HomeMy WebLinkAbout05-20-15 NOTICE OF INHERITANCE TAX ,
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APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX �
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
PO Box 280601
HARRISBURG�t L
OF
YALS
DATE 05-18-2015
ESTATE OF SELGRATH MIRIAM R
en
I
His DATE OF DEATH 03-20-2014
FILE NUMBER 21 15-0028
COUNTY CUMBERLAND
CASSID a r, MICHAEL J ACN 101
301 0MI KF T' ST APPEAL DATE: 07-17-2015
(See reverse side under Objections)
LEMOYNE PA 17043-1662 Amount Remitted)
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 4-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SELGRATH MIRIAM RFILE NO. :21 15-0028 ACN: 101 DATE: 05-18-2015
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) (2) .00 credit to your account,
00 submit the upper portion
S. 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) 270.71
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 2,000.00
8. Total Assets 2,270.71
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 17,584.92
10. Debt,s/Mortgage Liabilities/Liens (Schedule 1) (10) 00
11. Total Deductions (11) 17,584.92
12. Net Value of Tax Return (12) 15,314.21-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Not Value of Estate Subject to Tax (14) 15,314.21-
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) nrl x 045 = .00
17. Amount of Line 14 at sibling rate (17) .01), 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. r\IV
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