HomeMy WebLinkAbout04-25-14 NOTICE OF INHERITANCE TAX �g i ' pennsytvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ry/ ��` DEPARTMENT OF REVENUE
BUREAU OF TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX lABr1�
REV-1547 EX AFP (08-13)
PO BOX 280601 ,
HARRISBURG PA 17128-0601
DATE 04-28-2014
ESTATE OF REINERS MARY E
DATE OF DEATH 09-30-2013
FILE NUMBER 21 13-1227
COUNTY CUMBERLAND
KOSTUKOVICH JOHN S ACN 101
3900 TRINDLE RD APPEAL DATE: 06-27-2014
CAMP HILL PA 17011-4246 (See reverse side under Objections)
Amount Remitted -1
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 f-
EX AFP COB-13} NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: REINERS MARY EFILE NO. :21 13-1227 ACN: 101 DATE: 04-28-2014
TAX RETURN WAS: I X) ACCEPTED AS FILED I } 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,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper Portion 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) 39,482.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 39,482.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 7,575.00 -d
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 5,364, 0&, .o
cz
11. Total Deductions .(I fl 15,9
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (, }x n
14. Net Value of Estate Subject to Tax ( } �,54 g0
NOTE: If an assessment was issued Previously, Lines 14, 15, 16, 17, rTjB h"/or 19 w37j,
reflect figures that include the total of all returns assesse(�jtQD S, te�
ASSESSMENT OF TAX: �y,
15, Amount of Line 14 at spousal rate (15) .00 X'-T1Od0, = 1'-' rte^ r V0
16. Amount of Line 14 taxable at lineal rate (16) 7A-,,G;-nn Xy+45 = ne1 4r4 0
17. Amount of Line 14 at sibling rate (17) . On X 12 - Cr5 -n00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due t14}= 1,194.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
1 -18-2013 CDO18542 59.70 1 ,194.00
TOTAL TAX PAYMENT 1,253.70
BALANCE OF TAX DUE 59.70CR
INTEREST AND PEN. .00
TOTAL DUE 59.70CR
r 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. `�j�l