HomeMy WebLinkAbout08-03-15 NOTICE OF INHERITANCE TAX Zip pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU of(� 1��j T � nn OF DEDUCTIONS AND ASSESSMENT OF TAXINHERITANCE'1 `OfV P u rL E 0 REV-1547 EX AFP (11-14)
PO BOX 28060 (� C-r;--•-) i
HARRISBURG P 12810601 LLS
?015 AUG 3 p� 12 �� DATE 08-03-2015
ESTATE OF BRYANT KATIEJO L
DATE OF DEATH 02-16-2013
�t T FILE NUMBER 21 13-0230
0 R P H A N COUNTY CUMBERLAND
H�W BE . ERIN- , ACN 101
753 BLOSSOM DR APPEAL DATE: 10-02-2015
HANOVER PA 17331-2077 (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-- -------------------
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REV-1547 EX AFP (11:14)-NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BRYANT KATIEJO LFILE NO. :21 13-0230 ACN: 101 DATE: 08-03-2015
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
,0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 3,64 4.32
6. Jointly Owned Property CSchedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 3,644.32
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 1 ,67 9.08
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions (11) 1,679.08
12. Net Value of Tax Return (12) 1 ,965.24
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 1 ,965.24
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) 1 -965-24 X 045 = 88.44
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= 88.44
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-25-2015 CD020421 3.58- 117.91
TOTAL TAX PAYMENT 114.33
BALANCE OF TAX DUE 25.89CR
INTEREST AND PEN. .00
TOTAL DUE 25.89CR
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. `\^\