HomeMy WebLinkAbout05-20-14 ` NOTICE OF INHERITANCE TAX pennsytvania
' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE W DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280681
HARRISBURG PA 17128-8601
DATE 05-19-2014
ESTATE OF COOMBE SHIRLEY M
DATE OF DEATH 06-27-2010
FILE NUMBER 21 10-0668
COUNTY CUMBERLAND
FLOWER THOMAS E ACN 101
10 W HIGH ST APPEAL DATE: - 07-18-2014
CARLISLE PA 17013-2922 (See reverseside under Objections)
Amount Remitted------
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _-.- --i RETAIN LOWER PORTION-FOR-YOUR-RECORDS !--
REV-1547 EX AFP (0$-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COOMBE SHIRLEY MFILE NO. :21 10-0668 ACN: 101 DATE: 05-19-2014
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO, 01
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
yy����portior
3. Closely Held Stock/Partnership Intarpst {Schedule G 0o submit the upper(3) of this form wlifi your
4. Mortgages/Notes Receivable CSchedula D) C4) 00 tax pent. ,O
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 53,950.1i,$ s t� C-O
6. Jointly Owned Property
(Schedule F) (6) 'r'= Q
�T'-O
7. Transfers (Schedule G) (7) C7 i.')
a. Total Assets ?�= m �i3 50- 30
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 7,394J9 (") C3
T:
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions L618-1 �2, .y0�9
12. Net Value of Tax Return :Ck2) M I 50 1
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 157,364.31:
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 Lino 14 at spousal rate (15) •00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) n0 X 045 = .00
17. Amount of Line 14 at sibling rate C17) -nn X 12 = no
19. Amount of Line 14 taxable at collateral rate (19) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT ,00
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. ,
REV-1470 EX{maq)
pelnnsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
SSN
BUREAU OF INDIVIDUAL TAXES OF CHANGES DLN 14017412
PO Box 280601
HARRISBURG.PA 1712&0601
DECEDENT'S NAME FILE NUMBER
Shirley M. Coombe 2110-0668
REVIEWED BY ACN
Brown Agent 95 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES -
Applied excess deductions from prior returns).
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