HomeMy WebLinkAbout08-23-13 NOTICE OF INHERITANCE TAX � pennsylvan�a
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE TAX DIYISION OF DEDUCTIOHS AND ASSESSMENT �F TAX REV-1547 D( AFP CO3-13)
PO BOX 280601
HARRISBURG PA 17128-0601
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� ,��,;� ��.r� DATE 08-26-2013
� = ESTATE OF DILLEN FREDERICK W
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� � � '� ��°`�'� DATE OF DEATH 04-26-2013
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3621 N FRONT ST ���=�°��t �,';=' ACN APPEAL DATE: 10-25-2013
H A R R I S B U R G Q�y����.'0��,��- (See reverse side under Objections)
���g������j� ��.� �� 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 YOUR RECORDS � ,
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REV-1547 EX AFP CO2-13� NOTICE OF IMHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DILLEN FREDERICK WFILE N0. :21 13-0515 ACN: 101 DATE:. 08-26-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED QN: ORIGINAL RETURN
1. Real Estate CSchedule A) C1) •0� NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� .0 0 credit to your account,
.0 0 , submit tha uppar portion
3. Clvsely Hald Stock/Partnership Interest CScbedule C) C3) � of this form Nith your
4. Mortgagss/Notes R�Ceivable CSchedule D) C4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 246 s 088.47
6. Jointly Owned Property CSchedule F) C6� .0 0
7. Transfers CSchedule G) ��� .0 0
8. Total Assets c8) 246.088.47
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expenses/Adm. Costs/Misc. Expenses CSchedule H) �g� 11:8 0 2.7 5
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) 4.7 31.5 3
11. Total Deductions C11) 16,534.28
12. Net Value of Tax Return C12� 229,554.19
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0
14. Net Valua of Estate Subject to Tax C14� 229,554.19
NOTE: If an assess�ent was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect fiaures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Awount of Lino 14 at spousal rate C15) •00 X 00 = .�0
16. Anrount of Lina 14 taxable at lineal rate C16) ��9•���+-�9 x 045 = 10,329.94
17. Amount of LinQ 14 at sibling rate C17) -�� X 12 = .0 0
18. A�►ou�t or Line 14 taxabla at collateral rate C18) .00 X 15 a .00
19. Principal Tax Due C193= 10,329.94
TAX CREDITSs
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-13-2013 CD017752 516.50 9,813.4
,
TOTAL TAX PAYMENT 10,329.94
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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REYERSE SIDE FOR INSTRUCTIONS.