HomeMy WebLinkAbout09-24-14 NOTICE OF INHERITANCE TAXI§ pennsylvania
BUREAU OF INDIVIDUAL Taxes APPRAISEMENT, TAX ALLOWANCE OR DISALLOWANCE ii�l\��
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF DEPARTMENT OF REVENUE
PO BOX 280601 _
HARRISBURG PA 17128-0601 REV-1547 EX AFP (08-13)
DATE 09-22-2014
ESTATE OF HORNBERGER JANE H
DATE OF DEATH 11-24-2013
FILE NUMBER 21 13-1274
ESQUIRE MICHAEL C COUNTY CUMBERLAND
624 N FRONT ST ACN 101
WDRMLEYSBURG PA 17043-1022 APPEAL DATE: 11-21-2014 -
(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 RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HORNBERGER JANE HFILE NO. :21 13-1274 ACN: 101 DATE: 09-22-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) (1) 00 NOTE: To ensure Proper
(2)��00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) submit the upper Pwit portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
(4) .00
S. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) 15�� 8,?2$.D3 tax payment.
6. Jointly Owned Property (Schedule F) - .00
C6]
7. Transfers (Schedule G)
S. Total Assets 39,5$3.46
C7)
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 197,811 49
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9)_ 20 046 78
30. Debts/Mortgage Liabilities/Liens (Schedule I)
(1D) 679 O1
11. Total Deductions
12. Net Value of Tax Return (11) 20,725.79
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) 177,085.70
14. Not Value of Estate Subject to Tax (13) . 00
NOTE: (14) 177,085.70
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 assess to dates
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate C CD s rti
16. Amount of Line 14 taxable at lineal rate
Ub Poo
(16) 17— 7aS _Z1L D_r 7 , '_86
17. Amount of Line 14 at sibling rate "'
18. Amount of Line 14 taxable at collateral rate (37)�y� R"�1 r— �) �( X00
uS) 00 X>1 - r c700
19. Principal Tax
Due
CREDITS: `L'9J-
7,9687�86
PAYMENT RECEIPT DISCOUNT (+) ' c_ �1 -71
C
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID �') F--, -= CJ
05-15-2014 (0019171 r M
.00 7,968.86 cn (f) p
(V 'T1
TOTAL TAX PAYMENT 7,968.86
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.