HomeMy WebLinkAbout04-13-15 NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO BOX 2806gl
HARRISBURG A 17128-060,RECORDED OFFICE OF
REGISTER OF WILLS DATE 04-13-2015
ESTATE OF GALINAS DOLORES
?015 APR 13 AN 1159 DATE OF DEATH 03-10-2014
CLERK OF FILE NUMBER 21 14-0393
COUNTY CUMBERLAND
WALLET ORPPABI' CONT ACN 101
24 N 32ND CUM B E R L t',Q f' A APPEAL DATE: 06-12-2015
CAMP HILL PA 17011 ,2900 (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 -0, RETAIN LOWER PORTION FOR YOUR RECORDS
R-i:li47-Ei'AFP-Cll-i4)-NOTICE-OF- INHERITANCE-TAX-APPRAI;EMENi,-ALLOWANCE-6i---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GALINAS DOLORES FILE NO. :21 14-0393 ACN: 101 DATE: 04-13-2015
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,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .
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) 831.60
6. Jointly Owned Property {Schedule F) (6) 4,186.69
7. Transfers (Schedule G) (7)- .00
8. Total Assets (8) 5,018.29
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 544.48
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 146,735.59
11. Total Deductions (11) 147,280.07
12. Net Value of Tax Return (12) 142,761 .78-
15. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (15) .00_
14. Net Value of Estate Subject to Tax (14) 142,261 .78-
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) -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. W-)\1
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