HomeMy WebLinkAbout04-21-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
-
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF SELECKY HAROLD G
DATE OF DEATH 08-03-2013
FILE NUMBER 21 13-0926
COUNTY CUMBERLAND
COYNE ESQ LISA M ACN 101
3901 MARKET ST APPEAL DATE: 06-20-2014
CAMP HILL PA 17011-4227 (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 ---- --+ 4--RETAIN LOWER PORTION FOR YOUR RECORDS 4
-------------------- -------------------------------------------'---'----------------
REV-1547 EX AFP (08-13J NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SELECKY HAROLD GFILE NO. :21 13-0926 ACN: 101 DATE: 04-21-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) • 00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) 181,568.21 credit to your account,
. 00 submit the upper portion
3. Closely Hold Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) • 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 260,201 . 16
6. Jointly Owned Property CSchedule F) (6) .DO
7. Transfers CSchedule G) C7) . 00
8. Total Assets Ce) 441 .769.37
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 35.154.67
30. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 6.008.88
11. Total Deductions (11) 41 ,163.55
12. Net Value of Tax Return C12) 400,605.82
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate Subject to Tax (14) 400,605.82
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) .00 X dto�= -� '� 7.00
16. Amount of Line 14 taxable at lineal rate (16) - 00 X 44 SG= G7 0
17. Amount of Line 14 at sibling rate (17) -00 X ri12==c-,
18. Amount of Line 14 taxable at collateral rate (18) 400,605.82 X';T5>. r1LU,0 r87
19. Principal Tax Due b�C1�=�� 6 0,Ob 7
TAX CREDITS: C7 -
�'J
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID n CZ O T
DATE NUMBER INTEREST/PEN PAID C-) O 1-+ — n
10-22-2013 CDO18304 3,004.54 58,000.0.90 ~' rr— M
y' CJ'1 Cn -ri
O
TOTAL TAX PAYMENT 61,004.54
BALANCE OF TAX DUE 913.67CR
INTEREST AND PEN. .00
TOTAL DUE 913.67CR
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. \,�\�