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HomeMy WebLinkAbout06-30-15 NOTICE OF INHERITANCE TAX pennsylvania APPRAISEMENT, ALLOWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL TAXES V D DnUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AF REVENUE INHERITANCE TAX DIVISION E C'0 :{1L V r ri J E n REV-1547 EX AFP (11-14) PO BOX 280601 V HARRISBURG PA 17128-0601 ' t 1�1 t� DATE 06-22-2015 MIS 1UN 3 0 IP�� 3 5o ESTATE OF DRAWBAUGH ROBERT E DATE OF DEATH 03-31-2014 CLE,,, (;•,�= FILE NUMBER 21 14-0607 OTTO III IVp ©RPt;V `S-, COURT COUNTY CUMBERLAND liUMBEi?l �;_,9 CO., PA ACN 101 10 E HIGH ST APPEAL DATE: 08-21-2015 CARLISLE PA 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: DRAWBAUGH ROBERT EFILE NO. :21 14-0607 ACN: 101 DATE: 06-22-2015 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 5,100.00 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) .0 0 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) 5,100.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) . 00 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00 11. Total Deductions (11) 00 12. Net Value of Tax Return C12) 51100.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 51 100.00 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) 5,100.00 X 00 = .00 16. Amount of Line 14 taxable at lineal rate (16) nn, x 045 = .00 17. Amount of Line 14 at sibling rate (17) oo 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 (-) 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. (�J