HomeMy WebLinkAbout03-02-15 (2) ` NOTICE OF INHERITANCE TAX pennsyLvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCET_wDEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAXINHERITANCE TAX DIVISION _ n REV-1547 EX AFP (11-14)
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1 DATE 03-02-2015
70 5 �`"� � p� � 2 3L ESTATE OF BOUDER GAIL L
J Il DATE OF DEATH 01-15-2012
FILE NUMBER 21 12-0151
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MCOUNTY CUMBERLAND
MATE
M, -� CAA'RKi A ACN 501
55��t,CHURG.H.AVE APPEAL DATE: 05-01-2015
CA
LI
PA 17013 (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------
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REV-1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BOUDER GAIL LFILE NO. :21 12-0151 ACN: 501 DATE: 03-02-2015
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: LITIGATION RETURN
1. Real Estate (Schedule A) Cl) •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 CSchedule E) (5) 190,000.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
S. Total Assets (8) 190,000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 8 6,59 5.02
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1 ,689.04
11. Total Deductions (11) 88,284.06
12. Net Value of Tax Return (12) 101,715.94
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 101 ,715.94
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 01 •71 9;-94 x 045 = 4,577.21
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)= 4,577.21
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-04-2014 CDO19634 .00 4,577.21
TOTAL TAX PAYMENT 4,577.21
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. ��
REV-1470 EX(01.10„
N peI"1t1wtvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG. 17128-0601
DECEDENT'S NAME FILE NUMBER
Gail Bouder 2112-0151
REVIEWED BY ACN
Shannon E Baker 501
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
All assets reported on original return removed.
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