HomeMy WebLinkAbout06-17-15 RECORDED OFFICE OF NOTICE OF INHERITANCE TAX pennsyLvania
AlY`dF'I'NDI IDUAL `T S APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BURS OF DEDUCTIONS AND ASSESSMENT OF TAX
INHEyRRQITANCE pTAX DIIVVISION 10.,
REV-1547 EX AFP (11-14)
HAR�OR� L37Y 17112-06 ��� ? 12
DATE 06-15-2015
CL EI"\ `}r ESTATE OF RILEY JOAN K
p q (" !�A l l �T
ORPHAN') U� 'U t 1 DATE OF DEATH 11-09-2014
G�frRL .f. %.. I„ FILE NUMBER 21 15-0113
COUNTY CUMBERLAND
GREENE ESQ JESSICA F ACN 101
STE C100 APPEAL DATE: 08-14-2015
555 GETTYSBURG PIKE (See reverse side under Objections)
MECHANICSBURG PA 17055-5204 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: RILEY JOAN KFILE NO. :21 15-0113 ACN: 101 DATE: 06-15-2015
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) .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) .00
6. Jointly Owned Property CSchedule F) (6) 19,477.03
7. Transfers (Schedule G) (7) 131,603.73
8. Total Assets (8) 151 ,080.76
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3,04 2.76
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 102.94
11. Total Deductions (11) 3,145.70
12. Net Value of Tax Return (12) 147,935.06
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 147,935.06
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) 147.93r;- 06 x 045 = 6,657.08
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)= 6,657.08
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
01-30-2015 CD020183 332.85 6,324.23
TOTAL TAX PAYMENT 6,657.08
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.