HomeMy WebLinkAbout04-25-14 NOTICE OF INHERITANCE TAX 1 pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE B \\'' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX fll i REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-28-2014
ESTATE OF HIPPENSTEEL JOHN H
DATE OF DEATH 05-27-2013
FILE NUMBER 21 13-0767
COUNTY CUMBERLAND
GOLDBERG JOSEPH K
STE 106 ACN APPEAL DATE: 06-27-2014
2080 LINGLESTOWN RD (See reverse side underObjecdons)
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 (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HIPPENSTEEL JOHN HFILE NO. :21 13-0767 ACN: 101 DATE: 04-28-2014
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) 810,787.00 credit to your account,
00 submit the upper portioi
S. 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) 11,255. 00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (e) 822.042. 00
APPROVED DEDUCTIONS AND EXEMPTIONS: _
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 25.618. 00 ry
10. Debts/Mortgage Liabilities/Liens (Schedule I) (1 O) 7:':�a M
11. Total Deductions
12. Net Value of Tax Return lR+-J12i 4,$ 9.7700
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) yj> 'r' r\i _Tr00
14. Net Value of Estate Subject to Tax _C14 C"4,809�0a
3 —w Q
NOTE: If an assessment was issued previously. Lines 14, 15, 16, 17, 1 @�an)d/o7o 19-w i211
reflect figures that include the total of all returns assess-Q) aAteP g
ASSESSMENT OF TAX: �. �_ m
15. Amount of Line 14 at spousal rate (15) 67,714. 00 ftDOi = r— 00
16. Amount of Line 14 taxable at lineal rate (16) 717.n9r.. nn x045 = 2, 69x28
17. Amount of Line 14 at sibling rata (17) x.000.00 X 12 = 600.00
18. Amount of Line 14 taxable at collateral rate (18) 5,000.00 X 15 = 750.00
19. Principal Tax Due (19)= 33,619.28
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (t)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-23-2013 CDO18059 1,680.96 32,000. 00
TOTAL TAX PAYMENT 33,680 .96
BALANCE OF TAX DUE 61.68CR
INTEREST AND PEN. .00
TOTAL DUE 61 .68CR
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.