HomeMy WebLinkAbout12-26-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
qFCORn~n!, ltY1EC!tINHERITANCE TAX
CCf'!~R;'# ....' N..":r:,d~L AI::. lOWANCE OR DISAllOWANCE
/,).okm:: .Qctl~~~ AND ASSESSMENT OF TAX
12-18-2006
HIPPMAN
03-14-2006
21 06-0252
CUMBERLAND
101
APPEAL DATE: 02-16-2007
( 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
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
DAWN S FILE NO. 21 06-0252 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX ZS06D1
HARRISBURG PA 171ZS-0601
2DD6 DEe 26 PM 12: I 3
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CI COV O'F
l-kl If\ J
ORPHA~.!',0 rnl JR' T
CI j,1/'1I"'" . ,) ~'..'" t,
DAVID H RADCLIFF ESQ ,)', , P,\
RADCLIFF LAW OFFICE
20 ERFORD RD STE 200
LEMOVNE PA 17043
ESTATE OF
HIPPMAN
*'
REV-1547 EX AFP (06-05)
DAWN
S
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 12-18-2006
) 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. 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
U)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
53.084.56
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adn. 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 Bequestsj 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:
15. A.ount of line 14 at Spousal rate (15)
16. A.ount of line 14 taxable at lineal/Class A rate (16)
17. A.ount of line 14 at Sibling rate (17)
18. A.ount of line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
C ITS:
NOTE:
T
+
INTEREST/PEN PAID (-)
NUMBER
DATE
(9)
UO)
1.749.00
NOTE: To insure proper
credit to your account,
sub.it the upper portion
of this for. with your
tax pay_nt.
53,084.56
1.749 00
51.335.56
.00
51,335.56
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
.00
(11)
(2)
(3)
(4)
51,335.56 X
.00 X
.00 X
.00 X
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
(9)=
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)