HomeMy WebLinkAbout01-20-15 NOTICE OF INHERITANCE TAX Tsi,_
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APPRAISEMENT, ALLOWANCE OR DISALLOWANCEDEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION _ REV-1547 EX AFP (11-14)
PO HARRISBURG 17f28-0501 D-D OFFICE
F F I C E O f
ftECiST�_ i G?- ��l1LLS
DATE 01-19-2015
7015 `�p�`� LO (Cit 12 11 ESTATE OF HENDRICKS RICHARD I
J It DATE OF DEATH 02-25-2014
CLERK` OF FILE NUMBER 21 14-0413
ROYER ` . COUNTY CUMBERLAND
�R }j {� iEGTiFIER� D ACN 101
4431 t�4. D, TR TRE'ET 3RD' APPEAL DATE: 03-20-2015
HARR I S G PA 17110 (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: HENDRICKS RICHARD IFILE NO. :21 14-0413 ACN: 101 DATE: 01-19-2015
TAX RETURN WAS: C 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 CSchedule B) (2) 8,498. 16 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 CSchedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 54,306.31
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) 112,629.26
8. Total Assets (8) 175,433.73
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 14,8 22.9 5
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 97.70
11. Total Deductions (11) 14,920.65
12. Net Value of Tax Return (12) 160,513.08
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) Cls) .0 0
14. Net Value of Estate Subject to Tax C14) 160,513.08
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) 136,571 . 17 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 2A.941 _91 X 045 = 1,077.39
17. Amount of Line 14 at sibling rate C17) .On X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1,077.39
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-09-2014 CDO19664 .00 1,077.39
TOTAL TAX PAYMENT 1,077.39
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.