HomeMy WebLinkAbout03-18-13 NOTICE OF INHERITANCE TAX pennsylvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX ID
INHERITANCE TAX DIVISION REV-1547 EX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OFDATE 03-11-2013
RECiS7ER OF 'i`.1LLS ESTATE OF TJERNAGEL ELOISE L
99 q o nDATE OF DEATH 10-21-2010
18 rf,m t 8 2J
COUNTY CUMBERLAND
CUMBERLAND
CHARLES E SHIELDS III
6 CLOUSER RD CLERK OF ACN APPEAL DATE: 05-10-2013
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MECHANICSBURG PA 17U59POMS' COURT (See reverse side under Objections)
CUMBERLAND CO , PA 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: TJERNAGEL ELOISE LFILE NO. :21 10-1190 ACN: 101 DATE: 03-11-2013
TAX RETURN WAS: OO 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,
00 submit the upper Portio
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/Mist. Personal Property (Schedule E) (5) '00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (77 16,050.00
B. Total Assets (8) 16.050.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 426.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 426.50
12. Net Value of Tax Return (12) 15,623.50
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J7 113) .00
14. Net Value of Estate Subject to Tax (14) 15,623.50
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) 15.623.50 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) - an X 045 = .00
17. Amount of Line 14 at sibling rate (17) -DO X 12 .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = . 00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-7
TOTAL TAX PAYMENT .00
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 D(IG?
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. J