HomeMy WebLinkAbout04-06-15 NOTICE OF INHERITANCE TAX 7 pennsylvania
BUREAU OF INDIVIDUAL TAXES' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAD DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX __-1
^ REV-1547 EX AFP (11-14)
PO BOX 280
HARRIISBURG601 PA 17H-64R
DFD OFFICE OF
REGISTER OF WILLS DATE 04-06-2015
??nn pqpppp L� ESTATE OF WYRICK SR HARRY L
CU15 APR b Ail 1193 DATE OF DEATH 12-30-2013
FILE NUMBER 21 14-0378
CLERK OF COUNTY CUMBERLAND
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1 IRV1�++I����1 L}R`� APPEAL DATE: 06-05-2015
CARLILSPA 170' 3-3019 (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: WYRICK SR HARRY LFILE NO. :21 14-0378 ACN: 101 DATE: 04-06-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 78,000.00 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 (Schedule E) (5) 49,831.86
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 127.831.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 13.341 .68
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 8,241 .48
11. Total Deductions (11) 21,583. 16
12. Net Value of Tax Return (12) 106,248.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 106,248.70
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) I OA•24R_7(1 X 045 = 4,781 .19
17. Amount of Line 14 at sibling rate (17) .00 I X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 4,781. 19
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-29-2014 CDO19730 .00 4,200.00
11-12-2014 CDO19895 .00 581. 19
03-30-2015 SBADJUST .00 2.05
TOTAL TAX PAYMENT 4,781. 19
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. ��(�\