HomeMy WebLinkAbout07-13-15 NOTICE OF INHERITANCE TAX , pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX --j REV-1547 EX AFP (11-14)
HARRPO ISBURG6PA 1712tRZ O R D E D OFFICE O F
REGISTER OF WILLS
DATE 07-13-2015
2015 JUL 13 PM 12 09 ESTATE OF DOMENE III RALPH R
DATE OF DEATH 05-26-2014
CLERK OF FILE NUMBER 21 14-0627
COUNTY CUMBERLAND
BANGS ORPHANVCV8MT L ACN 101
429 S $T� T APPEAL DATE: 09-11-2015
`L B RLl�P C I1-
CAMP H L A 17011-5902 (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 E-�
---------------------------------------------
----- --- -----
-------------------------------
REV-1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DOMENE III RALPH RFILE NO. :21 14-0627 ACN: 101 DATE: 07-13-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 234,729.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule 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) 54,746.79
6. Jointly Owned Property (Schedule F) C6) 5,367.31
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 294,843. 10
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 15,475.05
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 159,346.67
11. Total Deductions (11) 174,821.72
12. Net Value of Tax Return (12) 120,021 .38
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax (14) 120,021 .38
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 (16) 770.077 _38 X 045 = 5,400.96
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)= 5,400.96
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-25-2014 CDO19602 263. 16 51000.00
02-24-2015 CD020277 .00 137.80
TOTAL TAX PAYMENT 5,400.96
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.