HomeMy WebLinkAbout12-15-14 NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
FI ,'� RUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISWtOORDED OF
PO BOX 280601 REV-1547 EX AFP (11-14)
HARRISBURG PA 17128-06okE V f Ga` t L R OF WILLS
1I I �y DATE 12-15-2014
JB 1� PSI �� �` ESTATE OF DEMMA RHEA N
DATE OF DEATH 11-05-2013
nQ CLERK 4F FILE NUMBER 21 14-0030
DIEHL ESQ COURT COUNTY CUMBERLAND
101
3464 TRINGIM�SRL(t"�"� f� ACN APPEAL DATE: 02-13-2015
CAMP HILL PA 17011-4436 (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 (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DEMMA RHEA NFILE NO. :21 14-0030 ACN: 101 DATE: 12-15-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 115,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 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) 1,727.80
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 00
8. Total Assets (8) 116,727.80
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 12,799. 15
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 77,678.07
11. Total Deductions (11) 90,477.22
12. Net Value of Tax Return (12) 26,250.58
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 26,250.58
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) PA-75n-58 x 045 = 1,181.28
17. Amount of Line 14 at sibling rate (17) nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1,181 .28
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 12-30-2014 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,181.28
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 14.24
TOTAL DUE 1,195.52
* 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.