HomeMy WebLinkAbout03-18-13NOTICE OF INHERITANCE TAX pennsylvanfa
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
'
BUREAU OF INDIVIDUAL Taxes OF DEDUCTIONS AND ASSESSMENT OF TAX
DEPARTMENT OFREVENUE
INHERITANCE TAX DIVISION
REV -1547 EX AFP (09 -12)
PD 280601 RECORDED OFFICE OF
HARRISBURG PA 17126 -0601
(17)
REGISTER OF I',f DI SE 03 -11 -2013
12 =
ESTATE OF DEPUY
THERESA M
'3 in MR p 11 yp pp DEATH 10-08 -2012
J13 pia ffA�
15 =
:OF
F NUMBER 21 12 -1307
CLERK OF COUNTY CUMBERLAND'.
(19)=
JOHN A DEPUY ORPHANS' COUR6�N 101
835 S HUMER ST APPEAL DATE: 05 -10
-2013 -
ENOLA PA 17025 RERLAND CO., PA (See reverse side under Objeedons)
Amount Remittedl-
- - - - -�
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 l-
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REV -1547 EX AFP (12 -11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DEPUY THERESA MFILE NO.:21 12 -1307 ACN: 101
DATE: 03 -11 -2013
TAX RETURN WAS: C)O 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 (Schedule B) (2) .DD
credit to your account.
DD
submit the upper portio
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
of this form with your
4. Mortgages /Notes Receivable (Schedule D) (4) .00
tax payment.
S. Cash /Bank Deposits /Mist. Personal Property (Schedule E) (5) 1,208.43
6, Jointly Owned Property (Schedule F) (6) 99,242.73
.00
7. Transfers (Schedule G) (7)
B. Total Assets (s>
100,451.16
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses /Adm. Costs /Misc. Expenses (Schedule H) (9) 2.405.75
10. Debts /Mortgage Liabilities /Liens (Schedule I) (10) 1.606.D6
11. Total Deductions (11)
4,011.81
12- Met Value of Tax Return (12)
96,439.35
13. Charitable /Governmental Bequests; Non- elacted 9113 Trusts (Schedule J) (I3)
.00
14. Net Value of Estate Subject to Tax (14)
96,439.35
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
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Principal Tax Due
TAX CREDITS:
(i5)
.00 X
00 =
.00
(16) 96.4
-Ag -3a X
045 =
4,339.77
(17)
.00 x
12 =
.00
CIS)
.00 X
15 =
.00
(19)=
4,339.77
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT ( +)
INTEREST /PEN PAID t -)
AMOUNT PAID
12-14-2012
CDO16925
216.99
4,122.78
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 4,339.77
BALANCE OF TAX DUE 100
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE .
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.