HomeMy WebLinkAbout02-21-14 NOTICE OF INHERITANCE TAX [_ g] pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE B \\�$ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX �mm�-
INHERITANCE TAX DIVISION REV-1547 IX AFP (OS-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 02-17-2014
ESTATE OF EBY KAREN E
DATE OF DEATH 04-17-2013
FILE NUMBER 21 13-0481
COUNTY CUMBERLAND
SHERIDAN ESQ JOHN D ACN 101
STE 201 -- APPEAL DATE: 04-18-2014
2080 LINGLESTOWN RD (See reverse side under Objections)
HARRISBURG PA 17110-9670 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
REV 1547 EX AFP (05 13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EBY KAREN EFILE NO. :21 13-0481 ACN: 101 DATE: 02-17-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 88,109.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
DD submit the upper portion
3. Closely Held Stock/Partnership Inkerest (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) (5) 1,456.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 17,412.00
8. Total Assets (8) 106.977.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 17.789. 00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11 ,683.00
11. Total Deductions (11) 29,472.00
12. Net Value of Tax Return (12) 77,505.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 77,505.00
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. r, z
ASSESSMENT OF TAX: (^J
15. Amount of Line 14 at spousal rate (15) .00 X 00:__ -c' .00F
77.rn6.nn 1 ,
16. Amount of Line 14 taxable at lineal rake (16) X 045j�'� 3,488+-0 0--,.
12n-t ,
17. Amount of Line 14 at sibling rate (17) nn x X75'1• GJ S-0Oi_lj
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15.6=— iv r00_J
19. Principal Tax Due (1-90= 3,488:0,07
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) =3y N �-` j
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID I-) _ CI)
10-23-2013 CDO18312 .00 3,488.00 X_
TOTAL TAX PAYMENT 3,488.00
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.