HomeMy WebLinkAbout04-05-13 NOTICE OF INHERITANCE TAX pennsytvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX - - REV-1547 EX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED 07--ICE OF DATE 04-01-2013
REGISTER OF WILLS ESTATE OF JACOBS LOUISE H
DATE OF DEATH 04-30-2012
1013 APR 5 A;q 1.i J,{ FILE NUMBER 21 12-0581
COUNTY CUMBERLAND
DAVID A BARIC ESQ
19 W SOUTH ST CLERK OF ACN APPEAL DATE: 05-31-2013
CARLISLE PA OR P 1464-1 0 C R-(' (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 �-
- --------- ----- ------- --- ----
-------------------------------
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: JACOBS LOUISE HFILE NO. :21 12-0581 ACN: 101 DATE: 04-01-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate ,Schedule A) Cl) 77,301 . 00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
S. 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/Mist. Personal Property (Schedule E) (5) 6,274.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 83,575.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 30 ,331 .80
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 53.216.70
11. Total Deductions
(11) 83,548.50
12. Net Value of Tax Return (12) 26.50
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 26.50
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) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 26 [,0 X 045 = 1 . 19
17. Amount of Line 14 at sibling rate (17) 00 X 12 = . 00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = 1 .00
19. Principal Tai; Due (19) 1 .19
TAX CREDITS: -
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-30-2013 CD017113 .00 1 . 19
TOTAL TAX PAYMENT 1 . 19
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.