HomeMy WebLinkAbout09-17-07
09-11-2007
ZAJEC
04-09-2007
21 07-0634
CUMBERLAND
101
APPEAL DATE: 11-10-2007
( See reverse side under Objections)
A.ount Re.ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r.' ,., ._I'!,OT-~~nOFINHERITANCE TAX
::;(PPRAI;SEM~'fT;-, ALL.DWANCE OR DISALLOWANCE
OF DEDUCnONS AND ASSESSMENT OF TAX
2001 SEP 11
.~ II' 30DATE
Ai I . ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
GARY ZAJAC
2112 N VIEW LN
HBG
CLi:r)!<
, 1_. ..,
Or,nl I i'l" PC ("('"\,l IPT
rir'l-J' "-. \) \,j'- )'~)i \ 1""),:,
('I !~.'"'\
v;,.~,. l
PA 17110
*'
REV-1547 EX AFP (06-05)
HENRY
L
TO:
~~!_~~~~~_!~!~-~!~~------~---~~!~!~-~~~~~-~~~!!~~-~~~-!~~~-~~~~~~~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ZAJEC HENRY L FILE NO. 21 07-0634 ACN 101 DATE 09-11-2007
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
lS. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX S:
f'AYlu:NT
DATE
07-05-2007
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.
4.
5.
6.
7.
S.
{D
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
2 , 084.77
43.601.35
.00
(S)
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
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)
9.313.91
238.00
ell)
Cl2)
Cl3)
Cl4)
NOTE:
Cl5)
Cl6)
Cl7)
(U)
.00
36,134.21
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
Cl9)=
RECEIPT
NUMBER
CD008370
DISCOUNT (+)
INTEREST/PEN PAID (-)
81. 30
AMOUNT PAID
1.544.74
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.
45,686.12
9.~r;1 91
36.134.21
.00
36,134.21
.00
1.626.04
.00
.00
1.626.04
1.626.04
.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. c-.~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D~~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)