HomeMy WebLinkAbout10-20-14 NOTICE OF INHERITANCE TAXPennsylvaniaAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OF DEDUCTIONS AND ASSESSMENT OF TAX QV
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
HARRI
PO BOXSBURG 2806PA 17121-0601 01 RECUDED OFFICE OF"
REGISTER, OF WILLS DATE 10-21-2014
ESTATE OF COVER RACHEL V
OCT 20 FM 12 12 DATE OF DEATH 12-27-2012
FILE NUMBER 21 13-0715
C L E COUNTY CUMBERLAND
GLEASON ESQUI DF II St,"-'Pi
1, I ACN 101
STE 3 p U M B E R APPEAL DATE: 12-20-2014
S
49 W ORANGE (See reverse side under Objections)
SHIPPENSBURG PA 17257-1813 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COVER RACHEL WILE N0- :21 13-0715 ACN: 101 DATE: 10-21-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule 8) (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/Misc. Personal Property (Schedule E) (5) 23,368.99
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7)- .00
8. Total Assets 23,368.99
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9) 3,843.50
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 148,643.46
11. Total Deductions (11) 152,486.96
12. Net Value of Tax Return (12) 129,117.97-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 129,117.97-
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 assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -nn x 045 = .00
17. Amount of Line 14 at sibling rate (17) .0 0, x 12 = .00
18. Amount of Line 14 taxable at collateral rate cla) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
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.