HomeMy WebLinkAbout07-21-14 NOTICE OF INHERITANCE TAX pennsylva is
APPRAIS£MENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AIR (08-13)
PD BOX 289691
HARRISBURG PA 17128-0601
DATE 07-14-2014
ESTATE OF GODFREY JUDITH A
DATE OF DEATH 06-19-2013
FILE NUMBER 21 13-0710
COUNTY CUMBERLAND
MAUGANS DEBRAA J ACN 101
28 BRENTWOOD RD APPEAL DATE: 09-12-2014
CAMP HILL PA 17011-2505 (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 ---- --i RETAIN LOWER PORTION FOR YOUR RECORDS (-
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REV-1547 EX AFP (OB-13) NOTICE pF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GODFREY JUDITH AFILE NO. :21 13-0710 ACN: 101 DATE: 07-14-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 180,000 .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portio
3. Closely Hold Stock/Partnership Interest (Schedule Q <3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •p0 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 58,943.07
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 100
B. Total Assets (a) 238.943. 07
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule H) (9) 22,574.66
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14,983.40
11. Total Deductions (11) 37,558.06
12, Net Value of Tax Return (12) 201,385.01
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 201 ,385. 01
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: s-,r
15. Amount of Lino 14 at spousal rate (15) .00 X -- �-;
16. Amount of Line 14 taxable at lineal rate (16) 2nI .3RF-O7 X ��.,,pp -(g 06Z-C,z;
17. Amount of Lino 14 at sibling rate (17) -OD X j-[7 ,- �
18. Amount of Line 14 taxable at collateral rate (18) .00 X I-LW
19. Principal Tax Due 4'} —g',062:7337
TAX CREDITS: ��= -� ... CD
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTERESTIPEN PAID {-}
03-05-2014 CDO18847 .00 9,062.335* tV c;G
TOTAL TAX PAYMENT 9,062.33
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
TOTAL DUE .00
X 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. N
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