HomeMy WebLinkAbout11-10-14 NOTICE OF INHERITANCE TAX pennsyLvania
APPRAISEMENT# ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX REV-1547 EX AFP (08-13)
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PO BOX 28 ORDED OFFICE OF
HARRISBURG PA 17%-0601
EGISTER OF WILLS DATE 11-10-2014
ESTATE OF WILSON FERN E
?01q NOU 10 PM 12 53 DATE OF DEATH 06-14-2011
C L E R#"� 0 F FILE NUMBER 21 11-0822
COUNTY CUMBERLAND
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i VL 11 AM L ACM 101
380 C ffT,3rffPBUR9D R-D,- pAPPEAL DATE: 01-09-2015 t�
CAMP HILL PA"17011-6809 (See reverse side under Objections)
Amount Remittedi
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --0, RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WILSON FERN EFILE NO. :21 11-0822 ACN: 101 DATE: 11-10-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) '245,100.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule 8) (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.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) 4,219.00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 249,319.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,720.95
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) -00-
11. Total Deductions (11) 10,720.95
12. Net Value of Tax Return (12) 238,598-05
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate SubJect to Tax (14) 238,598-05
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) 238.598-01; x 045 = 10,736.91
17. Amount of Line 14 at sibling rate (17) .00 x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 10,736.91
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
INTEREST IS CHARGED THROUGH 11-25-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 10,736.91
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 868.10
TOTAL DUE 11,605.01
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.