HomeMy WebLinkAbout07-06-15 _W
NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES' APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX D1V1SI0N OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
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HARRISAMUeEcDoOFFICE OF
REGISTER OF WILLS DATE 07-06-2015
ESTATE OF BAPTISTE ROI R
?015 JUL 6 PM 3 10 DATE OF DEATH 03-16-2014
FILE NUMBER 21 14-0660
CLURK OF COUNTY CUMBERLAND
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ACN 101
34 817kH PONY STREET APPEAL DATE: 09-04-2015
3 ,1 -J.E F F R E YA (See reverse side under Objections)
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HARRISBURG PA 17110-0950 Amount Remittedi
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 4-
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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: BAPTISTE ROI RFILE N0. :21 14-0660 ACN: 101 DATE: 07-06-2015
TAX RETURN WAS: CX) ACCEPTED AS FILED C CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) 105,000.0 0 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) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 28,127.39
6. Jointly Owned Property CSchedule F) (6) .00
7. Transfers CSchedule G) C7) .00
8. Total Assets (8) 133,127.39
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 52,177.35
10. Debts/Mortgage Liabilities/Liens CSchedule 1) (10) 41,6 28.99
11. Total Deductions (11) 143,806.34
12. Net Value of Tax Return (12) 10,678.95-
15. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 10,678.95-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, IS 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 -nfl x 045 = .00
17. Amount of Line 14 at sibling rate (17) D x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= .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 DU56$
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.