HomeMy WebLinkAbout10-15-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AEP {0$-13}
PO BOX 280602
HARRISBURG PA 17128-0601
DATE 10-13-2014
ESTATE OF BROUSE BRIAN K
DATE OF DEATH 12-23-2011
FILE NUMBER 21 12-0613
COUNTY CUMBERLAND
COLE ESQUI BETH G ACN 101
STE 1300 APPEAL DATE: 12-12-2014
1515 MARKET ST (See reverse side under Objections)
PHILA PA 19102-1929 Amount Remittedi �
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 E■-
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REV-1547 EX AFP C08-13) NOTICE OF INHERITANCE TAX APPRAISEMEN T, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BROUSE BRIAN KFILE NO. :21 12-0613 ACN: 101 DATE: 10-13-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) t2} .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers CSchedule G) (7) .00
8. Total Assets (8) .00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .00
10. Debts/Mortgage Liabilities/Liens CSchedule I) C10) .00
11. Total Deductions (11) 00
12. Net Value of Tax Return (12) 00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00
14. Net Value of Estate Subject to Tax (14) 00
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 assesse4:->to date ,:;a
ASSESSMENT OF TAX: M
15. Amount of Line 14 at spousal rate (15) •00 X CACO'= e� CJ 0
16. Amount of Line 14 taxable at lineal rate (16) D0 Xt*} - "4 a 0
17. Amount of Line 14 at sibling rate (17) -00 X-71 2t- 0
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15`x =`�-Z L0
19. Principal Tax Due �," (197=
TAX CREDITS: > Ti
PAYMENT RECEIPT DISCOUNT (+} C'3
AMOUNT PAID F-' (
DATE NUMBER INTEREST/PEN PAID
F. CJ) 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 (CR), YOU MAY BE DUE { �
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.