HomeMy WebLinkAbout07-07-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX - --.
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 07-07-2014
ESTATE OF GLEISER PATRICIA A
DATE OF DEATH 03-06-2013
FILE NUMBER 21 13-0301
COUNTY CUMBERLAND
ZERVANOS DAWN ACN 101
1198 KNACKLYN FARMS CT APPEAL DATE: 09-05-2014
HARRISBURG PA 17111-4821 (See reverse side under Objections)
Amount Remittedi -7-1
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 E—
-"'-----"-----"-----'-----'-----'--'----CE TAX -'-----EMENT, ALLOWANCE --"'--'-"'----
REV-1547 EX AFP C08-131 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GLEISER PATRICIA AFILE NO. :21 13-0301 ACN: 101 DATE: 07-07-2014
TAX RETURN WAS: I X) ACCEPTED AS FILED ( } CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 212,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2)
,00 credit to your account,
00 submit the uppor portion
3. Closely Held Stack/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
S. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) 20,196.00
6. Jointly Owned Property (Schedule F) (6) '00
7. Transfers (Schedule G) (7) '00
8. Total Assets (B) 232,196.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 10,264.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 225,179. 00
11. Total Deductions (11) 235,443.00
12. Net Value of Tax Return (12) 3,247.00-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate Subject to Tax (14) 3,247.00-
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 00 = .00
16. Amount of Line 14 taxable at lineal rate 1163 -nn X oeA _ .00
17. Amount of Line 14 at sibling rate (17) . 00 X 1 r1% _
18. Amount of Line 14 taxable at collateral rate (18) .00 X I��� C.-
19. Principal Tax Duez�..� ,00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) (�
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID f-J (-� �`'
� Pz
N ,"7 C)
1-9 -In
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. 1