HomeMy WebLinkAbout04-06-15 NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL.TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX __.._
PO BOX 280601
REV-1547 EX AFP (11-14)
HARRISBURG PA 17128-RECORDED OFFICE OF
REGISTER OF WILLS DATE 04-06-2015
ESTATE OF ULSH BESSIE P
2015 PSR 6 FM 1193 DATE OF DEATH 04-13-2014
FILE NUMBER 21 14-0505
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ONE MAIN `STRO APPEAL DATE: 06-05-2015
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Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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REV-1547 EX AFP C11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ULSH BESSIE PFILE NO. :21 14-0505 ACN: 101 DATE: 04-06-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON- ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) 75,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) 16,356.23 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) 38,8 94.23
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 9,798.51
8. Total Assets (8) 140,048.97
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 17,721 .23
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .0 0
11. Total Deductions (11) 17,721 .23
12. Net Value of Tax Return (12) 122,327.74
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 122,327.74
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) O 0 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 122.327-74 X 045 = 5,504.75
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)= 5,504.75
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-11-2014 CDO19413 267.66 5,085.45
11-24-2014 CDO19959 .00 151.64
TOTAL TAX PAYMENT 5,504.75
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. \�