HomeMy WebLinkAbout06-30-15 NOTICE OF INHERITANCE TAX ?' pennsyLvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
PD BOX RECORDED OFFICE OF
01
HARRISBURGURG PPA 17128-0601
A
RSG TF V!I LS DATE 06-22-2015
JUN
OF TILLMAN ERMA M
?015 (SUN 30 919 3 51 DATE OF DEATH 10-03-2014
FILE NUMBER 21 15-0251
OUELLET ESQ JEFFREY( P CLE l' � 0 COUNTY CUMBERLAND
101
HARTMAN AND UNDERHILL (� PWH 'JC COURT ACN APPEAL DATE: 08-21-2015
221 E CHESTNUT ST CUMMERLA::D CO., FA (See reverse side under Objections)
LANCASTER PA 17602-2782 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 E-
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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: TILLMAN ERMA MFILE NO. :21 15-0251 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) .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 CSchedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 29,493.74
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 29,493.74
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 3,0 74.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 199.2 5
11. Total Deductions (11) 3,273.75
12. Net Value of Tax Return (12) 26,219.99
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1 ,58 2.00
14. Net Value of Estate Subject to Tax (14) 24,637.99
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 C16) -00 x 045 = .00
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) 24,637.99 X 15 = 3,695.70
19. Principal Tax Due (19)= 3,695.70
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-04-2015 CD020315 .00 3,695.70
TOTAL TAX PAYMENT 3,695.70
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 CCR), YOU MAY BE DUE ` \
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.