HomeMy WebLinkAbout06-17-15 RECO DEJ C'`-rl-- Q� NOTICE OF INHERITANCE TAX '( pennsyLvarna
ppc01 ' - "'`f_LS APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ! DEPARTMENT OF REVENUE
BUREAU'OF� INDIVIDUA-L TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX _ _
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
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DATE 06-15-2015
���-' �� ESTATE OF CRITSER JACK W
0€PHA N', r; � t` DATE OF DEATH 04-27-2014
CUM,B E{<<,', . , ". FILE NUMBER 21 15-0018
COUNTY CUMBERLAND
WARD JONATHAN ACN 101
16 SCARSDALE DR APPEAL DATE: 08-14-2015
CAMP HILL PA 17011-7935 (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: CRITSER JACK WFILE N0. :21 15-0018 ACN: 101 DATE: 06-15-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 123,500.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 123,500.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 189,896.63
11. Total Deductions (11) 189,896.63
12. Net Value of Tax Return (12) 66,396.63-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 66,396.63-
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) OOIX 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -(In 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 C-)
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. va`�J