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HomeMy WebLinkAbout06-07-13 NOTICE 6F INHERITANCE TAX � pennsylvania suREAU nF tNnxvznun� Tn�tES A�'PRAISEMENT, ALLUWANCE oR DISAIlOWANCE OF IIEDUCTIDNS AND ASSESSMENT pF TAX DEPARTMENTOPREYENUE INXERITANCE TN( OIVISION �y �+^�j n REV-1549 IX AFP CO3-13) NARRISC#A266PA 17I28-edUl i1�VVl���� �i-���� LF ' RE�ISTER nr" !'�I!LS llATE Ob-10-2Q13 I�k3 �U� 7 tik � .�u gATETQF�DEATH 02HOb-2613 ANNA M �`��K �� . FILE NUMBER 21 13-0190 � COUNTY CUMBERLAND WILLIAM A ROHM p{�pHAN5� CQURT p�p 101 2977 ENOLA RD GUMBERLAND CO., PA ' APPEAL DATE: 08-04-2�13 CARLISLE A 17015-4542 {SeeweversesideunderObjecNons) A�ount Re*Sttptl� , MAKE CNECK PAYABLE AND REMI7 FAYMEHT T0: REGIS7ER OF WILLS 1 C4URTHOUSE SQUARE CARLISLE PA 1�013 CUT ALON6 THIS LINE ____ �-► RETAIN �OWER PdRTION fOR YOUR RECORDS !-- --------------'----- -'--`------'---'--------------'---'---'---'--�---'----------'--- � REV-1547 EX AFP Cp2-13) NOTICE OF INHERITANCE TAX APPRAISEMENL ALLOWANCE OR DISA�L4WANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: ROHM ANNA MFILE N0. :21 13-0190 ACN: LO1 AATEs Ob-10-2013 TAX RETURN WAS: CJ(1 ACCEPTED AS fILED ( 3 CHAN6ED APPRAISED YALUE OF RETURN BASED 4Ns 4RI6INAL. RETURN 1. Real EsFate (Schadule A) (Y) 6rD00.00 NOTE: To pnsura propar 2. 5tocks antl Honds {SChatlule B7 ;2} 21s866.6b cretlit to your accoant, .00 suemit tha uraer aartion i. Closaly Haitl Stock/Partnership Intarest {SCheCUl¢ C) CS) pf tM1is farm wlth your 4. Nortgapes/NOtes ReceivaDlu (SCheAUle DJ C4) •�� tax payment. 5. Cash/&ank Dapasit57Misc. Personal Prooetty LSChatlu3a E} �52 3a236.76 6. Jointiv pwnetl Property (SChedule F) �6� .00 7. Transtcrx fSChetlula 63 t7] '�� e. Total Assots �,9) 31.1OS.42 APPROY6D pEDUCTIONS AND EXEMPTIONS: 4. Puneral ExpansesfACm. CostsfNisc. Expansas tSChaCUla H7 tg} 7. b . 1 10. DeEts/Mortgage Lisbilltias/Liens CSc�qdula I7 (10) .00 11. Total Daduetions (1U Za562.51 12. Net Yalua of Tax Return <lz) 26.540.91 13. Charitable/GOVernmental Bequexts; Non-electad 9113 Trusts CSOhedule J3 �Iy� .DO 14. Nst Yalue of Estata Subjact ta Tax . �14a 28.540.91 NOTE: If an assess�ent wa3 issued previously. Linus 14, 15, 16, 17, 1$ antl/or 19 will refiect fipures the# include the total of all raturns assessed to date. ASSESSMENT 4F TAX: 15. Amount pP L3ne 14 at spousal rate C153 .�� X OQ .0� 78. A�aopn{ pf �an� i4 taxacie at uneai rate c16� �R•��°-Q� x 045 = 1,284.34 17. AmounY af Line 14 at sibling raYe C17) -06 X 12 .UO 18. Amou�t of �ine 74 t:xable st collaterai rate {1&} .00 A 15 - .Q� 19. Prin41p01 TaX Dus C197= 1,284.34 TAX CREDITS: PAYMENT RECEIP7 D2SCOUNT (i) qMOUNT PAID DATE NUMBER ZNTERESTfPEN PAZD {-} �2-25-20 CDO 72 2 2. 9 49.26 64-14-2013 CDp17471 b1.33 1,221.90 TOTAL TAX FAYMENT 1,335.38 BALAMCE 4F TAX DUE 51.04CR INTEREST AND PEN. .00 T6TAL DUE 51.04CR � XF PAiD AFTER DAtE INDICATED, SEE REYERSE IF 70TAL DUE TS REFIECTEB AS A CREpIT (CR}, Y�U XAY BE DUE �j FOR CAICULATIDN tlF ADDITIONAL INTEREST. A REFUNO. SEE REVERSE SIDE FOR INSTRUCTIqNS. `��t