HomeMy WebLinkAbout06-07-13 NOTICE OF INHERITANCE TAX � pennsylvania
BUREAU �F SNDTYIDUA� tAXES APPRAISENENT, ALLQWAMCE QR DISALLOWANCE DEPAR7MENTpFHEVENUE
zNxessruue Tax orvissoN OF DEDUCTIONS AND A5SESSMENT OF TAX ��� REV4547 b! AFP coa-ia�
piiARRIS6iWtG6PA 17128-Oda1 �
RECORC1Ea 4, �lGE QF
RE6ISTER OF' �t°?ft,LS DATE oc-la-xois
t pm +� ESTATE OF LEBO MILDRED A
1G1� UU� 7 11 ! �. Lg DATE OF DEAFN 05-14-2012
FILE MUMBER 21 12-1114
MICHAEL CHEREWKA ESQ �'�"�R� �� C4UNTY CUMBERI.AND
624 N FRONT ST ORPHANS� ��u�'� �ACN APPEAL DATE: OS-09-2013
WORMLEYSBURG PAG�"���DQ�� ��., �t� � {S�enversestdeunderQbjtttiansj
A�ount Re�itted� —�
MAKE CHECK PAYABLE ANO RENTT PAYMENT Tq:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISI.E PA 2t013
CUT ALON6 THIS LINE ____ �► RE7AIN LOWER PQRTION FqR YOUR RECdRDS ti
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REV-1547 EJC AFp t02-i3? MOTICE OF INHERITANCE T1Ut APPRAISEMENT, ALL6WAHCE OR
DISALl4WANCE OF DEDUCTIOMS AND ASSESSMENT OF T/lX
ESTATE OFs LE&0 MIIDRED AF1LE N0. :21 12-1114 ACN: 101 DATE: 06-14-2013
TAX RETURN WAS: {X� ACGEPTED AS PILEB C ) CHAN6ED
APPRAISED YALUE 4F RETtlRN BASED ON: ORIGINAI RETURN
i. Real Estate tSChedula A7 (U •�� NOTE: To enaura oroDar
2. S#ooks and Bontls CSchedule B) �2� .QO creAlt to your accounC�
�� submlF th• uppar po�tian
3. Closaly He1E Stock/ParYnership Tnterest 4Schedule G �3) of this tarm wfth your
� 4. MortgapeslNotes Receivabla CSCheCUla DJ t43 •�0 tax payment.
5. Cash/Bank Deposits/Nist. Personal Praperty CSehedule E7 t5} 5.743.47
6. .lointlY Owned Proparty (SC�atlula F3 �6� .00
7. T�ansfers CSChetlule G) ��� .00 �I
A. Tatal Assets t87 �:t43.4?
APPROYED DEDUCTIONS AND EXEMPTIONS:
9. Funeral EXpensts/Adm. CostslNisc. ExFensaS tScbeduia H} �9� 12.B87.06
70. Debts/MOrtBaye liabi23tias/tiens LSChedule IS (YO) 864.02
il. ratai neauctsons �11y 13,?51.08
12. N9F vaiue ur r.x Ratur� ci2� 7�g5?•b�'
13. Charitabla/GOVarnmantal B¢CUasts; Non-electetl 4113 Trusts {Schedula J7 C133 � 'Qfl
14. Net Yalue of Estate SuDject to 7ax C14� 7.957.6I-
NBTEc If sn assess�ent was iasued previcusly: Lines 14, 15> 16, 17, 13 and/ar 14 will
refleet fipures that inelude tha total af all returns asssssad to data.
ASSESSMENT pF TAX:
15. Amount of Li�e 14 ak saousal rate {15) �QD X Q� = �Q�
16. Amount of I.ina 14 taxable at linaa2 rata C36} .�� 7( 045 = .60
ll. Amount ot �ine 14 at sibling rata C17S ��� X 12 = .00
18. Amount aP l2ne 24 taxabla at colla#eral rata C187 .00 X 15 = .00
24. FrintSRai Tax Dua �Y9�' .OQ
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (t) AMOUN7 PAID
DATE NUMBER IN7ERE5T/PEN PAIO (-)
TOTAI TAX PAYMENT .00
BALANCE 8F TAX DUE .00
INTEREST AND PEH. .00
TOTAL pUE .00 (y�
� IF PAID AF7ER DATE IHDICA7EU. SEE REVERSE IF TpTAI DUE IS REGlEC7ED AS A CREDI7 CCR}, YOU MAY 8E DUE`��.3
FOR CALCULATION 4F ADDITIONAL INTERES7. A REFUND. 5EE REYERSE SIDE FOR INSTRUCTIONS.