HomeMy WebLinkAbout05-31-13 NOTICE OF INHERITANCE TAX [ pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE .�1� DEPARTMENT OF REVENUE
INHERITANCE TAX INDIVIDUAL OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP (03-13)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 06-04-2013
REGISTER OF WILLS ESTATE OF DELL BRIAN W
7 prl 7 I DATE OF DEATH 06-29-2012
(I0
013 I Y J1 III � 11 JS FILE NUMBER 21 12-0746
SQ: COUNTY CUMBERLAND
RICHARD E CONNELL
t��RK OF ACN 101
2303 MARKET ST e C 'IRT APPEAL DATE: 08-03-2013
pH
CAMP HILL ORPA1%1194327 (See reverse side under Objections)
CUMBERLAND CO., PA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG-THIS-LINE ---- --+ RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS--4--
REV-1547 EX AFP (02-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DELL BRIAN WFILE NO. :21 12-0746 ACN: 101 DATE: 06-04-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 5,567.47 credit to your account,
.OD 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) •00 tax payment.
S. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) 9.155.60
6. Jointly Owned Property (Schedule F) (6) 40.94
7. Transfers (Schedule G) (7) 31000.00
S. Total Assets (8) 17.764.01
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 11 .536.50
L0. Debts/Mortgage LSabilitles/Liens (Schedule I) (10) 1 .303.77
11. Total Deductions (11) 12.840.27
12. Net Value of Tax Return (12) 4,923.74
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 4,923.74
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) .00 X 00 = . 00
16. Amount of Line 14 taxable at lineal rate (16) 4.RR9_Rn X 045 - 219.73
17. Amount of Line 14 at sibling rate (17) .00 X 12 = . 00
18. Amount of Line 14 taxable at collateral rate (18) 40 .94 X 15 6. 14
19. Principal Tax Due (19)= 225.87
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-01-2013 CDO17383 .00 225.87
05-28-2013 SBADJUST .00 . 06
TOTAL TAX PAYMENT 225,87
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 (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. „0,