HomeMy WebLinkAbout06-30-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE f�.p\" DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX E 4(�
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-23-2014
ESTATE OF COY LEROY W
DATE OF DEATH 03-15-2013
FILE NUMBER 21 13-0352
COUNTY CUMBERLAND
REED ESQ GREGORY R ACN 101
3120 PARKVIEW LN APPEAL DATE: 08-22-2014
HARRISBURG PA 17111-1356 (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 1 RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS H
REV-1547 EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COY LEROY WFILE NO. :21 13-0352 ACN: 101 DATE: 06-23-2014
TAX RETURN WAS: C 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) .00 credit to your account,
DO submit the upper portion
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) 23,402.28
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 23.402.28
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 23,402.28
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) •DO
11. Total Deductions (11) 23,402.28
12. Net Value of Tax Return (12) .DD
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) .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) •00 X _ ° •-G'0
s 3
16. Amount of Line 14 taxable at lineal rate (16) - nn X � (-
(D,
17. Amount of Line 14 at sibling rate (17) - nn X
18. Amount of Line 14 taxable at collateral rate (18) .00 X '1'52
a?�
19. Principal Tax Due —(1`1,�'T7 hT
TAX CREDITS: 9
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID (Z7 C7 C) ")
DATE NUMBER INTEREST/PEN PAID (-)
F
r- m
s (n �n
s
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.