HomeMy WebLinkAbout04-05-13 RECORDED OFFI CEN�ICE OF INHERITANCE TAX � pennsylvania
BUREAU OF INDIVIDUAL r r y- AR ENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION R'ffG1STL bF§� TIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601
REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601 ,�Q,3P R 15�
`} DATE 04-01-2013
CLERK O',- ESTATE OF GRADY DOROTHY E
ORPHANS' COUR i DATE OF DEATH 04-30-2012
CUMBERLAND CO., Pit FILE NUMBER 21 12-0698
MICHAEL J GARFIELD COUNTY CUMBERLAND ACN 101
PO BOX 609 APPEAL DATE: 05-31-2013
ALBRIGHTSVILLE PA 18210-0609 (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----- -01 -- --
RETAIN LOWER PORTION FOR YOUR RECORDS F-
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REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GRADY DOROTHY EFILE NO. :21 12-0698 ACN: 101 DATE: 04-01-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) • 00 No"rE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,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/Noises Receivable (Schedule D) (4) 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 17,364.90
6. Jointly Owned Property (Schedule F) C6) 313.24
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 17,678. 14
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4.841 .55
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1 ,4 61 .46
11. Total Deductions (11) 6,303.01
12. Net Value of Tax Return (12) 11,375. 13
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00
14. Net Value of Estate Subject to Tax C14) 11,375. 13
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 C16)_ 11 -37r3- 13 X 045 = 511 .88
17. Amount of Lin _e 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) 511 .88
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-28-2013 (-D017114 . 00 511 .88
TOTAL TAX PAYMENT 511 .88
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. h
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