HomeMy WebLinkAbout03-22-13 NOTICE OF INHERITANCE TAX � pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU oF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP C09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
���'����� �����+� �� DATE 03-25-2013
�EC9����� �F �����..�,.S ESTATE OF COOPER EVA K
DATE OF DEATH 04-01-2012
y���ji� ��� 2� �� � �� FILE NUMBER 21 12-0458
COUNTY CUMBERLAND
ROBERT G RABDEBACH �L��� �� ACN 101
912 N RIVER RD APPEAL DATE: 05-24-2013
H A L I FAX P A 17 g�-�9���� ����T (See reverse side under Objections)
GEIMBERLAN� C�., PA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT_ALONG_THIS_LINE_____ --� __RETAIN_LOWER_PORTION_FOR_YOUR_RECORDS_ � ___________________
REV-1547 EX AFP C12-11� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COOPER EVA KFILE N0. :21 12-0458 ACN: 101 DATE: 03-25-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) C1� 150,531.83 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� .0 0 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 208,186.64
6. Jointly Owned Property CSchedule F) C6� .0 0
7. Transfers (Schedule G? ��� .0 0
8. Total Assets cs) 358,718.47
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 3 6,210.7 3
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 29,068.02
11. Total Deductions C11) 65,278.75
12. Net Value of Tax Return �12� 293,439.72
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax �14� 293,439.72
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 C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at lineal rate (16) 79�-4;9-7� x 045 = 13,204.79
17. Amount of Line 14 at sibling rate C17) -0 0 X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19�= 13,204.79
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
Ob-25-2012 CD016173 660.24 13,550.00
TOTAL TAX PAYMENT 14,210.24
BALANCE OF TAX DUE 1,005.45CR
INTEREST AND PEN. .00
TOTAL DUE 1,005.45CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.