HomeMy WebLinkAbout05-05-14 NOTICE OF INHERITANCE TAX pennsylvfania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL,IfAY� OEO OF F,F DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISID G�n(((�,,JJ V�rL CE OF REV-1547 IX AFP tOB-S S)
PO BOX HARRISBURG PA 17120.0601REGIS { ER OF 4+1(II_3_J 11 1 S
tt1 DATE 05-05-2014
2018 �� P 1 Ip 2 52 ESTATE OF SHADLE ROMAINE M
DATE OF DEATH 12-31-2012
CLERK OF FILE NUMBER 21 13-0015
ORPHAN ' �_Q(Jkr COUNTY CUMBERLAND
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1507 TERFFA�CCEPAVE M CO., PQ ACN APPEAL DATE: 07-04-2014
CARLISLE PA 17013-9368 (See reverse side under Objections)
Amount Remitted r-----
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 (OS-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHADLE ROMAINE MFILE NO. :21 13-0015 ACN: 101 DATE: 05-05-2014
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,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule G (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) (5) 5,350'08
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (8) 5,358.80
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 11 .243.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) . 00
11. Total Deduction-s (11) 11,.243.00
12. Net Value of Tax Return (12) 5,893.00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 5,893.00w
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) 900 X DO = .00
16. Amount of Line 14 taxable at lineal rate (16) - nn X 045 = .00
17. Amount of Line 14 at sibling rate (17) .00 X 12 - .80
18. Amount of Line 14 taxable at collateral rate Cis) .00 X 15 = .00
19. Principal Tax Due C19)= .00
TAX CREDITSz
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT ,00
BALANCE OF TAX DUE .00
INTEREST AND PEN. 100
TOTAL DUE .00
x 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. ��(�