HomeMy WebLinkAbout04-25-14 NOTICE OF INHERITANCE TAX (_rrL°J pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE '�`` DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
I N TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-28-2014
ESTATE OF DILLER HAZEL S
DATE OF DEATH 03-19-2013
FILE NUMBER 21 13-0398
COUNTY CUMBERLAND
SHEAFFER MARGARET A ACN 101
728 LAUREL LN APPEAL DATE: 06-27-2014
MECHANICSBURG PA 17050-2239 (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 H
REV-1547 EX AFP (08-133 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DILLER HAZEL SFILE NO. :21 13-0398 ACN: 101 DATE: 04-28-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
.00 submit the upper portio,
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) (5) 6,941.72
(
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0073
rn
8. Total Assets CO) _6 944.(78
APPROVED DEDUCTIONS AND EXEMPTIONS: rWTt
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1 .477.401 > r- r\) -A M
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2.412.63. �'� J Cll
11. Total Deductions (ly) - ,89,0.
12. Net Value of Tax Return (�ice�)O �T ,05_
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13)�
14. Net Value of Estate Subject to Tax (q�()-1 3 OR g2
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/ortl19 wil
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) A.0F1 -69 X 045 = 137.30
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 (19)= 137.30
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-17-2013 CD018534 . 00 137.30
TOTAL TAX PAYMENT 137.30
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.