HomeMy WebLinkAbout05-30-14 NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX �7� DEPAR M N AFP EVENU)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-26-2014
ESTATE OF BLANK NORMA
DATE OF DEATH 03-06-2010
FILE NUMBER 21 11-1283
GODFREY DONNA L COUNTY CUMBERLAND
ACN
1122 FLEETWOOD DR APPEAL DATE: 07-25-2014
CARLISLE PA 17013-3512 (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
--'___________________________ _ " --------------------------
REV-1547 EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BLANK NORMA FILE NO. :21 11-1283 ACN: 101 DATE: 05-26-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 67,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 11,193.00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule q .00 submit the upper portion(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) 500.00
6. Jointly Owned Property (Schedule F) (6) 2,013.21
7. Transfers (Schedule G) (7) 923.46
8. Total Assets (e) 81 ,629.67
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 27.915.38
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) . 00
11. Total Deductions (11) 27,915.38
12. Net Value of Tax Return (12) 53,714.29
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate Subject to Tax (14) 53,714.29
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 assessedcbo date. o
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X m QDm, Q3J
16. Amount of Line 14 taxable at lineal rate (16) 5;-716-29 X 0D�{(.!gS Zj,4ljI.)JO
17. Amount of Line 14 at sibling rate (17) -nn X rK n=� C.) y .GIO
18. Amount of Line 14 taxable at collateral rate (18) .00 X 3�;(�=_�t C7 ;:>71Ot0
19. Principal Tax Due
4
TAX CREDITS: i"7 b'U4
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) (V r rT1
01-15-2014 CD018660 110.75- 2,527.8 C3 Cn CD
co -n
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01--16-2014 TOTAL TAX PAYMENT 2,417. 14
BALANCE OF TAX DUE . 00
INTEREST AND PEN. 116. 10
TOTAL DUE 116. 10
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. ���