HomeMy WebLinkAbout07-13-15 NOTICE OF INHERITANCE TAX Pennsylvania
,yn�a� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE
BUREAU of ' `EH410E OF OF DEDUCTIONS AND ASSESSMENT OF TAX
� � REV-1547 EX AFP (11-14)
PO BOX URG 01
PA FYR-�86TER OF WILLS
HARRISBURG PA?015
m
DATE 07-13-2015
?015 JUL 13 I f i 12 10 ESTATE OF HOFFMEISTER PEGGY L
DATE OF DEATH 06-01-2014
CLERK OF FILE NUMBER 21 15-0231
MORPHANS` COURT COUNTY CUMBERLAND
37F101
,ii3a � A BUD, PA A ACN APPEAL DATE: 09-11-2015
CAMP HILL b PA 17011-7629 (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: HOFFMEISTER PEGGY LFILE NO. :21 15-0231 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) •00 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) (5) 5,901 .38
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (8) 5,901.38
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 5,288.72
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 981 .03
11. Total Deductions (11) 6,269.75
12. Net Value of Tax Return (12) 368.37-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 368.37-
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) - n 0 x 045 = .00
17. Amount of Line 14 at sibling rate (17) oo 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 C-)
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. \�\