HomeMy WebLinkAbout05-03-13 NOTICE OF INHERITANCE TAX pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE -21 DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-06
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R E C'�1 DATE 04-08-2013
3 ESTATE OF CHESTNUT STEPHEN C
DATE OF DEATH 05-18-2012
17 FILE NUMBER 21 13-0187
COUNTY CUMBERLAND
SETH T MOSEBEi;LU'K ACN 101
10 E HIGH APPEAL DATE: 06-07-2013
CARLISLECUJ�,o (See reverse side under Objections)
ERL 1-7 0]-13 5'�D 15 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHESTNUT STEPHEN CFILE NO. :21 13-0187 ACN: 101 DATE: 04-08-2013
TAX RETURN WAS: ()() ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (I)_ .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2)- .00 credit to your account,
.00 submit the upper portion
5. Closely Held Stock/Partnership Interest CSchedule C) CS)- of this form with your
4. Mortgages/Notes Receivable (Schedule D) C94)_ . 00 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5)_ 30,000.00
6. Jointly Owned Property (Schedule F) C6)- .00
7. Transfers CSchedule G) C7)- .00
8. Total Assets (8) 30,000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9)_ 6,442.18
10. Debts/Mortgage Liabilities/Liens CSchedule 1) (10)- 00
11. Total Deductions (11) 6,442.18
12. Not Value of Tax Return C12) 23,557.82
13. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 23,557.82
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) 11 ,778.91 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 11 .778-91 x 045 = 530.05
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .00 x 15 = .00
19. Principal Tax Due (19)= 530.05
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOIJNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-15-2013 CDO17179 .00 530.05
TOTAL TAX PAYMENT 530.05
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.