HomeMy WebLinkAbout03-18-13 NOTICE OF INHERITANCE TAX pennsytvania'
BUREAU OF INDIVIDUAL Taxes APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1547 EX AFP (09.12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED CFFIC7 OF DATE 03-11-2013
REGISTER OFVI LS ESTATE OF KARABCIEVSCHY ANNELISE
tn p q DATE OF DEATH 07-06-2012
1613 MRB 18 ijir1 8 � FILE NUMBER 21 12-0786
COUNTY CUMBERLAND
JOHN R ZONARICH CLERK Vii: ACN 101
FL 6 APPEAL DATE: 05-10-2013
17 S 2ND ST ORPHANS' COURT (See reverse side under Objections)
HARRISBURG PA OVUB.ERWD CO., PA Amount Remitted V,
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013 j
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CUT ALONG THIS LINE --► RETAIN LOWER PORTION FOR YOUR RECORDS
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DISALLOWANCE REV-1547 £X AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR i
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KARABCIEVSCHY ANNELISE FILE NO. c21 12-0786 ACN: 101 DATE: 03-11-2013
TAX RETURN WAS: (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) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper porti n 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) 106,661.00
6. Jointly Owned Property (Schedule F) (6) 65,310.00
7. Transfers (Schedule G) (7) 25,068.00 j
B. Total Assets (8) 197,039.00
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APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 7,030.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 620.00
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11. Total Deductions (I1) 7,650.00
12. Net Value of Tax Return (12) 189,389.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .DO
14. Net Value of Estate Subject to Tax (14) 189,389.00
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 data.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X 00 .00 j
16. Amount of Line 14 taxable at lineal rate (16) 189.3R9 . nn x 045 = 8,523.00
17, Amount of Line 14 at sibling rate (17) .nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)u 8,523.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-21-2012 CDO 6540 421.05 8,00 .00
12-20-2012 CDO16947 .00 123.00
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TOTAL TAX PAYMENT 8,544.05
BALANCE OF TAX DUE 21 .05CR j
INTEREST AND PEN. .00
TOTAL DUE 21 .05CR
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.