HomeMy WebLinkAbout04-05-13 NOTICE OF INHERITANCE TAX � V Pennsywarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 1'
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547-1547 EX X AF REVENUE
INHERITANCE TAX DIVISION RFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 04-08-2013
RE(-','145-IER OF VJILLJ ESTATE OF PETERS MIRIAM L
C � DATE OF DEATH 11-06-2012
1=i3 RPR , i li J�
S FILE NUMBER 21 12-1227
COUNTY CUMBERLAND
LISA MARIE COYNE CLERK C+: ACN 101
3901 MARKET ST ((�� r, (��} 0 APPEAL DATE: 06-07-2013
CAMP HILL P/t PIP-71 TI'-�+29P U RT (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 t--
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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: PETERS MIRIAM LFILE NO. :21 12-1227 ACN: 101 DATE: 04-08-2013
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) (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) 69,328.86
6. Jointly Owned Property (Schedule F) (6) 4,989.01
7. Transfers (Schedule G) (7) . 00
S. Total Assets (8) 74,317.87
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 11 ,4 26.40
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2. 111 .76
11. Total Deductions (11) 13,538. 16
12. Net Value of Tax Return (12) 60,779.71
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax
(14) 60,779.71
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) AR •779-71 X 045 = 2,735.09
17. Amount of Lime 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) 2,735.09
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
02-06-2013 CD017150 136.75 3,000 . 00
TOTAL TAX PAYMENT 3, 136.75
BALANCE OF TAX DUE 401 .66CR
INTEREST AND PEN. .00
TOTAL DUE 401 .66CR
• 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.