HomeMy WebLinkAbout12-29-06
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
p~('('\rT)r:r: nFFICiofiCE OF INHERITANCE TAX
"::':'~);L: :~~P'!lAJ;S!:t1ENT 1 ALLOWANCE OR DISALLOWANCE
r:cl:/~i' :.:.'-,' ot DEDUcTIONS AND ASSESSHENT OF TAX
*
2006 DEC 29 PH I: 04
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
REV-1S~7 EX AFP (06-0S)
ESTATE OF MCCLAIN
12-25-2006
MCCLAIN
01-20-2006
21 06-0198
CUMBERLAND
101
APPEAL DATE: 02-23-2007
( See reverse side under Ohjections)
Amount Remittedr= ~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS UNE - RETAIN LOWER PORTION FOR VOUR RECORDS _
REV:i5~7-EX-AFP-(03:05i-NOTiCE-OF-iNHEiiTANCE-TAX_APPiAiSEHENT;-ALLONANCE-Qi---------______
DISALLOWANcE OF DEDUCTIONS AND ASSESSMENT OF TAX
GERALDINE D FILE NO. 21 06-0198 ACN 101
ROBERT W LAPE JR
294 E MAIN ST
ROARING SPRING
CLER!< OF
P~.. ',' I '''' ,....'"); '''T
O u. '.~" '" ,., I Ii' (-<
J, I' .J .t-',_; '.... .....' .,j<~ \_... ; I
A~H;'" . ~,\
GERALDINE D
PA 16673
RESERVATION CONcERNING FuTURE INTEREST _ SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocfc:s and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly OWned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
TAX RETURN WAS: (X) ACCEPTED AS FILED
( ) CHANGED
DATE 12-25-2006
APPROVED DEDUCTIONS AND EXEMPTIONS:
101146.40
.. '""""' E......".... Co.t,,",... E....... '......,. N' 1"__
11. "'ts/lfor_ Usb111 ..."U.... '......'" 1) 11 OJ __ 2 . 721. U.
11. To", Deduct,... ""
12. Not Vol... of TOX ....... 112' __
13. Cher'...,.,.........t., ......t.; NOn-....t.. "'3 T...t. IS....... J' f13' __
1.. Not V.,... of E..... SubJoet to Tox fl., __
NOTE: I~ an asseSSlant WOS 1ssUed prev1ausly. I1nos 14. 15 and/or 16. 17. 18 and
re#lect ~19Ures that 1ncIUde the total ~ ALL returns ossessed to doto.
ASSESSMENT OF TAX:
15. A.ount of Line 14 at SPOusal rate
16. A~unt of Line 14 taxable at Lineal/Class A rate
17. A.aunt of Line 14 at Sibling rate
18. A.aunt of Line 14 taxable at COllateral/Class B rate
19. Principal Tax Due
C TS.
(lJ_
(2)_
(3)
(4)
(5)
(6)
(n
.O!.
.Ojl
.OQ.
. OJ!.
9.712.2l.
.00
.00
(8) _
NOTE: To insure proper
credit to Your accountl
sub_it the uPPer portion
of this for. with YOUr
tax paY.ent.
91712.~
]:;>>.870 7~
31158.5!_
.00
31 158. 5:!."-
19 will
US)
U6}
un_
U8}
.O~ X
.00 X
.00 X
. OJ!. X
00 =-
045 =
12 =-
15 =
DATE
NUHBER
INTEREST/PEN PAID (_)
U9}=
.00
.00
-
.00
.00
-
.00
AHOUNT PAID
IF PAID AFTER DATE INDICATED 1 SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1.. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR}I YOU HAY BE D
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INsTRur-T?n.,^ .
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00