HomeMy WebLinkAbout02-09-15 NOTICE OF INHERITANCE TAX pennsyLvania
4F XND.X-VIDUAtrTAjGS0 F" APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU
OF DEDUCTIONS AND ASSESSMENT OF TAX
i0iAX,D1V,Ii'1ON' ' " REV-1547 EN AFP (11-14)
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DATE 02-09-2015
ZOM F5 t ESTATE OF PETCHEL JO A
DATE OF DEATH 02-22-2014
CLET FILE NUMBER 21 14-0403
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i ') COUNTY CUMBERLAND
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,Q U Fj--E, JERRY R ACN 101
KET' ST APPEAL DATE: 04-10-2015
PO BOX 109 (See reverse side under Objections)
LEMOYNE PA 17043-0109 Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PETCHEL JO AFILE NO. :21 14-0403 ACN: 101 DATE: 02-09-2015
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 D) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
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) 147,760.20
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 82,494.13
8. Total Assets (8) 230,254.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 5,353.50
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) .0 0
11. Total Deductions (11) 5,353.50
12. Not Value of Tax Return (12) 224,900.83
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Not Value of Estate Subject to Tax (14) 224,900.83
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 (is) 224,900.83 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -00 x 045 = .00
17. Amount of Line 14 at sibling rate (17) -On 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 AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
TOTAL TAX PAYMENT .00
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.