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 AFP (08-15)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 10-13-2014
ESTATE OF GROHOL PATRICIA A
DATE OF DEATH 09-09-2013
FILE NUMBER 21 13-1258
COUNTY CUMBERLAND
HOLSWORTH ESQ CHARLES L ACN 101
5801 BROWNSVILLE RD APPEAL DATE: 12-12-2014
PITTSBURGH PA 15236-3505 (See reverse side under Objections)
Amount Remittedi
MAKE CHECK PAYABLE AND REMIT PAYMENT TOi
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +-
REV-1547 EX AFP C08-13� NOTIGE---0-F-INHERITANCE-TAX--APP-R-A-li-E-M-E-Ni-,--ALLOWANCE-6i---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GROHOL PATRICIA AFILE NO. :21 13-1258 ACN: 101 DATE: 10-13-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00, 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) C3) .
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) 19,643.69
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 19,643.69
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5,103.26
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 3,056. 13
11. Total Deductions (11) 8,159.39
12. Net Value of Tax Return (12) 11,484.30
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 11,484.30
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 4-8 and/orL39 wll:p
reflect figures that include the total of all returns assessed�6->date.,::, M
ASSESSMENT OF TAX: c7D C>
15. Amount of Line 14 at spousal rate (15) .00 X rn==C-) *0
16. Amount of Line 14 taxable at lineal rate (16) nn x 04t_=t'n -rC3 M . 0
17. Amount of Line 14 at sibling rate (17) 11 .48 .30, X "1.2(/)=- 7 1,37.8.J2
18. Amount of Line 14 taxable at collateral rate (18) .00 x 1��=
19. Principal Tax Due CKC::7 37 42
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
CV
DATE NUMBER INTEREST/PEN PAID C=)
06-04-2014 CDO19246 .00 1,378.12
TOTAL TAX PAYMENT 1,378.12
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE Do
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.