HomeMy WebLinkAbout10-27-14 pennsyLvania
P" MENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
RECORDED 0FA1:0"c PPE OTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL
f44
,ffCfE,S -, 0- � F LD3ERUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVIS 0 TF'E REV-1547 EX AFP (08-13)
PO Box 280601
HARRISBURG PA 17128-0601
21014 00VT 27 :1',M 12 5 DATE 10-27-2014
C L E 0 ESTATE OF BRETT E L
DATE OF DEATH 08-14-2013
0 R PH J FILE NUMBER 21 14-0455
CUMBERL.,', '- COUNTY CUMBERLAND
SEIBERT JEAN D AGN 101
3631 N FRONT ST APPEAL DATE: 12-26-2014
HARRISBURG PA 17110-1533 (See reverse side under Objections)
Amount Remittedl
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 +-
V-R i4---i--------- -------ii--- ---;---�i---E---i;---6i---------------
1 7 E AFP C08-I33 NOTICE OF INH ITA E X A RAI EME , ALLOWANCE CE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRETT E LFILE NO. :21 14-0455 ACN: 101 DATE: 10-27-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON- ORIGINAL RETURN
1. Real Estate CSchedule A) (1) 59,000.00 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) (3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc, Personal Property CSchedule E) (5) 401.0 9
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 59,401 .09
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 21 ,531 .30
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 37,8 9.79
11. Total Deductions (11) 59,401.09
12. Net Value of Tax Return (12) .00
13. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) 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 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) -(In x 045 = .00
17. Amount of Line 14 at sibling rate (17) nO x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID 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.