HomeMy WebLinkAbout05-13-14 NOTICE OF INHERITANCE TAX � pennsylvania
BUREAU oF IND ,�bk�#���t;�_�PPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE rax t��s�'I,��i�' --, � OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 D( AFP coe-i3>
PO BOX 280601 ti ,,� ;`;�„�„>J
HARRISBURG PA 17128��,,;'�..- ' -
�1?�u��� ,3 ��� ��. �� DATE 05-12-2014
„ ESTATE OF FAIRCLOTH JONATHAN D
DATE OF DEATH 03-29-2011
' FILE NUMBER 21 13-0130
}-�s'`a� "�j��jT COUNTY CUMBERLAND
WARSHAC����.��g� PA �
2320 N ACN 101
APPEAL DATE: 07-11-2014
HARR ISBURG PA 17110-1008 (See reverse side under Objections)
A�nount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-1547 EX AFP (08-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FAIRCLOTH JONATHAN DFILE N0. :21 13-0130 ACN: 101 DATE: 05-12-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED O CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1� .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) �Z� .00 credit to your account,
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) �y� .00 tax payme�t.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .0 0
6. Jointly Owned Property (Schedule F) �6� .00
7. Transfers (Schedule G) ��� .0 0
8. Total Assets (8) .0 0
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) �g� 1 ,8 48.50
10. Debts/Mortgage Liabilities/Liens CSchedule I) �lp� .00
11. Total Deductions C11� 1,848.50
12. Net Value of Tax Return �12� 1,848.50-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) �13� .0 0
14. Net Value of Estate Subject to Tax �ly� _ 1 ,848.50-
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 C15) .00 X 00 - .00
16. Amount of Line 14 taxable at lineal rate (16) �� x 04 5 = .00
17. Amount of Line 14 at sibling rate (17) -00 X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .00
19. Principal Tax Due C19�= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .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.