HomeMy WebLinkAbout04-20-15 NOTICE OF INHERITANCE TAX ..rr7 . pennsyLvaa
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Z7 DEPARTMENT OF REVENUE
ni
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO BX
HARRIOSBURG280601 PA 1RFnQ0Q0R1DED OFFICE OF
REGISTER 011" WILLS
DATE 04-20-2015
?oI5 RPR 20 pM 1 20 ESTATE OF YEAGER LAVERLA G
DATE OF DEATH 03-19-2014
CLERK OF FILE NUMBER 21 14-0302
k k 'o' *Aj�0 WWI C COUNTY CUMBERLAND
SHEELYOWq,1AN AC 101
127 tYffL�Tr �r '' APPEAL DATE: 06-19-2015
LW ;'�, " )
PO BOX 95 (See reverse side under Objections)
MECHANICSBURG PA 17055-6328 Amount Remittedl
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-
---------------
REV-1547 EX AFP C11-14� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF. YEAGER LAVERLA GFILE NO. :21 14-0302 ACN: 101 DATE: 04-20-2015
TAX RETURN WAS: (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) C2) .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) 7,322.00
6. Jointly Owned Property (Schedule F) C6) 3,421.12
7. Transfers (Schedule G) (7)- .00
8. Total Assets (8) 10,743.12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 13,070.20
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 764.85
11. Total Deductions (11) 13,835.05
12. Net Value of Tax Return (12) 3,091.93-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 3,091.93-
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 (is) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) Aln 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 C18) .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.