HomeMy WebLinkAbout08-23-13 NOTICE OF INHERITANCE TAX � pennsylvan�a
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU oF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP CO3-13)
PO BOX 280601 �+ ��� $ ���
HARRISBURG PA 17128-0601 ��U�+����„�,� ��»��_ y ��
���/k`T'�E a �� t. .`���18-26-2013
��;�� ���TATE OF ANTONICELLI ANGELO A
`'`'ti ���T��F�A7�H -22-2012
FILE NUMBER � 12-1060
��1�� �� CUMBERLAND
5805NSTEPHENS XINGID A ��������PP�E�� DATE: 10-25-2013
MECHANICSBURG PA 17050-6864 ������������;'e�c�sideunderObjeMions)
A�ount Re�itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � RETAIN LOWER PORTION FOR YDUR RECORDS t�
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REV-1547 EX AFP CO2-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT �F TAX
ESTATE OF: ANT�FIICELLI ANGELO AFILE N0. :21 12-1060 ACN: 101 DATE: 08-26-2013
�
TAX RETURN WAS: t X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAI RETURN
1. Real Estate CSchedule A) C1� 135�000.00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� .0 0 credit to your account,
.0 0 sub■it tho upper portion
3. C1osQly Ha1d Stock/Partnership Interest CSchedule C) t3) of this forn� with your
4. Mort�a��s/Notos Recaivable CSchedule D) C4) •�� tax pay�ont.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 2 7�38 6.1 I
6. Jointly Owned Property CSchedule F) � C6� .0 0
7. T ransfers CSchedule G) ��? .0 0
8. Total Assats c8) 162.386.11
APPROYED DEDt�CT,IONS AND EXEMPTIONS:
9. Funar,�� Expa�sas/Adn�. Costs/Misc. Expenses CSchedule H) �q? 19.799.26
10. Dabts/Mortpage Liabilities/Liens CSchedule T) C10) 1.4 22.9 7
11. Total Deductions C11) 21,222.23
12. Net Yalue of Tax Return C12? 141�1`63.88
13. Chsritable/GovarnmQntal Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Na# Vslue of Estate Subject to Tax C14� 141,163.88
NOTE: If an assess�ent was issued previously, Lines' 14, 15, 16, 17, 18 and/or 19 will
reflect fi�ures that include the total of all returns assessed to date.
ASSESSMEN�T QF '�AX: , .
15. A�ount of Lina 14 at spousal rats C15) •O Q X 0 0 = .E10
16. Amount of L�ine 14 taxable at linoal rate Clb) 1 41 .7 63_RR X 045 a 6,352.37
17. An�ount of Line 14 at sibling rate C17) -�� X 12 ° .00
1�. Amount of,Li.no 14 taxable �#� collateral rate C18) .OQ X 15_ � .00
19. Principal Tax Due C19�� 6,352.37
TAX CREDITSs .
PAYMENT RECEIPT bISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) '
12- 8- 012 CD 16941 210.53 4, .
06-21-2013 CU017777 .00 2,141.37
08-19-2013 SBADJUST .00 .47
TOTAL TAX PAYMENT 6,352.37
BALAMCE 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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. �
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