HomeMy WebLinkAbout09-30-13 NOTICE OF INHERITANCE TAXj pennsy[vania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE '' \!! DEPARTMENT OF REVENUE
BUREAU OF Tax DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX imI17
REV-1547 EX AFP (03-13)
PO BOX 260601
HARRISBURG PA 17128-0601
RECORD-0 C^FI^E Or
REG C - -..2 OF 7: ILLS DATE 09-23-2013
��71 ESTATE OF CELLUM JACK T
HP� 30 PI :f� LG 40 TN FILE NUMBER 21-12-0777
SHIELDS III CHARGE§:PP C; COUNTY CUMBERLAND
ACN 101
6 CLOUSER RD ORPHANS' COURT APPEAL DATE: 11-22-2013
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MECHANICSBURG CUEkMb9d5V1, PA (See reverseside under Objections)
Amount Remitted I- i� I
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 4---__'----"---`_---- ---'------------------'---------------------------------___'----
REY-1547 EX AFP (02-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CELLUM JACK TFILE N0. :21 12-0777 ACN: 101 DATE: 09-23-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
S. Closely Hold Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portion of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
S. Cash/Bank Deposits/Mlsc. Personal Property (Schedule E) (5) 6,567.98
6. Jointly Owned Property (Schedule F) (6) 177,928.89
7. Transfers (Schedule G) (7) .00
8. Total Assets (a) 184.496.87
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 8,231.56
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 16 .101 .41
11. Total Deductions (11) 24,332.97
12. Not Value of Tax Return (t2) 160,163.90
15. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Sublect to Tax (14) 160,163.90
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 (15) .00 X 00 .00
16. Amount of Lino 14 taxable at lineal rate (16) 140-163-90 X 045 = 7,207.38
17. Amount of Line 14 at sibling rate (17) . DO X 12 = .00
18. Amount of Lino 14 taxable at collateral rate (18) .00 X 15 = . DO
19. Principal Tax Due (19)= 7,207.38
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-05-2013 CDO17855 51.42- 7,258.80
TOTAL TAX PAYMENT 7,207.38
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.