HomeMy WebLinkAbout03-22-13 NOTICE OF INHERITANCE TAX � pennsyLvania
APPRAIS ENT, ALLOWANCE �R DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES �� CTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION�������� ���� REV-1547 IX AFP C09-12)
HARRISBURG6PA 17128-0601 Q��'����,�` �� �������
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���� �� �� p� 1 C�2 DATE 03-25-2013
,_�13 � � 1 ESTATE OF WH I TE ROMAI NE M
: �L��� �� DATE OF DEATH 08-29-2012
� ����.�. FILE NUMBER 21 12-0992
STEPHEN J HOG�� $�qA,�S COUNTY CUMBERLAND
STE 101 ��.� tCt�-�i��} ,�.r�•� �� ACN 101
APPEAL DATE: 05-24-2013
19 S H AN 0 V E R S T (See reverse side under Objections)
CARLISLE PA 17013-3326 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 �
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REV-1547 EX AFP C12-11� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT UF TAX
ESTATE OF: WHITE ROMAINE MFILE N0. :21 12-0992 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� 62,092.61 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) �2� .0 0 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2�2 6 5.0 3
6. Jointly Owned Property CSchedule F� C6� .0 0
7. Transfers CSchedule G) ��� .0 0
8. Total Assets cs) 64,357.64
APPR�VED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 18.8 2 7.14
10. Debts/Mortgage Liabilities/Liens (Schedule I) �lp� 46,430.50
11. Total Deductions (11) 65,257.64
12. Net Value of Tax Return �12� 900.00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax C14� 900.00-
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 C16� -�� x 04 5 = .0 0
17. Amount of Line 14 at sibling rate C17� -�� 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�- .0 0
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
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 INSTRUCTIDNS.