HomeMy WebLinkAbout06-07-13 NQ?ICE OF INHERITANCE TAX � pennsylvania
BUREAU OF ZNDTYSDUAL 7AXE5 APPRAISEMENT: ALLOWANCE OR DX5ALLOWANCE pEPPRTMENTOFREVENUE
INNERITANC£ TA% USYISZ�N Q� �E�UCTIDM$ AND ASSESSMENT OF TAX gEy-1547 IX AFP CU3�13)
P� MiX Y89601 REC4RDED 4FFICc�� 4F
NARH256UItG PA 11128•Q601
REG1S''FR 4F �YlL1�TE 06-1�-2013
.:�)13 �V� 7 I t I 1 D��TOf DBATH �MI29-2013 SANDRA !.
FI�E NUMBER 21 13-0153
GLEFIK OI' COUNTY CUMBERLAND
7RACEY M REICNARD ����A�s• �Q��R�N 101
104 SARAN CT APPEAL DA7E: 08-09-2013
LEWISBERRY PA 1733���RLAND Cq., PQ (SeereversesideunderObjectinns)
A�ount� Ra�ittetl r----�-�
MAKE CHECK PAYASLE AND REMIT PAYMENT T6:
RE6ISTER OF WILLS
1 COURTHOUSE S4UARE
CARl.ISLE PA 1]p13
CUT ALON6 THIS IINE _ � RETASN LOWER PORTION FOR YOUR RECORDS 4�
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REY-1547 EX AFP CO2-13? NOTICE OF INHERITANCE SAX APPRAISEMEN7, ALLOWAHCE OR
DISALLOWANCE OF DEDUCTIOHS AND AS5ESSMENT OF TAX
ESTA7E OF: SMITH SANDRA LFItE N0. s21 13-41153 ACN: 101 DATE: 06-10-2U13
TAX RETURN WAS: (jO ACCEPTED AS PILE➢ O CHAN6ED
APPRAISEB VAIUE OF RETURN 5ASE0 4Ns ORIGINAL RETURN
1. Real Estate CSChetlule AS Lll •�� NOTE: To ensura proper
2. Stoeks antl Bontls CSChedula B) �p� .00 �redSt to your account.
a0 SUballk tha uppa� PortlDn .
3. Closaly Ha1C Stp<k/Partnarship Intprast C9chadula G C3J of khis torm wit� your
4. MortgagaslNotas Receivsble (SChaGUle D> (4) •�� tsx payment.
5. Cash/Bank DeposiYS/Misc. Personsl Proparty {g�hadule EJ (SJ 2r6$5.00
6. Jointiy pwnatl Pwoparty (Schadule F7 C67 '��
7. Transfers CS<hedule G) L7) 16r434.18
e. Tota2 Asaeks (83 13.125.18
APPRUYED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExpanssslAdm. Cosks/MSSC. Expeoses (Schedulo H) �g� 4.57$.2G
10. Debts/MOrt9a9e Liabilities/Liens CSChsdule I) <1a� •00
11. rotal Oaauctions �ll� 4,57$,25
12. NeY Yalua cf 7ax Retuwn �iY7 $r54b.43
13. Lharitable/6overnmantal Saquests; Non-electetl 9133 7rusts CSchatlule J3 t13} .00
14. Net Yalue ot Esiste Sub,�ect to 7aX �ly� 8.546.93
NOTE: If an asseas�ent was Sasued prevSouslY. Lines 14, 15, 16, 17, 18 and/nr 19 will
retlect fiaures that include the totel of ail returns assessetl Yo date.
ASSESSMENT OF TAX:
15. Amount aF Line 14 at spousel rata L15J .00 X 00 .1I0
ia. nmount of une i4 taxecie at isneai rate c16f R-r"�`{'-Q-; x 045 = 384.61
17. Amount af Lins 14 at sibling rate (17> -00 X 12 .0�
18. Areaunt of Line 14 tmxaCle y{ collaterel �ate (18) .00 X 15 .00
14. PrincSpal Tax Dus L14�° °S$4.61
TAX CREDITSs
PAYMENT RECEIPT 6LSCOUNT (+) AMOUNT PAID
DA7E NUNBER SNTEREST/PEN PAID (-)
04- - 13 C 0174 8 .2 3 .6
TOTAL TAX FAYMENT 403.84
SALANCE OF TAX DUE 19.23CR
INTEREST AND PEN. .00
. TBTAI DUE 19.2ECR
. IF pAIp AFTER DATE INDICATEO, SEE REYERSE IP 79TA1. DIIE IS REF4EC7ED AS A CREDIT CCR3. YOU MAY BE DU�A
FOR CALCULATION oF ADdITi4NAL 7NtEREST. A REpUND. SEE REYERSE SIDE FOR INSTRUC?IONS. �1