HomeMy WebLinkAbout05-14-15 NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF IND VI{�Ul}L T� fig- APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ; DEPARTMENT OF REVENUE
INHERII�# �A DV-1SU NFf fV OF OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 Ex AFP (11-14)
PO BOX �p0 1
HARRISBUR, FTE.hY?8.0601 , WILLS
Pn 12 18 DATE 05-11-2015
ESTATE OF MYERS DOROTHY E
DATE OF DEATH 10-08-2012
�L�r' Cr., FILE NUMBER 21 12-1131
RPHAF=S' C0'_'�j COUNTY CUMBERLAND
D �IEni ESQ, WILLIAM S ACN 101
'.2'05` APPEAL DATE: 07-10-2015
1 W HIGH ST (See reverse side under Objections)
CARLISLE PA 17013-2951 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: MYERS DOROTHY EFILE NO. :21 12-1131 ACN: 101 DATE: 05-11-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) 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) 500.00 credit to your account,
3. 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.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 41212.28
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) _ 4,712,28
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4,212.8 2
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 51 ,218.49
11. Total Deductions (11) 55,431 .31
12. Net Value of Tax Return (12) 50,719.03-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 50,719.03-
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) 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 C+)
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.