HomeMy WebLinkAbout07-27-15 NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENY, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO Box 280601 CORDED OFFICE OF
HARRISBURG PA 17128-0ff
REGISTER OFF WILLS
DATE 07-20-2015
ESTATE OF FRY CLARENCE W
21015 JUL 27 FM 09 DATE OF DEATH 07-23-2002
CLERK OF FILE NUMBER 21 14-0117
COUNTY CUMBERLAND
MILLER 0 R P H hd"L(A'9 U t6 ACN 101
IRWIN & "1PT11-TLAP;'D CO., PA APPEAL DATE: 09-18-2015
60 W POMFRET ST (See reverse side under Objections)
CARLISLE PA 17013-3243 Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +-
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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FRY CLARENCE WFILE N0. :21 14-0117 ACN- 101 DATE: 07-20-2015
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) 4,784.40 credit to your account,
S. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 62,072.61
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (8) 66,857.01
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. 'Costs/Misc. Expenses (Schedule H) (9) 14,124.24
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 00
11. Total Deductions (11) 14,124.24
12. Net Value of Tax Return (12) 52,732.77
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 52,732.77
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) 41,366.39 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 11 .7166-38 x 045 = 511 .49
17. Amount of Line 14 at sibling rate (17) -nn x 12 = .00
18. Amount of Linz 14 taxable at collateral rate (18) .00 x 15 = .00
19. Principal Tax Due (19)= 511.49
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
03-12-2015 CD020336 286.87- 798.36
TOTAL TAX PAYMENT 511.49
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.