HomeMy WebLinkAbout12-13-13 NOTICE OF INHERITANCE TAX _rte Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 12-16-2013
REGISTER OF WILLS ESTATE OF EDMISTON CORBIN A
DEC DATE OF DEATH 05-07-2013
('1113 D 13 Pfd 3 24 FILE NUMBER 21 13-0928
COUNTY CUMBERLAND
BECK JR J
KELLER KELLER B BECKCLEAK Or ACN APPEAL DATE: 02-14-2014
1035 WAYNE AVE STQRPHANS' COURT (See reverse side under Objections)
CHAMBERSBURG CU"8EI NgOS�)., pj, Amount Remittedr• -----�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS !r-
REV-1547 EX AF P (08-1 OTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EDMISTON CORBIN AFILE N0. :21 13-0928 ACN: 101 DATE: 12-16-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED I ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •D0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) {2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/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) IS 15,230.38
6. Jointly Owned Property (Schedule F) {6) 978.56
7. Transfers (Schedule G) (7) .00
S. Total Assets C8) 16.208.94
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1 ,115.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 31151 .25
11. Total Deductions CIL) 4,266.25
12. Net Value of Tax Return (12) 11,942.69
13. Charitable/Governmental Bequests; Non-olected 9113 Trusts (Schedule J) (13) 100
14. Net Value of Estate Subject to Tax (14) 11,942.69
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) 11 •942-44 X 045 = 537.42
17. Amount of Line 14 at sibling rate (17) .00 X 12 = . 00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (lg)= 537.42
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 02-07-2014*. TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 537.42
INTEREST AND PEN. .00
TOTAL DUE 537.42
• 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. �{�