HomeMy WebLinkAbout08-26-15 NOTICE OF INHERITANCE TAX `7 7
Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION DEDUCTIONS AND ASSESSMENT OF TAX
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PO BOX 280601
[` OROL-IJ OFFICE OF REV-1547 EX AFP (11-14)
HARRISBURG PA 17128-0601 R E G t S TE P, OF
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VI tL DATE 08-24-2015
MIS 9UG 26 PM 3 02 ESTATE OF WICKENHEISER LEEANN
DATE OF DEATH 06-18-2014
CLU_ CF FILE NUMBER 21 14-0830
GARGIULO CLAIRE 01PH AVS COUNTY CUMBERLAND
101
STE 203 CUMBERL1,N j ,�,t ACN APPEAL DATE: 10-23-2015
1104 FERNWOOD AVE (See reverse side under Objections)
CAMP HILL PA 17011-6902 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 F-
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REV-1547 EX AFP C11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: WICKENHEISER LEEANN FILE NO. :21 14-0830 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 CSchedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portionof this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 1,000.00
6. Jointly Owned Property CSchedule F) C6) 00
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 11000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 11000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 1,000.00
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) 1,000.00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) - nn x 045 = .00
17. Amount of Line 14 at sibling rate (17) .0(I X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT 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 ,0
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.