HomeMy WebLinkAbout11-24-14 NOTICE OF INHERITANCE TAX pennsyLvania
OF F I I E 1FAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU aEAD"MrLil !A?��§,I OF DEDUCTIONS AND ASSESSMENT OF TAX -17 DEPARTMENT OF REVENUE
I NHER I TANCT*X0D 131-S IDN,, ",- _'ILLS REV-1547 B( AFP (08-13)
PO Box 280"C_
HARRISBURG PA 17128-0601
2o19 NH 29 Fin 15 DATE 11-17-2014
ESTATE OF GALLAS ELISE
OF DATE OF DEATH 02-12-2014
ORPHAIIS' GOU�%T FILE NUMBER 21 14-0234
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?A COUNTY CUMBERLAND
ROBERT M ACN 101
3810 MARKET ST APPEAL DATE: 01-16-2015
CAMP HILL PA 17011-4345 (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 +-
---REV-1547 EX AFP f08-13) NOTICE 0-F-i-N-H-Eii-T-A�E-E--Tii--A��-R-A-Iii-M-E-Ni-,--AEE-O-W-A;-C-E-6i_______________
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OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GALLAS ELISE FILE NO. :21 14-0234 ACN: 101 DATE: 11-17-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED 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) 14,891.65 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 (Schedule E) (5) 134,304.67
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets 149,196.32
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 19,405.57
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 10,140.71
11. Total Deductions (11) 29,546.28
12. Net Value of Tax Return (12) 119,650.04
13. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) '0p
14. Net Value of Estate Subject to Tax (14) 119,650.04
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) .00i X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 119,69n_ n4' x 045 = 5,384.25
17. Amount of Line 14 at sibling rate (17) .011 x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) 00 x 15 = .00
19. Principal Tax Due (19)= 5,384.25
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-09-2014 CDO19148 269.21 5,200.00
11-10-2014 REFUND .00 84.96-
TOTAL TAX PAYMENT 5,384.25
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.