HomeMy WebLinkAbout04-21-14 (2) NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE 1' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-154] EX AFP (OB-13]
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF GREEY FLORENCE
DATE OF DEATH 11-19-2012
FILE NUMBER 21 13-1177
COUNTY CUMBERLAND
GREEY ELMER ACN 101
8690 RICE RD APPEAL DATE: 06-20-2014
SHIPPENSBURG PA 17257-8725 (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 --- 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: GREEY FLORENCE FILE NO. :21 13-1177 ACN: 101 DATE: 04-21-2014
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,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4,999.93
6. Jointly Owned Property CSchedule F) (6) 999.34
7. Transfers (Schedule G) C7) . 00
8. Total Assets (8) 5.999.27
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1 ,565.47
10. Debts/Mortgage Liabilities/Liens (Schedule I) (30) .00
11. Total Deductions (11) 1,565.47
12. Net Value of Tax Return (12) 4,433.80
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13)- .00
14. Net Value of Estate Subject to Tax (c1�4) ;v4 433.80
Lt
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 8oand/or�19
reflect figures that include the total of all returns assessedICtradate� _� O
ASSESSMENT OF TAX: M n
15. Amount of Line 14 at spousal rate (15) •00 X D9- 0
16. Amount of Line 14 taxable at lineal rate (16) - nn XT Q43-�_; ST7 HBO
17. Amount of Line 14 at sibling rate (17) -OO X •--12(n=-" �) _ 0
18. Amount of Line 14 taxable at collateral rate Cie) 4,433.80 X77
115n=C> : 6 91i 707
Q
19. Principal Tax Due f1�� V "
� CD7
TAX CREDITS: r-
PAYMENT RECEIPT DISCOUNT (+) !+1 Cn _n
' C.J
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID '
12-09-2013 CDC18514 .00 665.07
04-11-2014 WRITEOFF .00 6. 11
TOTAL TAX PAYMENT 665.07
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.