HomeMy WebLinkAbout05-13-14 NOTICE OF INHERITANCE TAX � pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU oF INDIVIDU I ��*�-•� . � � DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISI ((� �j ,-�; ' �l REV-1547 DC AFP (OB-13)
PO BOX 280601 � '" � ��"�-`" "'����`��
HARRISBURG PA 17128 0601'�}.-������� ��"f���j
DATE 05-12-2014
'rjy ��Y i3 �y� (�: � y ESTATE OF TREPANIER ANTOINETT M
DATE OF DEATH 08-08-2012
FILE NUMBER 21 12-0954
�, '' `{�i;;' ",, ; , COUNTY CUMBERLAND
BLAIR CP�AJU��, I'�'rti`�1�,�,r1��' M
480 N Pui�N����1.7 CU., PA ACN APPEAL DATE: 07-11-2014
HAGERSTOWN MD 21740-3865 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE -� RETAIN LUWER PORTION FOR YOUR RECORDS � ______________
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REV-1547 EX AFP C08-13) NUTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: TREPANIER ANTOINETT MFILE N0. :21 12-0954 ACN: 101 DATE: 05-12-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� .00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 16,976.31
6. Jointly Owned Property CSchedule F) C6� .00
7. Transfers CSchedule 6) ��� 11,277.80
s. rotai nssets cs� 28,254. 11
APPROVED DEDUCTIDNS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) �9� 9.268.4 3
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 27•182.76
11. Total Deductions cll) 36,451. 19
12. Net Value of Tax Return �12� 8,197.08-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13� .00
14. Net Value of Estate Subject to Tax �ly� 8,197.08-
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 C16) - �� x 04 5 = .00
17. Amount of Line 14 at sibling rate C17) -�� X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = .00
19. Principal Tax Due �19�- .0 0
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) 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 CCR), YOU MAY BE DUE �
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.