HomeMy WebLinkAbout04-05-13 NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TA)RECORDL�i1P '' ALLOWANCE OR DISALLOWANCE
D ONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION RL��iIJ ; `t��� -� _ REV-1547 EX AFP (09-12)
PO BOX 280601 REGISTER V 1,
HARRISBURG PA 17128-0601 APR p p
�'A A 5 Flil 1.1. 53 DATE 04-01-2013
ESTATE OF SHOPE CHARLOTTE C
CLER \ OF DATE OF DEATH 07-26-2012
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ORPHANS' COURT FILE NUMBER 21 12-0882
MURREL WALTERQUM@ WND CO., PA COUNTY CUMBERLAND
ACN 101
54 E MAIN ST APPEAL DATE: 05-31-2013
MECHANICSBURG PA 17055-3851 (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--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: SHOPE CHARLOTTE CFILE NO. :21 12-0882 ACN: 101 DATE: 04-01-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 102,000.00 NO"fE: To ensure proper
2. Stocks and Bonds (Schedule B:) (2) 00 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 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) 5,69 9.57
6. Jointly Owned Property (Schedule F) (6) . 00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 107,699.57
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,313.52
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 4,266.26
11. Total Deductions
(1l) 14,579.78
12. Net Value of Tax Return (12) 93,119.79
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 93,119.79
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) 93,119-79, X 045 4,190.39
_
17. Amount of Line 14 at sibling rate (17) n0 X 12 . 00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = 00
19. Principal Tax Due (19) 4,190.39
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
01-30-2013 CD017107 .00 4, 190.39
TOTAL TAX PAYMENT 4, 190.39
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. \