HomeMy WebLinkAbout02-02-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
"I ,NOn,CE QF. INHERITANCE TAX
APPRAISEMENT, ~LLOWANCE OR DISALLOWANCE
OF DEDUCnO"lS AND ASSESSMENT OF TAX
,.,
DATE 01-29-2007
ESTATE OF ANDRUSCAVAGE MILDRED A
DATE OF DEATH 03-10-2006
FILE NUMBER 21 06-0261
COUNTY CUMBERLAND
ACN 1 0 1
APPEAL DATE: 03-30-2007
( See reverse side under Objections)
A.ount Remittedl 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
ESTATE OF ANDRUSCAVAGE MILDRED A FILE NO. 21 06-0261 ACN 101 DATE 01-29-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 1712B-0601
DEBRA D CANTOR
MCNEES HAL
PO BOX 1166
HBG
2007 PEB -2 PH 12: 36
CLER!, OF
ORPH,t,N'S ('(11 'r-rr
CUvrC~~! ~ ,,;...1," I
ESQ
PA 17108
*'
REV-1547 EX AFP (06-05)
TAX RETURN WAS: (X) ACCEPTED AS FILED
) 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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9.
10.
11.
12.
13.
14.
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
10.066.35
.00
7,000.00
189.026.61
.00
.00
(8)
(9)
ClO)
2,650.00
597.93
(11)
Cl2)
Cl3)
(14)
Net Value of Estate Subject to Tax
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
NOTE:
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
206,092.96
~.?47.9~
202,845.03
.00
202,845.03
If an assess.ent was issued previoUSly, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount 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
ITS:
A M T
DATE
06-09-2006
11-20 -2006
Tax Due
TA
R C PT
NUMBER
CDo06815
CDo0747o
D SCO NT (+)
INTEREST/PEN PAID (-)
452.63
.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
Cl5)
Cl6)
Cl7)
(18)
.00
202,845.04
.00
.00
X 00
X 045 =
X 12 =
X 15 =
Cl9)=
.00
9,128.03
.00
.00
9,128.03
AMOUNT PAID
8,600.00
75.40
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
9,128.03
.00
.00
.00
( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)