HomeMy WebLinkAbout07-06-15 NOTICE OF INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRA.ISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OF' DEDUCTIONS AND ASSESSMENT OF TAX
-- -,� REV-1547 EX AFP (11-14)
PD BOX ORDED OFFICE OF
01
HARRISBURGURG PPA 1712 -
A HREGISTER OF WILLS DATE 07-06-2015
?015 lIr ESTATE OF SINGISER DOROTHY M
AIL 6 PFi 3 10 DATE OF DEATH 09-23-2014
FILE NUMBER 21 14-0966
CLERK OF COUNTY CUMBERLAND
ZULLINGVRPHANSJOUE UU R ACN 101
STE APPEAL DATE: 09-04-2015
14 N MAII Ng q �; Co., PA (See reverse side under Objections)
CHAMBERSBURG PA 17201-1814 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
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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: SINGISER DOROTHY MFILE NO. :21 14-0966 ACN: 101 DATE: 07-06-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) 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) 667,739.44 credit to your account,
S. Closely Held Stock/Partnership In#erest (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) 80,441 .72
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) 36,000.00
8. Total Assets (8) 784,181 . 16
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 22,170.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,818.68
11. Total Deductions (11) 25,989. 18
12. Net Value of Tax Return (12) 758,191.98
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 72,219.20
14. Net Value of Estate Subject to Tax (14) 685,972.78
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 C15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) 6R9i•977-7A X 045 = 30,868.78
17. Amount of Line 14 at sibling rate (17) no X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 30,868.78
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-22-2014 CD020061 1,447.88 27,509.63
02-18-2015 CD020261 .00 11911.38
TOTAL TAX PAYMENT 30,868.89
BALANCE OF TAX DUE .11CR
INTEREST AND PEN. .00
TOTAL DUE . 11CR
* 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.