HomeMy WebLinkAbout11-24-14 NOTICE OF INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION q OF DEDUCTIONS AND ASSESSMENT OF TAX __ _...
PO BOX 28060REV-1547 IX AFP (08-13)
1 RECORDED C O R D E D OFFICE 0F
HARRISBURG PA 17128-0601
REGISTER OF V!ILLS
t1 DATE 11-17-2014
ZOILL I r\iGU 24 !F 1 12 ESTATE OF LIPPART SR JAMES L
DATE OF DEATH 06-10-2009
CLEit`, CE FILE NUMBER 21 09-0586
HATCH ESQ 0RFd AY&' COART COUNTY CUMBERLAND
ACN 101
2109 MARKEOUVIBERI-""r, ^.`! IPA APPEAL DATE: 01-16-2015
CAMP HILL P A 17011-4723 (See reverse side under Objections)
Amount Remitted
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- --
---------------
REV 1547 EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: LIPPART SR JAMES LFILE NO. :21 09-0586 ACN: 101 DATE: 11-17-2014
TAX RETURN WAS: C 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 (Schedule B) (2) .00 credit to your account,
00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) submit the upper portionof this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) .00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)_ 582.57
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions (11) 582.57
12. Net Value of Tax Return (12) 582.57-
13. Charitable/Governmental Bequests; Nonelected 9113 Trusts (Schedule J) (13) . 00
14. Net Value of Estate Subject to Tax (14) 582.57-
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) -(10 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.