HomeMy WebLinkAbout12-29-06
12-25-2006
SIEMON JR
01-22-2006
21 06-0190
CUMBERLAND
101
APPEAL DATE: 02-23-2007
( See reverse side under Objections)
Amount Remitted I J
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EDWARD A FILE NO. 21 06-0190 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
rr ('(\["'1 [\cr., rV:C!('JlQTiJ'CE OF INHERITANCE TAX
r<;t'uUHUl-l,\ppliuS!HJfrr I ALLOWANCE OR DISALLOWANCE
~'[{t~,'''=P (9F 'P~TIONS AND ASSESSMENT OF TAX
200& DEe 29 Pt1 I: 04
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01 c:n:< r)c
ll...crH ~.. 1
C"'~I "~ II" ("'('1 '''T
Ih;')i~,;.l';I\ :,:. ',,/\,)u't'l
JERED L HOCK ESQ ClY ", ,
METZGER WICKERSHAM
PO BOX 5300
HBG
PA 17110
ESTATE OF
SIEMON JR
*
REV-1547 EX AFP (06-05)
EDWARD
A
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 12-25-2006
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect ~igures that include the total ~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. A.ount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
X TS:
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
ll)
(2)
(3)
(4)
(5)
(6)
(7)
.00
6.690.00
.00
.00
.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
91196.92
(9)
(10)
.00
(11)
(12)
(13)
(14)
(Schedule J)
NOTE:
(15) .00 X 00 =
(16) .00 X 045 =
(17) .00 X 12 =
(18) .00 X 15 =
(19)=
AMOUNT PAID
DATE
NUMBER
INTEREST/PEN PAID (-)
NOTE: To insure proper
credit to your account I
submit the upper portion
of this form with your
tax payment.
61690.00
9.196 92
21506.92-
.00
21506.92-
.00
.00
.00
.00
.00
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. A,
IF TOTAL DUE IS REFLECTED AS A "CREDIP' (CR)I YOU HAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
· IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.