HomeMy WebLinkAbout12-29-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
P;::('(\:i}Cn r:F~XQ~ OF INHERITANCE TAX
i i,:"".;,-.,..~,~.!1. '.'~~.' . ~I$Mtff. ALLOWANCE OR DISALLOWANCE
l'("'lt.., :::.-o[;DEDOrlrtONS AND ASSESSI1ENT OF TAX
12-25-2006
PETERS
11-03-2005
21 05-1008
CUMBERLAND
101
APPEAL DATE: 02-23-2007
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
9~!_~~9~~_!~~~-~~~~------~---~~!!!~-~g~~~-~g~!!g~-~g~-!g~~-~~~g~~!_-~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ANNA P FILE NO. 21 05-1008 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
2005 OEe 29 Pt1 I: 04
CLER':\ OF
C/]tJRT
DARLA M PETERS
1852 HOLLY DR
CAMP HILL
('I 11 ,-
,-.' \....
PA 17011
ESTATE OF
PETERS
*
REV-1547 EX AFP (06-05)
ANNA
P
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 12-25-2006
) CHANGED
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. 110rtgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/l1isc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(S)
(6)
(7)
132,900.00
85.888.15
.00
.00
21. 741. 65
.00
44,158.10
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/l1isc. Expenses (Schedule H)
10. Debts/l1ortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
lS. Amount of Line 14 at Spousal rate (lS)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
C TS:
NOTE:
NUI1BER
CD007381
+
INTEREST/PEN PAID (-)
190.43-
DATE
10-31-2006
(9)
(10)
24.851. 56
542.59
(11)
(12)
(13)
(14)
.00 X
259.293.75 X
.00 X
.00 X
AI10UNT PAID
11.858.65
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-01-2006 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
00 =
045 =
12 =
15 =
(19)=
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax pay_nt.
284.687.90
?5.394 15
259.293.75
.00
259.293.75
.00
11,668.22
.00
.00
11.668.22
11.668.22
.00
8.96
8.96
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYI1ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU I1AY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.)