HomeMy WebLinkAbout07-13-15 NOTICE OF INHERITANCE TAX pennsyLvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAXDEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION -- REV-1547 EX AFP (11-14)
PD BOX UOFFICE OF
HARRISBURGURG PPA A 17128- iCORDED �
REGISTER OF WILLS DATE 07-13-2015
ESTATE OF GIRONDI EVA R
?015 JUL 13 PM 12 09, DATE OF DEATH 01-15-2010
FILE NUMBER 21 10-0160
CLEF l)' COUNTY
CUMBERLAND
MELLINGEORPHAt,, RI E
S �,�!`'�T' ACN 101
3513 NC � STS) V APPEAL DATE: 09-11-2015
HARRISBU PA 1711bc-1438 (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: GIRONDI EVA RFILE NO. :21 10-0160 ACN: 101 DATE: 07-13-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule 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) 107,492.30
6. Jointly Owned Property CSchedule F) C6) .00
7. Transfers (Schedule G) C7) .00
S. Total Assets (8) 107,492.30
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 12,077.77
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions .(11) 12,077.77
12. Net Value of Tax Return (12) 95,414.53
13. Charitable/Governmental Bequests; Non-elected 5113 Trusts (Schedule J) (13) . 0 0
14. Net Value of Estate Subject to Tax (14) 95,414.53
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) 91i.414_ri3 X 045 = 4,293.65
17. Amount of Line 14 at sibling rate C17) nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = . 00
19. Principal Tax Due C19)= 4,293.65
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
09-29-2013 WRITEOFF .00 389.50
02-27-2015 CD020300 .00 4,293.65
BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-28-2015 TOTAL TAX PAYMENT 4,293.65
BALANCE OF TAX DUE .00
INTEREST AND PEN. 181 .67
TOTAL DUE 181 .67
■ 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.