HomeMy WebLinkAbout03-02-15 F ---
RECO • NOTICE OF INHERITANCE TAX pennsyLvania
SAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
INHERITANCE TAX DIVISION
PO BOX 2806,0,4
z
HARRISBURr. FKS71WAoi
C DATE 03-02-2015
ESTATE OF SHAMBAUGH BETH A
ORN i ti DATE OF DEATH 08-09-2014
FILE NUMBER 21 14-0893
COUNTY CUMBERLAND
BUFFINGTON BRENDA K ACN 101
APT D APPEAL DATE: 05-01-2015
921 BOSLER AVE (See reverse side under Objections)
LEMOYNE PA 17043-1760 Amount Remittedi
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 4- --bi---------------
-Ri-V---li4-7--Ei--A-FP--(-1-1--i-4-)-NOTICE--O-F--INHERITANCE-TAX-APPRAIiEMEii,-AEEOWi;CE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHAMBAUGH BETH AFILE NO. :21 14-0893 ACN: 101 DATE: 03-02-2015
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 (Schedule B) (2) .00 credit to your account,
S. 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) 9,993. 12
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 9,993. 12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 2,851.00
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10)^ 18,967.48
11. Total Deductions (11) 21,818.48
12. Net Value of Tax Return (12) 11,825.36-
15. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00
14. Net Value of Estate Subject to Tax (14) 11,825.36-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, IS and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX: .00 X 00 = .00
15. Amount of Line 14 at spousal rate (15)
16. Amount of Line 14 taxable at lineal rate 016 nn x 045 = .00
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)= 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.