HomeMy WebLinkAbout03-18-13 NOTICE OF INHERITANCE TAX T pennsyrvania!
BUREAU of INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1547 EX AFi' (09-12)
PO BDX 286601
HARRISBURG PA 17128-0601
RECORDED OFF10E OF
REGISTER OF siIL S DATE 03-11-2013
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ESTATE OF SELEWACH CHRISTOPH A
'U13 mRR lU OO AM 8 31 FILE NUMBERTH 21 12-0729
ROBERT C SAIDIS CLERK OF COUNTY CUMBERLAND
ACN 101
26 W HIGH ST O,ARPyH�Ag,N1qS`�CgOU R'T APPEAL DATE: 05-10-2013
CARLISLE CU[+'kBCKl.ANl.I PA (See reverse side under Objections)
UA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE �--► -RETAIN-LOWERPORTION FOR YOUR RECORDS f--
REV-1547 EX AFP C12-11) NOTICE- OF INHERITA_NCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX j
ESTATE OF: SELEWACH CHRISTOPH AFILE NO. :21 12-0729 ACM: 101 DATE: 03-11-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to.00 submit the upp your er accounpgrti t,
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3. Closely Held Stock/Partnership Interest (Schedule CJ C37 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) 29,276. 17
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) '00
8. Total Assets (8) 29.276.17
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (schedule H) (9) 4.717.97
10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) .00
11. Total Deductions (11) 4,717.97
12. Net Value of Tax Return (12) 24,558.20
13. Charitable/Governmental Bequests; Non-olected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 24,558.20
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) .00 X 00 = .DO
16. Amount of Line 14 taxable at lineal rate (16) 24•r"-2n X 045 1 ,105. 12
17. Amount of Line 14 at sibling rate (17) .OD X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1,105.12
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-28-2012 CU0169 6 96.24- 1,203.32
I
i
TOTAL TAX PAYMENT
1 ,107.08
BALANCE OF TAX DUE 1 .96CR
INTEREST AND PEN. .00
TOTAL DUE 1.96CR �
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.