HomeMy WebLinkAbout03-21-14 NOTICE OF INHERITANCE TAX pennsyLvani=
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Y �► i�t
INHERITANCE TAX DIVISION
OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (08-13)
HARRISBURG PA 17128-0601
DATE 03-24-2014
ESTATE OF HENRY FAIRLYN C
DATE OF DEATH 08-22-2013
FILE NUMBER 21 13-1026
GRLFFIE BRADLEY L COUNTY CUMBERLAND ACN 101
200 N HANOVER ST APPEAL DATE: 05-23-2014
CARLISLE PA 17013 (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 ---- m-0, RETAIN LOWER PORTION FOR YOUR RECORDS (--� _
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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: HENRY FAIRLYN CFILE NO. :21 13-1026 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) (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 portio,
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .DO tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,103.02
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (e) 6.103. 02
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 2.176.80
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 303.83
11. Total Deductions (11) 2,480.63
12. Net Value of Tax Return (12) 3,622.39
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) ,DO
14. Net Value of Estate Subject to Tax (14) 3,622.39
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 (15) .DO X20 = M 0
16. Amount of Line 14 taxable at lineal rate (16) 3.62J _39 X3114%
17. Amount of Line 14 at sibling rate X;!�2T °�7 fn �0
18. Amount of Line 14 taxable at collateral rate (18) .00 X9.I 5D 1- 0
19. Principal Tax Due r-(1 )
TAX CREDITS: (A � 131
r QZT
PAYMENT RECEIPT DISCOUNT (+) O
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID CO "rl
11-19-2013 CD018421 8. 15 163.0.11 W �
fG W Cn i0
t� O s}
TOTAL TAX PAYMENT 171 . 16
BALANCE OF TAX DUE 8.15CR
INTEREST AND PEN. .00
TOTAL DUE 8. 15CR
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. \^