HomeMy WebLinkAbout06-17-15 RECORDED OFFICE OF NOTICE OF INHERITANCE TAX 1 , � pennsylvania
BUREAU OFCCINIIIVSIDUAL TAXE...
!t, I_S APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO BOX 280601 _
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jjJJ 11 + l DATE 06-15-2015
CLE,, Q F ESTATE OF TERSIGNI FRANCES
0R P HA"_ '' ' C0"JR T DATE OF DEATH 11-29-2014
C U M B L,' F-.L FILE NUMBER 21 15-0191
COUNTY CUMBERLAND
RICE CHRISTOPHE ACN 101
10 E HIGH ST APPEAL DATE: 08-14-2015
CARLISLE P A 17013-3015 (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 (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: TERSIGNI FRANCES FILE NO. :21 15-0191 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) • 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/Mist. Personal Property (Schedule E) (5) 17,482.87
6. Jointly Owned Property CSchedule F) (6) .00
7. Transfers (Schedule G) (7) 125,904.28
8. Total Assets (8) 143,387. 15
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (9) 9,941.65
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 10,031 ,73
11. Total Deductions (11) 19,973.38
12. Net Value of Tax Return (12) 123,413.77
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 123,413.77
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) -f)(I 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) 123,413.77 X 15 = 18,512.07
19. Principal Tax Due C19)= 18,512. 07
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-19-2015 CD020252 881.58 16,750.00
03-04-2015 CD020309 .00 880.49
TOTAL TAX PAYMENT 18,512.07
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 4
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.