HomeMy WebLinkAbout04-05-13 NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX a
PO BOX 280601
REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 04-01-2013
REGISTER OF V',ILLSS ESTATE OF ROSIE LIESELOTT
DATE OF DEATH 07-07-2012
li3 APR 5 fi� j l i 53 FILE NUMBER 21 12-0898
KATHLEEN FARRELL COUNTY CUMBERLAND
5 HILLTOP CIR C LERX OF ACN APPEAL DATE: 05-31-:2013
CARLISLE ORPHAf45!7e6Tr '56 (See reverse side under Objections)
CUMBERLMPID CO., Pit Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 1.7013
CUT-ALONG-THIS-LINE------------RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS--4---------------------
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROSIE LIESELOTT FILE NO. :21 12-0898 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) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 21,781 .74 credit to your account,
0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 0 of this form with
your
4. Mortgages/Notes Receivable (Schedule D) (4) . 00 tai; payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 18,007.43
6. Jointly Owned! Property (Schedule F) (6) . 00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 39.789. 17
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 39,789. 17
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 39,789. 17
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) 21,781 .74 X 00 - .00
16. Amount of Line 14 taxable at lineal rate C16) 1 R.nn7 43 X 045 810.33
_
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 C19)= 810.33
TAX CREDITS: -
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 04-16-2013 TOTAL TAX PAYMENT 00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 810.33
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .60
TOTAL DUE 810.93
* 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.