HomeMy WebLinkAbout04-19-13 NOTICE OF INHERITANCE TAX pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECOR ,17-70 OFFICE OF DATE 04-15-2013
REGISTIER OF ,"ILLS ESTATE OF DIVENS BETTY A
DATE OF DEATH 06-13-2012
?0113 {app 19 AM 1-i 2 FILE NUMBER 21 12-0704
J APR tt11 11 t U COUNTY CUMBERLAND
BERNARD H DIVENS
428 S 2ND ST CLERK F ACN APPEAL DATE: 06-14-2013
CHAMBERSBURG 0PHAMI OAR T (See reverse side under Objections)
CUMBERLAND GO., PA Amount Remittedl � �
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--
REV-1547 EX AFP C12-113 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DIVENS BETTY AFILE NO. :21 12-0704 ACN: 101 DATE: 04-15-2013
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) .00 NOTE: To ensure proper
2. Stocks and Bands (Schedule B) (2) .00 credit to your account,
0 0 submit the upper portion
3. Closely Held Stack/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 12,135.32
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets C8) 12,135.32
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 916.68
„
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,136.24
11. Total Deductions C11) 4,052.92
12. Net Value of Tax Return C12) 8,082.40
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax t14) 8,082.40
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) R.nfl?_4n x 045 = 363.71
17. Amount of Line 14 at sibling rate (17) AD X 12 - .00
18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 - .00
19. Principal Tax Due (19)= 363.71
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-19-2013 CDO17194 .00 363.71
TOTAL TAX PAYMENT 363.71
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 CCR), YOU MAY BE DUE
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FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.