HomeMy WebLinkAbout05-13-14 -T--- "' NOTICE OF INHERITANCE TAX ] pennsylvania
BUREAU OF �((yQ(�,TAq C F APPRAISEMENT, ALLOWANCE OR DISALLOWANCE yE ►�f DEPARTMENT OF REVENUE
INHERITANCE UREA F T 3NN v� 0 OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 IX AFF {pg.i37
PO BOX 280601 {{�� '{?((`T + . 'F��1
HARRISBURG PA 171r2fl.+0bbCR
DATE 05-12-2014
KAY 13 �ay� t�- ESTATE OF KEMPF FRANK J
DATE OF DEATH 11-12-2013
FILE NUMBER 21 13-1251
�ij;� i>i�ivV �' COUNTY CUMBERLAND
KEZIN���NSHADE RD J ACN APPEAL DATE: 07-11-2014
YORK PA 17408-4137 (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 E-
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REV-1547 EX AFP C08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KEMPF FRANK JFILE NO. :21 13-1251 ACN: 101 DATE: 05-12-2014
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) 394,366.81 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interact (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) . 00 tax payment.
5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) 72,567.95
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
S. Total Assets (8) 466.,934.76
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Casts/Misc. Expenses (Schedule H) (9) 51110.12
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 13.137.20
11. Total Deductions (11) 18,247.32
12. Net Value of Tax Return (12) 448,687.44
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 448,687.44
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) .OD X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 44R.SR7.44 X 045 = 20,190.93
17. Amount of Line 14 at sibling rate (17) - 00 X 12 = . 00
18. Amount of Line 14 taxable at collateral rate Cie) .00 X 15 = .DO
19. Principal Tax Due (74)= 20,190.93
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-27-2013 CDO18577 1,009.55 19,181 .38
TOTAL TAX PAYMENT 20, 190.93
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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.