HomeMy WebLinkAbout04-06-15 NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUA APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPARTMENT OF REVENUE
. Tg� �� ' OF DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVID&INHER1�QQ��}('�� 44 cc PO REV-1547 EX AFP (11-14)
HARROSOdQ1 (C 28- 60�F ��4 J
�O�C ��� 6 L� �� �ry DATE 04-06-2015
J I' 1; L ESTATE OF PEIFFER NEIL 0
DATE OF DEATH 02-05-2014
CLEFS, _ FILE NUMBER 21 14-0159
(1RQS' �t COUNTY CUMBERLAND
DAVID H ACN 101
CWi�1j�R`H1GE ST APPEAL DATE: 06-05-2015
NEW CUMBERLAND PA 17070-1927 (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 E-
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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: PEIFFER NEIL OFILE NO. :21 14-0159 ACN: 101 DATE: 04-06-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 173,500.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 11,317.08 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) .0 0, tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 5,4 52.39
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (8) 190,269.47
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 44,483.57
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 95,652.31
11. Total Deductions (11) 140,135.88
12. Net Value of Tax Return (12) 50,133.59
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 50,133.59
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) F;0 •1 33-q9 x 045 = 2,256.01
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 C19)= 2,256.01
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-24-2014 CDO19972 .00 2,256.01
03-30-2015 SBADJUST .00 3.51
TOTAL TAX PAYMENT 2,256.01
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 CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. �\n