HomeMy WebLinkAbout03-21-14 NOTICE OF INHERITANCE TAX , pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX APP (08-13)
HARRISBURG PA 17128-0601
DATE 03-24-2014
ESTATE OF MOZINGO VICTORIA J
DATE OF DEATH 04-12-2013
FILE NUMBER 21 13-0504
MYERS FOREST N COUNTY CUMBERLAND
137 PARK PL W -ACN 101
APPEAL DATE: 05-23-2014
SHIPPENSBURG PA 17257-9212 (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 ---_ 0,---RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS
------'- _
REV 1547 EX AFP C08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MOZINGO VICTORIA JFILE NO. :21 13-0504 ACN: 101 DATE: 03-24-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (ll . 00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2j .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) 10,000.00 of this form With your
tax payment.
5. Lash/Bank Deposits/Mf sc. Personal Property (Schedule E) (5) 6,353.38
6. Jointly Owned Property (Schedule F) C6) . 00
7. Transfers (Schedule G) (7) .00
8. Total Assets
_
APPROVED DEDUCTIONS AND EXEMPTIONS: - (8) 16,353.38
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)_ 16 9 7 24
10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 1_ 2,427.45
11. Total Deductions
12. Net Value of Tax Return (11) 27,454.69
,101 .
(12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) .00
14. Net Value of Estate Subject to Tax (13)
(14) 11 , 101.31-
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 § date. °
ASSESSMENT OF TAX: C s ::a M
15. Amount of Line 14 at spousal rate (15) .00 X 0g'� gM-�Ob?
16. Amount of Line 14 taxable at lineal rate (16) 0-
17. Amount of Line 14 at sibling rate (17) -nD X 1� AA-Pr 1V�o i-h
18. Amount of Line 14 taxable at collateral rate (18) . 00 X 1ST
19. Principal Tax Due )--
TAX CREDITS: _
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID - T7 /� (= m
-1 r ' r-
a ea to
n
0
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. \