HomeMy WebLinkAbout07-21-14 NOTICE OF INHERITANCE TAX `J pennsytvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ''ice„''
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX flllllli DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1547 EX AFP (00-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 07-21-2014
ESTATE OF MELUSKEY ANDRE J
DATE OF DEATH 06-16-2013
FILE NUMBER 21 13-0782
COUNTY CUMBERLAND
FISHMAN ESQ STEVEN J ACN 101
19 W SOUTH ST APPEAL DATE: 09-19-2014
CARLISLE PA 17013-3445 (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 4--
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REV-1547 EX AFP CO8-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE-OR-------""-'--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MELUSKEY ANDRE JFILE NO. :21 13-0782 ACN: 101 DATE: 07-21-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •of) NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) . 00 credit to your account,
.
3. Closely Held Stock/Partnership Interest [Schedule C) (3) 00 submit the upper Portior 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) 32,371 . 00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
S. Total Assets (8) 32.371 .00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10 .266.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14.271 .00
11. Total Deductions (11) 24,537. 00
12. Net Value of Tax Return (12) 7,834.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 7.834. 00
14. Net Value of Estate Subject to Tax (14,n ti . 00
:1Y
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 1> ailed/or 1_9 wi+I-111<<�
reflect figures that include the total of all returns assessed 4ate.
ASSESSMENT OF TAX: t _r' " 0
15. Amount of line 14 at spousal rate (15) .00 X 0 -A
16. Amount of Line 14 taxable at lineal rate (16) - nn X 0 .'"". (:OD
17. Amount of Line 14 at sibling rate (17) -nn X 1 ,(C87-' Dry
18. Amount of Line 14 taxable at collateral rate (18) .00 X 'r 7 !V =:- Xo
19. Principal Tax Due )_ ��-
L!X1(g7
TAX CREDITS: )
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
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 CCR), YOU MAY BE DUE t
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. ��