HomeMy WebLinkAbout03-22-13 NOTICE OF INHERITANCE TAX � peI1I1SyLVan�a
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 � REV-1547 IX AFP (09-12)
HARRISBURG PA 17128-0601 ������6'� ������ ��
����� ��� o� �����L� DATE 03-25-2013
���� �aQ �r3 f��`t� 1 �� ESTATE OF SLOTHOWER MARK L
���; �" i DATE OF DEATH 04-29-2012
����K �� FILE NUMBER 21 12-0545
' DAVID J LENOX ��C�• �(}��� COUNTY lO1BERLAND
3 N BALTIMORE ST � ���� ACN
���� ���� G�,� �Q APPEAL DATE: 05-24-2013
D I L L S B U R G �'P"�t'`�T019-12 8 7 (See reverse side under Objections)
A�nount 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 �
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REV-1547 EX AFP C12-11� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SLOTHOWER MARK LFILE N0. :21 12-0545 ACN: 101 DATE: 03-25-2013
TAX RETURN WAS: (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) C2� .0 0 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5� 19,58 0.9 7
6. Jointly Owned Property CSchedule F) C6� .0 0
7. Transfers CSchedule G) ��� 9,206.98
8. Total Assets cs) 28,787.95
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 15,3 6 0.9 0
10. Debts/Mortgage Liabilities/Liens CSchedule I) �lp� 4.4 4 9.0 5
11. Total Deductions C11) 19,809.95
12. Net Value of Tax Return C12� 8,978.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax C14� 8,978.00
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total af 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 C16) R.97R_00 X 045 = 404.O1
17. Amount of Line 14 at sibling rate (17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 1 5 = .0 0
19. Principal Tax Due C19�= 404.01
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+�
DATE NUMBER INTEREST/PEN PAID t-) AMOUNT PAID
01-10-2013 CD017049 .00 404.01
TOTAL TAX PAYMENT 404.01
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
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. ',}
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