HomeMy WebLinkAbout06-17-15 NOTICE OF INHERITANCE TAX .;` Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION �} _ C REV-1547 EX AFP (11-14)
PO BOX 280601 �rf� OOfSI �L� OI' NICL OF '
HARRISBURG PA 171�j -0601(C } i { 1
1 u DATE 06-15-2015
7015 JUN 17 Ai 11IL i2 ESTATE OF . HEADLEY CONRAD E
DATE OF DEATH 08-05-2012
CLERK OF FILE NUMBER 21 12-0943
AND REW§Fb} 114ANS'TaKRT P COUNTY CUMBERLAND
ACN 101
78 W fMM, !JLV'D CO PA APPEAL DATE: 08-14-2015
CARLISLE PA 17013-3216 (See reverse side under Objections)
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
REV 1547 EX AFP C11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HEADLEY CONRAD EFILE NO. :21 12-0943 ACN: 101 DATE: 06-15-2015
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
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) (2) 5,8 67.00 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.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 5,867.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 5,867.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 5,867.00
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) 5,867.00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) - nn x 045 = .00
17. Amount of Line 14 at sibling rate (17) .DL 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+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT 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. 66
REV-1470 EX(01-10) v
pennsy[vania INHERITANCE TAX
<.,._......_.,,_ DEPARTMENT OF REVENUE
' EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG.PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Conrad Headley 2112-0943
REVIEWED BY ACN
Tracell Agent#93 101
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
F All The value of the return has been adjusted. Assets held jointly between a decedent and
their spouse is not reportable for inheritance Tax purposes.
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