HomeMy WebLinkAbout07-27-15 NOTICE OF INHERITANCE TAX Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION QREV-1547 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED
DED OFFICE OF DATE 07-27-2015
REGISTER OF WILLS ESTATE OF SHENK LARRY E
DATE OF DEATH 08-05-2013
FILE N 21 13-1213
?015 JUL 27 GM "? 0 61 COUNTYUMBER CUMBERLAND
SHENK SR THEODORE E ACN 101
PO BOX 388 C L E IR iC 7 APPEAL DATE: 09-25-2015
NEW BLOOM ;i,PA, 17,068-0388 (See reverse side under Objections)
--17- • Amount Remitted
IcumBP
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 4-
R--V---liz-7--Ei--A-F�--C-1-1--i-4-3-;-O-T-IEi--O-F--I-N-Hii-l-T-A�-C-E-ii-X--A�-P-R-A-Ii-E-M-E;i-,--A--L-O-Wi;-C-E-6i---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHENK LARRY EFILE NO. :21 13-1213 ACN: 101 DATE: 07-27-2015
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) .00 credit to your account,
00 submit the upper portion
S. 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) CS) 766.88
6. Jointly Owned Property (Schedule F) (6) .110
7. Transfers CSchedule G) (7) .00
8. Total Assets (8) 766.88
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 9,040.59
10, Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 00
11. Total Deductions (11) 9,040.59
12. Net Value of Tax Return (12) 8,273.71-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 8,273.71-
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 cis) .00 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) nfl 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.