HomeMy WebLinkAbout03-22-13 NUTICE 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 ��C�!'3!'q�� ���'��� ��
HARRISBURG PA 17128-0601 F��1,t
R����.�"'�� �� F;�����.S DATE 03-25-2013
ESTATE OF HOOVER ESTHER M
�`��� ��� �� �! f � �� DATE OF DEATH 04-13-2012
FILE NUMBER 21 12-0537
CLE�� Q� COUNTY CUMBERLAND
RONALD E JOHNSON E���A�$� ����.�. ACN 101
78 W POMFRET ST G�� APPEAL DATE: 05-24-2013
CAR L I S L E PA �������•. �� (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT_ALON6_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: HOOVER ESTHER MFILE N0. :21 12-0537 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) •�� NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) �2� .0 0 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 17,2 6 8.0 0
6. Jointly Owned Property CSchedule F� C6� .0 0
7. Transfers CSchedule G) ��� 34,922.93
s. Total Assets cs� 52.190.93
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9� 13.5 7 3.5 8
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) .0 0
11. Total Deductions C11) 13,573.58
12. Net Value of Tax Return C12� 38,617.35
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax C14� 38,617.35
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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at lineal rate C 16) -'SA•��7--'�� x 045 = 1,737.78
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 C14�= 1,737.78
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-14-2013 CD017050 .00 1,737.78
03-18-2013 SBADJUST .00 .14
TOTAL TAX PAYMENT 1,737.78
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED A'� A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.