HomeMy WebLinkAbout08-29-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE mil° DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (OB-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-01-2014
ESTATE OF BENDER GENE R
DATE OF DEATH 03-12-2014
FILE NUMBER 21 14-0394
COUNTY 21CUMBERLAND
MYERS EDMUND G ACN 101
301 MARKET ST APPEAL DATE: 10-31-2014
PO BOX 109 (See reverse side under Objections)
LEMOYNE PA 17043-0109 Amount Remitted
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 C08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BENDER GENE RFILE NO. :21 14-0394 ACN: 101 DATE: 09-01-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .DO NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) . 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) 7,734.25
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) . 00
8. Total Assets (8) 7,734.25
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4 .362.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 749.45
11. Total Deductions (11) 5,111 .95
12. Net Value of Tax Return C12) 2,622.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 2,622.30
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 assesse*( to date° ;;a
ASSESSMENT OF TAX: s M Arn ;
15. Amount of Line 14 at spousal rate C15) .00 X3o0�0== C � 20
16. Amount of Line 14 taxable at lineal rate (16) -ND X(f42? = (7 C!) ;00
17. Amount of Line 14 at sibling rate (17) 2.622.30 X_T2D r\)r 3' 8
r'
18. Amount of Line 14 taxable at collateral rate (18) . 00 Xi'4E�'; i37 ��11 p�0
19. Principal Tax Due "-(199'x• �+L-A 8
TAX CREDITS: n
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID H-� (-� m
DATE NUMBER INTEREST/PEN PAID C-) _ rr-
04-23-2014 CDO19052 15.73 298.9 Ga CO �n
W
TOTAL TAX PAYMENT 314.68
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 ��(1
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. 1�S