HomeMy WebLinkAbout09-30-13 NOTICE OF INHERITANCE TAX �..1� pennsylvania
r:n AP"AISEMENT, ALLOWANCE OR DISALLOWANCE �.�'- DEPARTMENT OF REVENUE
BUREAU OF INDIVTIYUAL RpXES� : : - OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX UIVIS2(fH" _ J REV-1547 EX AFP (03-13)
PO BOX 280601 ^ " ,
HARRISBURG PA I7128�0 601 "
12 24 DATE 09-30-2013
ESTATE OF HARM PATRICIA G
�i "•,� �,= DATE OF DEATH 01-28-2013
O�,`�,N a•l r•• cOURi FILE NUMBER 21 13-0160
SILLIK�®�s�',S�RLIriARKG PT' COUNTY CUMBERLAND
ACN 101
5922 LINGLESTOWN RD APPEAL DATE: 11-29-2013
HARRISBURG PA 17112-1149 (See reverse side under Objections)
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 --
REV-1547 EX AFP 002-133 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HARM PATRICIA GFILE NO. :21 13-0160 ACN: 101 DATE: 09-30-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .DO credit to your account,
00 submit the upper portion
S. Closely Held Stack/Partnership Interest (Schedule L) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,509.43
6. Jointly Owned Property CSchadule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 51509.43
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule H) C9) 1 .423.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 879.26
11. Total Deductions (11) 2,302.76
12. Net Value of Tax Return (12) 3,206.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) CIS) 500.00
14. Net Value of Estate Subject to Tax (14) 2,706.67
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 C15) . 00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 2.706-47 X 045 = 121 .80
17. Amount of Line 14 at sibling rate C17) - nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) . 00 X 15 = .00
19. Principal Tax Due (19)= 121 .80
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-17-2013 CDO17909 .00 121 .80
TOTAL TAX PAYMENT 121.80
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.