HomeMy WebLinkAbout08-26-15 NOTICE OF INHERITANCE TAX :;'" pennsyLvarna
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)
BOX
HARRISBURGURG PPA 17128-0601
RECORDED OFFICE OF
HAA
REGISTEP OF VIblA�j 08-24-2015
AUGc �p ST TE OF WALSH LAWRENCE A
?015 UG 26 P� 1 �T,3OF DEATH 09-14-2014
FILE NUMBER 21 15-0411
CLE ,;` OF COUNTY CUMBERLAND
ROCKWOOD WILLIAM ORPHANO C !'AC,N 101
1021 DUBLIN DR MM APPEAL DATE: 10-23-2015
RICHMOND HILL GA 31324-5663 �� � (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-- - -1 --RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS 4- - --------------
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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: WALSH LAWRENCE AFILE NO. :21 15-0411 ACN: 101 DATE: 08-24-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6,414.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 6,414.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,171. 00
11. Total Deductions (11) 2,171.00
12. Net Value of Tax Return C12) 4,243.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 4,243.00
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) 4,24:;_nn X 045 = 191 .00
17. Amount of Line 14 at sibling rate (17) -on. X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 191 .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-08-2015 CD020504 .00 191.00
TOTAL TAX PAYMENT 191.00
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. /\f ,�\\J`n/�