HomeMy WebLinkAbout05-20-15 p NOTICE OF INHERITANCE TAX
AISEMENT, ALLOWANCE OR DISALLOWANCE
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BUREAU OF IND AQ0ATAXDEDUCTIONS AND ASSESSMENT OF TAX
DEPARTMENT OF REVENUE
INHERITANCE TAX Dlln§I�)4,
PO BOX 280601 il- REV-1547 EX AFP (11-14)
HARRISBURG PA 17128-0601
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DATE 05-18-2015
ESTATE OF SHELLEY CORINNE M
r DATE OF DEATH 10-19-2013
FILE NUMBER 21 14-0062
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COUNTY CUMBERLAND
HOAR CSA JUDITH L ACN 101
1705 OREGON PIKE APPEAL DATE: 07-17-2015
LANCASTER PA 17601-4201 (See reverse side under Objections)
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHELLEY CORINNE MFILE NO. :21 14-0062 ACN: 101 DATE: 05-18-2015
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,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 30,562.25
6. Jointly Owned Property (Schedule F) (6) 92,834. 16
7. Transfers CSchedule G) (7) .00
8. Total Assets (8) x.23,396.41
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9) 19,605;60
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 112,638.65
11. Total Deductions (11) 132,244.25
12. Net Value of Tax Return (12) 8,847.84-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 8,847.84-
NOTE: If an assessment was issued Previously, Lines 14, 15, 16, 17, IS 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 .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) -D(I x 045 = .00
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)= 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.