HomeMy WebLinkAbout05-29-07
05-21-2007
CLAWSER
10-06-2006
21 06-0999
CUMBERLAND
101
APPEAL DATE: 07-20-2007
( See reverse side under Objections)
A.ount Re.1ttedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
, 'NoHc:E 'OF INHERITANCE TAX
,APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
of DEDUCTIONS AND ASSESSMENT OF TAX
'1 (I IJ7I' ,,\, r, 9
,~t , ~j t,~ I c..
f"" I 0 C"
'Ii : i;J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLE:1i(
ORFi
MARY A ETTER DISSINGE~U~"
DISSINGER & DISSINGER
400 S STATE RD
MARYSVILLE PA 17053
'*
REV-1547 EX AFP (06-05)
HILDA
M
TO:
CUT ALONG THIS LINE -. RETAIN LOWER PORTION FOR YOUR RECORDS +-
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLAWSER HILDA M FILE NO. 21 06-0999 ACN 101 DATE 05-21-2007
T AX RETURN WAS: (X) ACCEPTED AS F I LED
( ) 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
.00
.00
.00
.00
(1)
(2)
(3)
(4)
(5)
(6)
(7)
18.525.00
13.914.06
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
6,985.42
678.35
(11)
Cl2)
Cl3)
Cl4)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
32,439.06
7.~F.3.77
24,775.29
.00
24,775.29
NOTE: 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 Tax Due
Cl5) .00 X 00 .00
(16) 24,775.29 X 045 = 1,114.89
Cl7) .00 X 12 = .00
(18) .00 X 15 = .00
Cl9)= 1,114.89
AMOUNT PAID
1,632.48
+
INTEREST/PEN PAID (-)
55.74
DATE
01-05-2007
NUMBER
CD007647
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
1,688.22
573.33CR
.00
573.33
( IF TOTAL DUE IS LESS THAN *1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR