HomeMy WebLinkAbout03-22-13 NOTICE OF INHERITANCE TAX , pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION OF DED T SSESSMENT OF TAX REV-1547 IX AFP C09-12)
PO BOX 280601 �������� ��' '����
NARRISBURG PA 17128-0601 RE������ (�� �'`'`���5
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DATE 03-25-2013
�i�i� i li4fi 22 �� � ��ESTATE OF SEIBOLD JR JOHN J
DATE OF DEATH 05-12-2012
(�,�E��( �¢; FILE NUMBER 21 12-0565
ADAM R DELUCA ESQ O���ANS� C�U�� COUNTY CUMBERLAND
61 W LOUTHER ST CUMBERLAt�� ��., {�� ACN APPEAL DATE: 05-24-2013
CA R L I S L E P A 17 013-2 9 8 7 (See reverse side under Objections)
Amount Ren�itted
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 �
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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: SEIBOLD JR JOHN JFILE N0. :21 12-0565 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� 133,750.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) �2� 8s3 31.25 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 CSchedule D) C4� •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 2 2�0 9 0.13
6. Jointly Owned Property CSchedule F) C6� .0 0
7. Transfers (Schedule G) ��� .0 0
8. Total Assets cs) 164,171 .38
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 13,2 2 2.61
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 102,693.98
11. Total Deductions C11) 115,916.59
, 12. Net value of Tax Return C12� 48,254.79
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13� .0 0
14. Net Value of Estate Subject to Tax C14� 48,254.79
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 C16) -�� x 0 4 5 = .0 0
17. Amount of Line 14 at sibling rate (17) 48,254.79 X 12 = 5�790.57
18. Amount of Line 14 taxable at collateral rate (18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 5,790.57
TAX CREDITS:
_ PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-14-2013 CD017053 .00 5,790.57
TOTAL TAX PAYMENT 5,790.57
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.