HomeMy WebLinkAbout11-14-06 (2)
____U\U_
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
qC('(lC;:j[7) !("\d~F:("C ,'"'< NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX~!t.~~I.!::::'.::":, !~' - l\h~RAISEMENT, ALLOWANCE OR DISALLOWANCE
INtERITANCE TAX DIVISION ,'~!-;<'! f ,.' ,; \"11" IOF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 " J~ . '..,! ,.' ,.',"
HARRISBURG PA 17128-0601
11-06-2006
HOARE
04-22-2006
21 06-0598
CUMBERLAND
101
APPEAL DATE: 01-05-2007
( 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 ...
REV: is;'; - Eit AFP - i oi:osi - NOTi E - of-iNHERiTANcE - TAit APPRAisEMENT: - ALLOWANcE-oR - - - - - - - - - - - - -..-
DISAL ONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
L IS E FILE NO. 21 06-0598 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
APPROVED DEDUCTIONS AND EXEM TIONS:
9. Furwral Expenses/Aa. Costs bc. Expenses (Schedule H)
10. DebtslMortgege Li8bilities/ iens (Schedule I)
11. Totel Deductions
12. Net Value of Tax Return
13. Cheriteble/Sover~tel equestsi Non-elected 9113 Trusts (Schedule ~)
lit. Net Value of Estata Subj ct to Tax
I~ an assess.ent was issued previouslY, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AIIount of Line lit at Spousa
16. AIIount of Line lit texeble a
17. Aaount of Line lit at Siblin
18. Aaount of Line lit taxeble a
19. Principal Tax Due
2006 NOV I 4 PM I: I 0
CLERK F
ORPHAN'S \ OURT
CHARLES E smc~R~!J L Co., Pi~
6 CLOUSER RD
MECHANICSBURG
ESTATE OF HOARE
RN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTUR INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BA ED ON: ORIGINAL RETURN
1. Ra.l Estate (Schedule A)
2. Stocks end Bonds (Schedule )
3. Closely Held Stock/Partner ip Interest (Schedule C)
it. Hortgages/Notes Receivable (Schedule D)
S. Cash/Bank DepositslHisc. Pe sonal Property (Schedule E)
6. Jointly Owned Property ( 1e F)
7. Transfers (Schedule G)
8. Total Assets
NOTE:
rate
Lineal/Class A rate
rate
Collateral/Class B rate
DATE
09-27-2006
NUltBER
CD007262
INTEREST/PEN PAID (-)
.00
( ) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.qo
.00
.00
1.109.75
17 .891. 03
.00
(8)
'*
REV-1547 EX AFP (06-05)
LOIS
E
(9)
(10)
10,140.69
DATE 11-06-2006
NOTE: To insure proper
credi t to your accOWlt,
su~it the upper portion
of this fOMa with your
tax pay...,t.
19,000.78
(11)
(2)
(3)
(4)
10.140 69
8,860.09
.00
8,860.09
.00
US)
(6)
(7)
(8)
.00 X
8,860.09 X
.00 X
.00 X
00 =
045 =
12 =
15 =
.00
398.70
.00
.00
398.70
AMOUNT PAID
398.70
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
(9)=
398.70
.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 DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)