HomeMy WebLinkAbout08-26-15 REc44b4€-_J U_FF11`N'HAETANCE TAX pennsylvania
APPISEREINFT iArLOWA!NE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS ANIr�A SESSMENT OF TAX
INHERITANCE TAX DIVISION (} REV-1547 EX AFP C11-14>
PO BOX 280
HARRISBURG601 PA 17128-0601 2015 AUG 26 PM 3 02
DATE 08-24-2015
CLEdf' ESTATE OF KLINGER ROY E
0RPHAN5' C0U,"'T DATE OF DEATH 05-02-2013
CUMBERLA'115 'FILE NUMBER 21 13-0538
COUNTY CUMBERLAND
KLINGER DANIEL E ACN 101
22 CEDAR CLIFF DR APPEAL DATE: 10-23-2015
CAMP HILL P A 17011-7601 (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: KLINGER ROY EFILE NO. :21 13-0538 ACN: 101 DATE: 08-24-2015
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,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) 00 submit the upper portionof this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 10 7,378.65
6. Jointly Owned Property (Schedule F) (6) 36,625.00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 144,003.65
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 6,136. 10
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 6,136. 10
12. Net Value of Tax Return C12) 137,867.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 137,867.55
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) 137•RA7-r'q x 045 = 6,204.04
17. Amount of Line 14 at sibling rate (17) .00 1 X 12 = .00
18. Amount of Line 14 taxable at collateral rate Cis) .00 X 15 = .00
19. Principal Tax Due (19)= 6,204.04
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-24-2015 CD020416 .00 6,204.04
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-25-2015 TOTAL TAX PAYMENT 6,204.04
BALANCE OF TAX DUE .00
INTEREST AND PEN. 211. 12
TOTAL DUE 211 . 12
* 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.