HomeMy WebLinkAbout10-28-13 NOTICE OF INHERITANCE TAX 7 pennsytvania
BUREAU OF INDIVIDUAL TAXES APOF DEDUCTIONS ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVIS10M OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (OB-13)
PO BOX 280661 _
HARRISBURG PA 17128-0601
RECD iRaEC OFFICE OF
RE2l5TcR CFIT11 6 DATE 10-28-2013
ESTATE OF BARE LAURA E
O DATE OF DEATH 05-17-2013
Zlsi3 i-';�I 28 PM 1 ��0 FILE NUMBER 21 13-0615
COUNTY CUMBERLAND
EAKIN JOHN"LERKMOF ACN 101
MARKET ST SQUAREU RP.jAN S, CG URT APPEAL DATE: 12-27-2013
1 W MAIN ST 11 AA IIyy (See reverse side under Objections)
MECHANICSBURGCUMPhR1Y'0 5'-b'z30 PA Amount Remitted(— —_1
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 +-
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HEY-1547 EX AF P {OB-13} NOTICE OF IN TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BARE LAURA EFILE N0. :21 13-0615 ACN: 101 DATE: 10-28-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) 130,000.00 NOTE: To ensure proper
2. Stacks and Bonds (Schedule B) (2) .DO credit to your account,
00 submit the upper portion
3. Closely Held Stook/Partnership Interest {Schedule C) (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) C5) 165,731.29
6, Jointly Owned Property (Schedule F) (6) 10,842.88
7. Transfers (Schedule G) (7) .00
S. Total Assets Ce) 306.574, 17
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 15,427.66
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1 .519. 11
11. Total Deductions (11) 16,946.77
12. Net Value of Tax Return (12) 289,627.40
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 100
14. Net Value of Estate Subject to Tax C141 289,627.40
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 Lino 14 at spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 284.697.40 x 045 = 13,033.23
17. Amount of Line 14 at sibling rate (17) - nO X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) . 00 X 15 = .00
19. Principal Tax Due (19>= 13,033.23
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (i) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-14-2013 CDO18023 651.66 12,381.57
TOTAL TAX PAYMENT 13,033.23
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.