HomeMy WebLinkAbout03-22-13 NOTICE OF INHERITANCE TAX � pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 DC AFP C09-12)
PO BOX 280601
HARRISBURG PA 17128-0601 '
�������=� �1�1�u� ��� DATE 03-25-2013
REGI����i ()j° `,';;��� ESTATE OF WILLIAMS HARRY M
DATE OF DEATH 05-15-2012
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� FILE NUMBER 21 12-0717
CHARLES J HARTWLL COUNTY CUMBERLAND
GL.E�� C��' acN ioi
2132 MARKET ST APPEAL DATE: 05-24-2013
CA M P H I L L P A 14���`��6 �Q��� (See reverse side under Objections)
_ Et1MBERLA�D ��., p� 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: WILLIAMS HARRY MFILE N0. :21 12-0717 ACN: 101 DATE: 03-25-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED O CHAN6ED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) {1� .0 0
NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� 2 6 b.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) C4� .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E� (5) 5,0 81.9 5
6. Jointly Owned Property CSchedule F) C6� 7,490.13
7. Transfers CSchedule G) ��� .0 0
8. Total Assets (g) 12,838.08
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9� 9.22 6.3 0
10. Debts/Mortgage Liabilities/Liens CSchedule I) �lp� .0 0
11. Total Deductions C11� 9,226.30
12. Net Value of Tax Return C12� 3,611.78
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax C14� 3,611.78
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) �•�> > -7R x 045 = 162.53
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)= 162.53
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-23-2013 CD017082 .00 162.53
TOTAL TAX PAYMENT 162.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
T�TAL 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.