HomeMy WebLinkAbout01-12-15 NOTICE OF INHERITANCE TAX pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE QV DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX APP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 01-12-2015
ESTATE OF STAUB MARY E
DATE OF DEATH 01-11-2014
FILE NUMBER 21 14-0343
COUNTY CUMBERLAND
SCHRACK III ESQWM D ACN 101
124 W HARRISBURG ST APPEAL DATE: 03-13-2015
D I L L S B U R G PA 17019-1268 (See reverse side under Objections)
Amount Remitted i
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --1 RETAIN LOWER PORTION FOR YOUR RECORDS 4-
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REY-1547 EX AFP C11-I4� NOTICE O-F INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STAUB MARY EFILE NO. :21 14-0343 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) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 2,4 01.96 credit to your account,
00 submit the upper portion
S. 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/Mise. Personal Property (Schedule E) C5) 13,62 3.76
6. Jointly Owned Property (Schedule F) C6) .Q0
7. Transfers (Schedule G) (7) .00
S. Total Assets (8) 16,025.72
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mise. Expenses (Schedule H) (9) 15,970.30
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,348.79
11. Total Deductions (11) 18,319.09
12. Net Value of Tax Return (12) 2,293.37-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (S3) .QO
14. Net Value of Estate Subject to Tax (14) 2,293.37-
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) -nCL x 045 = .00
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)= 00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) 50
G C_
C�
TOTAL TAX PAYMENTi!� OD
BALANCE OF TAX DUE ,5 U 00`
INTEREST AND PEN. ^F- -rt 0
TOTAL DUE ` 0 CC 6
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT Cpj�), YOU MA'I!:)E DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.