HomeMy WebLinkAbout06-17-15 r NOTICE OF INHERITANCE TAX :' Pennsylvania
i`L���UAPPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX D
BUREAU OF INDIVIDUAL TAXES r 06�DEDUCTIONS AND ASSESSMENT OF TAX
�J �F��V'� � � REV-1547 IX AFP (11-14)
PO BOX 280601 t
HARRISBURG PA 17128RE, S TF-1, r)7 1,V I L L S
DATE 06-15-2015
ME AN 17 A1-111 L12 ESTATE OF COSSICK FRANCIS G
DATE OF DEATH 10-09-2013
GL.ERi, Of FILE NUMBER 21 14-0432
� �{A ' (-(',UR j COUNTY CUMBERLAND
MITCH�ErrL!I'L' !!oo Q' SCOTT A ACN 101
PO BOX"�x46RL Aid ) { APPEAL DATE: 08-14-2015
HARRISBURG PA 17108 (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
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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: COSSICK FRANCIS GFILE NO. :21 14-0432 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) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 84.48 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) .0 0
6. Jointly Owned Property (Schedule F) (6) 9,637.02
7. Transfers (Schedule G) (7) 553,354.47
B. Total Assets (8) _. 563,075.97
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14,931 .51
11. Total Deductions (11) 14,931 .51
12. Net Value of Tax Return (12) 548,144.46
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 548,144.46
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) 538,507.44 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) A7-0? X 045 = 1 .66
17. Amount of Line 14 at sibling rate (17) 9.600.00 X 12 = 1,152.00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 1,153.66
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 06-30-2015 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,153.66
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 33.68
TOTAL DUE 1,187.34
* 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.
REV-1470 EX(01-10) -
pennsyLvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
H PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Francis Cossick 2114-0432
REVIEWED BY
ACN
Shannon E Baker 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
E 1 The value of this item has been suspended from the appraisement of the return until the
final value can be determined. A supplemental return must be filed when the value of
the suspended item is determined.
F 1 The value of this item has been suspended from the appraisement of the return until the
final value can be determined. A supplemental return must be filed when the value of
the suspended item is determined.
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