HomeMy WebLinkAbout11-04-14 NOTICE OF INHERITANCE TAX Pennsylvania
BUREAU 11 5A APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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INHERITANCE T rt-FICE OF OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA FiTiA 1 e6ZE R t F V-1 1,L LS
DATE 11-03-2014
2019 NOU Pfl 1197 ESTATE OF EICHELBERGER EVELYN G
DATE OF DEATH 04-07-2014
CLEF, FILE NUMBER 21 14-0415
0 R P H A N:S' C "'T COUNTY CUMBERLAND
BER
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,,I DAVID • J UO" ACN 101
STE 3 APPEAL DATE; 01-02-2015
8 TRI STAN DR (See reverse side under Objections)
DILLSBURG PA 17019-1638 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 4-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EICHELBERGER EVELYN GFILE N0- :21 14-0415 ACN: 101 DATE: 11-03-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED 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,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) CS) 244,802.67
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 244,802.67
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 8,173.74
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 314.60
11. Total Deductions (11) 8,488.34
12. Net Value of Tax Return (12) 236,314.33
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 236,314.33
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) 234!'514-33 x 045 = 10,634.14
17. Amount of Line 14 at sibling rate C17) -130 , x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 = .00
19. Principal Tax Due (19)= 10,634.14
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
07-02-2014 CDO19381 531.71 10,102.43
TOTAL TAX PAYMENT 10,634.14
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.