HomeMy WebLinkAbout09-30-13 NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE �.\?` DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX 7
REV-3547 EX AFP (03-13)
PO BOX
HARRISBURG URG PA PA 17128-0601
RECORCc7 0" iOE OF
REGIS . OF '.AL S DATE 09-23-2013
ESTATE OF DARR JANET M DATE OF DEATH
(U13 SCf 3� PM 2 JD FILE NUMBER 21 12-1274
COUNTY CUMBERLAND
GRIFFIE BRAI)CEYGRK C�' ACN 101
200 N HANOVER STORPHAN S' COURT APPEAL DATE: 11-22-2013
CARLISLE CUk,PUE�371_D�3U VV, PQ (See reverse side under Ohjecdons)
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 (—
------------------------------------------NCE T --'--'------NT, LLOWANC -O-'-------'--'--'
REV-1547 EX AFP (02-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DARR JANET MFILE NO. :21 12-1274 ACN: 101 DATE: 09-23-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( 7 CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 125,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
S. Closely Held 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/Mist. Personal Property (Schedule E) (5) 19,799.74
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (B) 144.799.74
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 43. 133.75
10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) 465.44
11. Total Deductions (11) 43,599. 19
12. Net Value of Tax Return (12) 101,200.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Sub]ect to Tax (14) 101,200.55
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 Line 14 taxable at lineal rate (16) _ nn X 045 = .00
17. Amount of Line 14 at sibling rate (17) 101 .90n.Fr, X 12 = 12, 144.07
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 12,144.07
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-12-2013 CDO17875 .00 12, 144.07
TOTAL TAX PAYMENT 12,144.07
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.