HomeMy WebLinkAbout08-26-15 NOTICE OF INHERITANCE TAX 1 Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO BOX 280601 RECORDED OFFICE OF
HARRISBURG PA 17128-0601
REGISTER OF k7ILLS
DATE 08-17-2015
ERMA
?015 NG 26 Pn 3 �� DATETOFODEATH 08-05-2014 DANIEL R
FILE NUMBER 21 15-0305
CLEt�,1 OF COUNTY CUMBERLAND
MICHETTI ESQUI ANTONIOORVHANIS ' COURT ACN 101
DIEHL DLUGE JONES & 0MT%,1BERL,_ �!n r )a APPEAL DATE: 10-16-2015
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1070 MARKET ST S T E 1 (See reverse side under Objections)
SUNBURY PA 17801-2443 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: ERDMAN DANIEL. . . RFILE NO. :21 15-0305 ACN: 101 DATE: 0.8-17-2015
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) .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 (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 67,242.45
8. Total Assets (8) 67,242.45
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 9,476.62
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11 ,626.20
11. Total Deductions (11) 21,102.82
12. Net Value of Tax Return (12) 46,139.63
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 36,139.63
14. Net Value of Estate Subject to Tax (14) 10,000.00
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) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 1 n.n n n-nn X 045 = 450.00
17. Amount of Line 14 at sibling rate (17) .nn X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 450.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-20-2015 CD020397 .00 450.00
TOTAL TAX PAYMENT 450.00
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,
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. 1\vl\VNn)