HomeMy WebLinkAbout12-13-13 NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE �17pennsylvania
OF DEDUCTIONS ANA ASSESSMENT OF TAX DEPARTMENT AF REVENUE
INHERITANCE TAX DIVISION REV-1547 IX AFP 108-13)
PO BOX 280661
HARRISBURG PA 17128-0601 RECORDED OFFICE OF
REGISTER OF MILLS DATE 12-16-2013
- ESTATE OF CHAPLIK THOMAS D
ZED DEC 13 M 3 24 1 DATE OF DEATH 05-31-2013
FILE NUMBER 21 13-0976
WEIGLE ESQ JERRY CLERK OF COUNTY CUMBERLAND
126 E KING ST ORPHANS' COURT ACN ldl
APPEAL DATE: 02-14-2014
SHIPPENSBURG O(f B '/rILrSZ6�.. PA (See reverse side under Objections)
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 4-
REV-1547 EX AFP (08-133 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CHAPLIK THOMAS DFILE N0. :21 13-0976 ACN: 101 DATE: 12-16-2013
TAX RETURN WAS: I 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,
.00 submit the upper portion
3. Closely Meld Stock/Partnership Interoxt {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 C) (5) • 00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule 0) (7) •00
B. Total Assets (8) 100
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3,213.00
10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) .00
11. Total Deductions (11) 3,213.00
12. Not Value of Tax Return (12) 3,213.00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate Subject to Tax (14) 3,213.00-
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) -an X 045 - .00
17. Amount of Line 14 at sibling rate (17) •nn X 12 50
18. Amount of Line 14 taxable at collateral rate (18) . 00 X 15 = . 00
19. Principal Tax Due - (19). .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
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. „f�