HomeMy WebLinkAbout03-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128.0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
RECORDED OF 'F,CE OF
REGISTER OF VflUS
'013 llRR 18 8(I! 8 32
GARY J HEIM CLERIC OF
PO BOX 659 ORPHANS' COURT
MECHANICSBURG CUM aRho"" PA
r pennsytvania
DEPARTMENT OF REVENUE.
REV -1547 IX AFP (09 -12)'
DATE 03 -11 -2013
ESTATE OF STROCK CLYDE L
DATE OF DEATH 04 -04 -2012
FILE NUMBER 21 12 -1322
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 05 -10 -2013
(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 F
DISCOUNT (+)
INTEREST /PEN PAID C -)
---------------'----
REV -1547 EX AFP C12 -11) NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE
OR
12.
DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX
ESTATE
OF: STROCK CLYDE LFILE N0.:21
12 -1322
ACN: 101
DATE: 03- 11-2013
(Schedule
TAX RETURN WAS: C X) ACCEPTED AS
FILED ( )
CHANGED
Net Value of Estate Subject to Tax
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
L24J
1.
Real Estate CSchadule A)
(1)
.00
NOTE: To ensure proper
2.
Stocks and Bonds (Schedule B)
(2)
44,230.00
credit to your account,
returns
assessed to date.
00
submit the upper Portia
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) (5)
5,925.00
.00
6.
Jointly Owned Property (Schedule F)
(6)
.00
-00 X 12 =
.00
18.
Amount of Line 14 taxable at collateral rate
(18)
7.
Transfers (Schedule G)
(7)
'00
8.
Total Assets
.00
CB)
50,155.00
APPROVED
DEDUCTIONS AND EXEMPTIONS:
9.
Funeral Expenses /Adm. Costs /Misc. Expenses (Schedule
H) (9)
.00
10.
Debts /Mortgage Liabilities /Liens (Schedule I)
(SO)
45.343.00
11.
Total Deductions
DISCOUNT (+)
INTEREST /PEN PAID C -)
AMOUNT PAID
111)
45,343.00
12.
Net Value of Tax Return
(12)
4,812.00
13.
Charitable /Governmental Bequests; Non - elected 9113
Trusts
(Schedule
J) (13)
.00
14.
Net Value of Estate Subject to Tax
L24J
4,812.00
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)
4,812.00 X 00 =
.00
16.
Amount of Line 14 taxable at lineal rate
(16)
-nn X 045 =
.00
17.
Amount of Line 14 at sibling rate
(17)
-00 X 12 =
.00
18.
Amount of Line 14 taxable at collateral rate
(18)
.00 X 15 =
.00
19.
Principal Tax Due
C79)=
.00
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST /PEN PAID C -)
AMOUNT PAID
+ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT ,pp
BALANCE OF TAX DUE ,00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE Drs,
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. Z: