HomeMy WebLinkAbout04-05-13 Q Okifli&O&F INHERITANCE TAX
��C/Q���= � � Pennsylvania
BUREAU OF INDIVIDUAL TAXES RECD ab LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
U AND ASSESSMENT OF TAX __
INHERITANCE TAX DIVISION REV-1547 EX AFP (09-12)
PO BOX 280601 � (�
HARRISBURG PA 17128-0601 'll �P� 5 i' ! " JU
n;
DATE 04-08-2013
CLERK OF ESTATE OF BRYSON PAUL H
ORPHAINS` COURT DATE OF DEATH 10-17-2012
CiUMDERL�y"s''D CO., PA FILE NUMBER 21 12-1191
COUNTY CUMBERLAND
KEITH 0 BRENNEMAN ESQ
ACN 101
44 W MAIN ST APPEAL DATE: 06-07-2013
MECHANICSBURG PA 17055-6249 (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 E-
--- ----- ---- ----------------------------
------------------------------------------------
REV-1547 EX AFP (:12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRYSON PAUL HFILE NO. :21 12-1191 ACN: 101 DATE: 04-08-2013
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 portion 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) . 00
6. Jointly Owned Property (Schedule F) (6) 9,481 . 18
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 9,481 . 18
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3,538. 13
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4,475.33
11. Total Deductions (11) 8,013.46
12. Net Value of Tax Return (12) 1,467.72
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1 ,467.72
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 = .00
16. Amount of Line 14 taxable at lineal rate (16) 1 .447-72 x 045 = 66.05
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)= 66.05
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-15-2013 CDO17182 . 00 66. 05
TOTAL TAX PAYMENT 66. 05
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. ,