HomeMy WebLinkAbout10-06-14 NOTICE OF INHERITANCE TAX 157
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APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-29-2014
ESTATE OF CAMPBELL JOHN L
DATE OF DEATH 07-26-2013
FILE NUMBER 21 13-0875
COUNTY CUMBERLAND
ANDES SAMUEL L ACN 101
525 N 12TH ST APPEAL DATE: 11-28-2014
LEMOYNE PA 17043-1245 (See reverse side under Objections)
Amount Remittedl —�
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 +-
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REY-1547 EX AFP C08-13? NOTICE OF INHERITANCE TAX APPRAISEMENT: ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CAMPBELL JOHN LFILE N0. :21 13-0875 ACN: 101 DATE: 09-29-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C 3 CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
S. 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/Mise. Personal Property [Schedule E) (5) 16,74 0.01
6. Jointly Owned Property (Schedule F) (6) 1,837.07
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 18,577.08
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) C9) 2.906. 18-
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10).. 1 ,575. 06
11. Total Deductions (11) 4,481.24
12. Net Value of Tax Return (12) 14,095.84
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) —14,095.84
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17,38 and/ -F 19--Wii?4
reflect figures that include the total of all returns assessed= tom dateg n a
ASSESSMENT OF TAX: ca
15. Amount of Line 14 at spousal rate (15) 14,095.84 x'cO ( - -t c700
16. Amount of Line 14 taxable at lineal rate (16) �D 045 �=' C?7 rn :)00
17. Amount of Line 14 at sibling rate (17) QO x• 12� r. ', a 300
18. Amount of Line 14 taxable at collateral rate (18) .00 X 1 ' tMa ~
19. Principal Tax Duex.,00
TAX CREDITS: cU PAYMENT
mo-
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID " C=)
DATE NUMBER INTEREST/PEN PAID
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 (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.