HomeMy WebLinkAbout12-29-06 (2)
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 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 of-
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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
r';"{'(\I'"'IICr' r\r:'-!('JlQTt(:E OF INHERITANCE TAX
ht',A)hU','-APPR~:t:s!HJ1.IT, ALLOWANCE OR DISALLOWANCE
~:[Cf."=Q !,9F 'O.~TIONS AND ASSESSHENT OF TAX
2UO& OEe 29 PH I: 04
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLEPK OF
O!'""'l--t ',' t.. II" (',01 l1""')T
:hi')r,,:"\;\ >,~' "",\,.).);'i I
JERED L HOCK ESQ ClJ'. . .. "
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
re~lect ~igures that include the total o~ ~ 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. ABount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
C 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. Hortgeges/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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
6.690.00
.00
.00
.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern.ental BequestSj Non-elected 9113 Trusts (Schadule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
9,196.92
.00
(11)
(12)
(13)
(14)
NOTE:
.00
.00
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
DATE
+
INTEREST/PEN PAID (-)
AHOUNT PAID
NUHBER
NOTE: To insure proper
credit to your account,
sub.it the upper portion
of this for. with your
tax pay.ent.
6,690.00
9.196 92
2,506.92-
.00
2,506.92-
(19)=
.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 $1, NO PAYHENT IS REQUIRED. ~.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.