HomeMy WebLinkAbout04-20-15 NOTICE OF INHERITANCE TAX (Jet111SytVa11ia
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 280601 R P09RDED OFFICE OF
HARRISBURG PA 17128 0
REGISTER OF MILLS DATE 04-20-2015
?015 APR 20 Gm 21 ESTATE OF KEENER VIVIAN M
tf 11 DATE OF DEATH 09-27-2014
FILE NUMBER 21 14-1134
CL E '\ COUNTY CUMBERLAND
APLIN ORPHAVTFR!�, M ACN 101
STE 19UM B R L -1 APPEAL DATE: 06-19-2015
845 S I R THOMAS C T (See reverse side under Objections)
HARRISBURG PA 17109-4843 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 4-
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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: KEENER VIVIAN MFILE NO. :21 14-1134 ACN: 101 DATE: 04-20-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
S. 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.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 80 1.55
6. Jointly Owned Property (Schedule F) (6) 2,873.34
7. Transfers (Schedule G) (7) 53,489.65
8. Total Assets (8) 57,164.54
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4,765.63
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 4,14 2.36
11. Total Deductions (11) 8,907.99
12. Net Value of Tax Return (12) 48,256.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 48,256.55
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) 4R•PRA-giS x 045 = 2,171 .54
17. Amount of Line 14 at sibling rate (17) nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 2,171.54
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-28-2014 CDO19976 108.58 2,062.97
TOTAL TAX PAYMENT 2,171 .55
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE ,0
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.