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HomeMy WebLinkAbout03-05-07 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280'01 HARRISBURG PA 17128-0'01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE (','- r~.1 (-..,;- ,....._" ~.: 'JI-rltDltI'CE OF INHERITANCE TAX .~P~AIS~M,E,~, ALLDWANCE OR DISALLOWANCE '" '.GF' DEDUCTIONS AND ASSESSMENT OF TAX * ZOOl M~\R -5 PH I: 19 REV-1547 EX AFP (0'-05) DATE 02-27-2007 ESTATE OF GOODYEAR CHARLES M DATE OF DEATH 10-28-1981 FILE NUMBER 21 06-0366 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 04-28-2007 ( See reverse side IInder Objections) A.ount Re.lttedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~!_~~~~~_!~!!_~!~~------~--_!!!~!~-~~~!!_~~!!!~~-~~!-!~~!_!!~~!~!_-~-------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE.OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GOODYEAR CHARLES M FILE NO. 21 06-0366 ACN 101 DATE 02-27-2007 CLERK OF ORPHf\',rS COURT JOSEPH D BUCKLEY ES~u\'rT" , , P:~ J D BUCKLEY LAW OFCS 1237 HOLLY PIKE CARLISLE PA 17013 TAX RETURN WAS: (X) ACCEPTED AS F I LED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN lASED 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. Funeral Expenses/Ad.. 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 Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate SUbject to Tax NOTE: If an assess.ent was Issued previously, lines 14, 15 and/or 16, 17, 11 and 19 will reflect figures that Include the total of ~ 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. AMount of Line 14 taxable at Collateral/Class I rate (1') 19. Principal Tax Due NUMBER + INTEREST/PEN PAID (-) DATE * IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 2,807.00 .00 .00 .00 .00 .OD .OD (8) (1) (2) (3) (4) (5) (6) (7) NOTE: To insure proper credit to your account. sub.it the upper portion of this for. with your tax pay.ent. 2,807.00 (9) (10) 3,092.41 .00 (11) (12) (13) (14) ~.nCJ?61 285.41- .00 285.41- .OD X D6 .00 .00 X 06 . .00 .00 X 00 . .DO .OD X 15 . .00 (19)- .DO AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN .1. NO PAYMENT IS REQUIRED. f\J IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY IE DlJrt> A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)