HomeMy WebLinkAbout07-06-15 NOTICE OF INHERITANCE TAX r Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION. p c r r --- REV-1547 EX AFP (11-14)
PD BOX 280601
HARRISBURG PA 17128�I��iORDED OFFICE OI
- I
REGISTER OF WILL`S DATE 06-29-2015
COAIZI
2015 JUL 6 Phi 3 12 DATETOFODEATH 08-29-2014 THOMAS D
FILE NUMBER 21 14-0866
CLERK OF COUNTY CUMBERLAND
ERNICO ORPHAN4YFtF 1 T A ACN 101
3401 NCyJ T T APPEAL DATE: 08-28-2015
PO BOX 5950
�'° PA (See reverse side under Objections)
HARRISBURG PA 17110-0950 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
.r
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: COLAIZZI THOMAS DFILE NO. :21 14-0866 ACN: 101 DATE: 06-29-2015
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) 3,864.82 credit to your account,
12 submit the upper portion668.
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 97, of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 67,064.58
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 163,878.96
8. Total Assets (8) 332,476.48
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 14,243.40
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,981.51
11. Total Deductions (11) 18,224.91
12. Net Value of Tax Return C12) 314,251.57
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 314,251 .57
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) 314,251 .57 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) -nn 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.