HomeMy WebLinkAbout03-18-13NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION
PO BOX 280601 . ..
HARRISBURG PA 17128.0601
RECORDED OFF1OE OF
REGISTER OF VPLLLS
MaR 18 Pin 8 3�
FRED BACHMAN CLERK OF
PO BOX 3215
LANCASTER CUMBERLAND OR A
Iffpennsylvanta
DEPARTMENT OF REVENUE
REV-1547 EX AFP 109 -12)
DATE 03 -11 -2013
ESTATE OF CROUSE ALICE M
DATE OF DEATH 02 -13 -2012
FILE NUMBER 21 12 -1200
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 4--
00 =
REV -1547 EX AFP (12 -11) NOTICE OF INHERITANCE TAX APPRAISEMENT,
ALLOWANCE
OR
045 =
DISALLOWANCE of DEDUCTIONS AND
ASSESSMENT
OF TAX
12
ESTATE
OF: CROUSE ALICE MFILE NO.:21 12 -1200
ACN: 101
DATE: 03 -11 -2013
.00
TAX RETURN WAS: ( X) ACCEPTED AS FILED
(
) CHANGED
.00
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 ports
3.
Closely Hold Stock/Partnership Interest (Schedule C)
(3)
of this form With your
4.
Mortgages /Notes Receivable (Schedule D)
(4)
.00
tax payment.
44,767.37
5.
Cash /Bank Deposits /Misc. Personal Property (Schedule E)
(5)
.00
6,
Jointly Owned Property (Schedule F)
(6)
483,235.18
7.
Transfers (Schedule G)
C7J
S.
Total Assets
(a)
5+28,002.55
APPROVED
DEDUCTIONS AND EXEMPTIONS:
9.
Funeral Expenses /Adm. Costs /Misc. Expenses (Schedule H)
(9)
15.582.94
10.
Debts /Mortgage Liabilities /Lions (Schedule I)
(10)
158.69
11.
Total Deductions
(11)
15,741.63
12,
Net Value of Tax Return
(12)
512,260.92
13.
Charitable /Governmental Bequests; Non- olected 9113 Trusts
(Schedule
J) (13)
462 :797.01
14.
Net Value of Estate Subject to Tax
(14)
49,463.91
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 r_RFnITSx
C15)
49,463.91 x
00 =
.00
(16)
-On X
045 =
.00
(77)
.00 x
12
.00
us)
.00 x
15 =
.00
(19)=
.00
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT
INTEREST /PEN
( +7
PAID
( -)
AMOUNT
PAID
+, IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE 100 :-
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.