HomeMy WebLinkAbout01-12-15 NOTICE OF INHERITANCE TAX rT-t- pennsyLvania
APPRAISEMENTP ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX Q5_V
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 01-12-2015
ESTATE OF PRICE ETHEL D
DATE OF DEATH 12-15-2013
FILE NUMBER 21 14-0039
COUNTY CUMBERLAND
MOSEBEY SETH T ACN 101
10 E HIGH ST APPEAL DATE: 03-13-2015
CARLISLE PA 17013-3015 (See reverse side under Objections)
Amount Remittedl
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 +-REY-1547 EX AFP C11-14} NOTICE ---------------
---0-F-INHERITANCE--TAX--A-PP-R-A-Iii-M-E-Ni-,--ALLOWANCE--Oi
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PRICE ETHEL DFILE NO. :21 14-0039 ACN: 101 DATE: 01-12-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 185,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .0 0, credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00, tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 43,752.33
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
S. Total Assets C8) 228,752.35
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 35,897.26
10. Debts/Mortgage Liabilities/Lions (Schedule 1) (10) 9,700.51
11. Total Deductions (11) 45,5'97.77
12. Net Value of Tax Return (12) 183,154.56
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 183,154.56
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)- 1 83-1 54--9b- x 045 = 8,241.96
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)= 8
241.96
TAX CREDITS: lu
CXI rn
PAYMENT RECEIPT DISCOUNT rT1
AMOUNT PAID -4- :�o C__ 6-')
DATE NUMBER INTEREST/PEN PAID co -0 =*O -
(7)
03-14-2014 CDO18890 368.42 7,000. -.4 ca
I rn r1i
09-04-2014 CDO19635 .00 373.5-4 r
M ry
Cn -,Z)
C>
TOTAL TAX PAYME'14TC-
Ca,2 W16
BALANCE OF TAX DW cn.00
INTEREST AND PEN. C=) .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.