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 IX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
�������-� �����'� �� DATE 03-25-2013
REGIiT;:.� d� �i:����.�'J ESTATE OF SHOFFNER SHIRLEY A
DATE OF DEATH 11-11-2012
��a� ��� �� �� �, �� FILE NUMBER 21 13-0077
COUNTY CUMBERLAND
HERBERT C SHOFFNER �L��� �� ACN 101
847 HECK HILL RD APPEAL DATE: 05-24-2013
L E W I S B E R R Y P A Q���'��2�4��T (See reverse side under Objections)
��IMBERLAND G�., �� 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 UF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALL�WANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHOFFNER SHIRLEY AFILE N0. :21 13-0077 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 CSchedule 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) •0� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 1,7 38.0 0
6. Jointly Owned Property CSchedule F) �6� 9,217.22
7. Transfers CSchedule G) ��� .0 0
8. Total Assets c8) 10,955.22
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 10,2 6 2.0 0
10. Debts/Mortgage Liabilities/Liens CSchedule I) �lp� 1,017.0 0
11. Total Deductions (11) 11,279.00
12. Net Value of Tax Return C12� 323.78-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Value of Estate Subject to Tax �14� 323.78-
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 C16) 9•��7-�� x 045 = 414.77
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 �19�= 414.77
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMDUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-22-2013 CD017073 20.74 396.11
TOTAL TAX PAYMENT 416.85
BALANCE OF TAX DUE 2.08CR
INTEREST AND PEN. .00
TOTAL DUE 2.08CR
* 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.