HomeMy WebLinkAbout08-03-15 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL raxEs OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION s REV-1547 EX AFP (11-14)
PD RECORDED OFFICE OF
HARRISRISBURGURG PPA 17128-0601
RECORDED
RECISTE° OF VVILLS
DATE 08-03-2015
?0
15 9UG 3 Pm 12 OC ESTATE OF HASTINGS RICHARD R
� t J DATE OF DEATH 02-05-2015
FILE NUMBER 21 15-0175
CI-E'I'N'` 0!. COUNTY CUMBERLAND
PENNYPACKERORPN?4�T CD`"i ! ACN 101
1712 KENT dtUm8ERL N`� " APPEAL DATE: 10-02-2015
CAMP HILL PA 17011-,
7011-6 016 (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
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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: HASTINGS RICHARD RFILE NO. :21 15-0175 ACN: 101 DATE: 08-03-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 75,510.2 9
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 75,510.29
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 9,589.82
10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 1 ,931 .29
11. Total Deductions C11) 11,521 . 11
12. Net Value of Tax Return (12) 63,989. 18
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 63,989.18
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 1 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) 63,989- 18, x 045 = 2,879.51
17. Amount of Line 14 at sibling rate (17) .0 0 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 2,879.51
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-17-2015 CD020358 143.98 2,735.53
TOTAL TAX PAYMENT 2,879.51
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 CCR), YOU MAY BE DUE \
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. ��(�