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 LANG ALBERTA M
DATE OF DEATH 11-30-2013
FILE NUMBER 21 14-0172
COUNTY CUMBERLAND
BRINSER GERALD i ACN 101
6 E MAIN ST APPEAL DATE: 09-05-2014
PO BOX 323 (See reverse side under Objections)
PALMYRA PA 17078-0323 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _---
13) RETAIN LOWER PORTION FOR YOUR RECORDS 4—
___REV_-__1547_____EX_'AFP----(08---- NOTICE-----OF"- -------INHERITANCE-'____TAX___APPRAISEMENT____________,__ALLDWANCE___________OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LANG ALBERTA MFILE NO. :21 14-0172 ACN: 101 DATE: 07-07-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A7 (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
.
S. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax pay,ant.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 550.07
6. Jointly Owned Property (Schedule F) (6) 72,281 . 18
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 72.831 .25
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 1 .657.32
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 9,553.67
11. Total Deductions (11) 11 ,210.99
12. Net Value of Tax Return (12) 61,620.26
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 61,620.26
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 (16) 61 -690 -96 X 045 = ?-,,772.91
17. Amount of Line 14 at sibling rate (17) . nn X 1s °�B Bo-_'I
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15m:
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (t) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-21-2014 CDO18815 138.65 2,634.26 0 = zM
C—)
fV T
Ol
TOTAL TAX PAYMENT 2,772.91
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.