HomeMy WebLinkAbout08-28-07
DATE 08-27-2007
ESTATE OF HERSHEY VIRGINIA M
DATE OF DEATH 09-28-2006
FILE NUMBER 21 06-0900
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-26-2007
( See reverse side under Objections)
A.ount Re.Ittedl 1
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 HERSHEY VIRGINIA M FILE NO. 21 06-0900 ACN 101 DATE 08-27-2007
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280&01
HARRISBURG PA 17128-0&01
;'-:
CONMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
'(~iAFlPlf.n'S~MENT, ALLOWANCE OR DISALLOWANCE
: : 'elF ~iDUCTIONS AND ASSESSMENT OF TAX
2007 AUG 2 8 f\~'ll1: 27
JOHN C ZEPP III
PO BOX 204
YORK SPRINGS
CLER~< Or:
f'\RP'...l" 1\ ".-, rn' IDT
A TTlU.. r ill.!'; ,:) :,..v"JI 'i I.. .
1'-' I' ""c"', [}~
1"L)~\ .. i I
PA 17372
--
*'
REV-1547 EX AFP (0&-05>
TAX RETURN WAS: C)() ACCEPTED AS FILED
( > CHANGED
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 ALL 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
( 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.)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
15,332.92
.00
.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)
(10)
2,150.21
6.656.87
(11)
(12)
(13)
(14)
NOTE:
(15)
(16)
(17)
(18)
.00
4,525.84
.00
.00
X 00
X 045 =
X 12 =
X 15 =
A
DATE
06-22-2007
o +
INTEREST/PEN PAID (_)
.00
NUMBER
CD008319
AMOUNT PAID
203.66
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
submit the Upper portion
of this form with your
tax payment.
15,332.92
R.R07.DR
6,525.84
2,000.00
4,525.84
(19)=
.00
203.66
.00
.00
203.66
203.66
.00
.00
.00