971.03
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.
01 -08 -2013
ASSESSMENT OF TAX:
.00
2,563.70
15. Amount of Line 14
at spousal
rate
C15)
.00 X
00 =
.00
16. Amount of Line 14
taxable at
lineal rate
C16)
Fi6.971 -0i x
045 =
2,563.70
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 Due
(19)=
2,563.70
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT ( +)
INTEREST /PEN PAID ( -)
AMOUNT PAID
01 -08 -2013
CDO17017
.00
2,563.70
TOTAL TAX PAYMENT 2,563.70
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 a _
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.