HomeMy WebLinkAbout08-05-14 NOTICE OF INHERITANCE TAX '_rrL-- pennsyLvania
APPRAISEMEMT, ALLOWANCE OR DISALLOWANCE 117DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-15�7 EX AFP (08-13)
PC BOX 280601
HARRISBURG PA 17123-0601
DATE 08-04-2014
ESTATE OF KNOHR ELSIE S
DATE OF DEATH 07-20-2013
FILE NUMBER 21 13-0923
COUNTY CUMBERLAND
GALLOWAY DAVID R ACM 101
54 E MAIN ST APPEAL DATE: 10-03-2014
MECHANICSBURG PA 17055-3851 (See reverse side under Objections)
Amount Remitted I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
REV 1547 EX AFP (08 133 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: KNOHR ELSIE SFILE NO. :21 13-0923 ACN: 101 DATE: 08-04-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) Oa NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) 00 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) (3) 00 of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) 00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 53,751 .29
6. Jointly Owned Property (Schedule F) (6) 0
7. Transfers (Schedule G) C7) 15�
S__ID
DD 3� -i --D
S. Total Assets g 7 5�1'
APPROVED DEDUCTIONS AND EXEMPTIONS: C'�
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) f"7
(9) 6,313.0
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 14,648.96::)
11. Total Deductions 9 6 1
12. Net Value of Tax Return 3"Z 7 8 9-Mf
15. Charitabl./Govarnmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax (14) 197.94_
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) nfl x 045 = .00
17. Amount of Line 14 at sibling rate (17) 1 nO x 12 = .12
18. Amount of Lino 14 taxable at collateral rate (18) 32,196.94 x 15 = 4,829.54
19. Principal Tax Due (19)= 4,829.66
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-11-2013 CDO18244 241 . 05 4,580.00
03-25-2014 CDC18933 . 00 249.66
TOTAL TAX PAYMENT 5,070.71
BALANCE OF TAX DUE 241 .05CR
IINTEREST AND PEN. .00
I TOTAL DUE 241 .05CR
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.