HomeMy WebLinkAbout10-26-07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
I'ItlJICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
.OF DEDUCtIONS AND ASSESSMENT OF TAX
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REV-1547 EX AFP (06-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-22-2007
REAM
03-03-2007
21 07-0300
CUMBERLAND
101
DATE:
'd
ANNA
M
3901 MARKET ST ee reverse s, e un er 'lectwns
CAMP HILL PA 17011 A.ount Rellitted 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 +-
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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 REAM ANNA M FILE NO. 21 07-0300 ACN 101 DATE 10-22-2007
TAX 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) (1) 149,000.00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 33,280.83
6. Jointly Owned Property (Schedule F) (6) 27,936.46
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 210,217.29
APPROVED DEDUCTIONS AND EXEMPTI ONS : 29,713.98
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule 1) ClO) 2,672.46
11. Total Deductions Cl1) 3?38~.44
12. Net Value of Tax Return Cl2) 177,830.85
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) Cl3) 500.00
14. Net Value of Estate Subject to Tax Cl4) 177,330.85
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of !.b.b. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate ClS) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate Cl6) 177,330.85 X 045 = 7,979.89
17. Amount of Line 14 at Sibling rate Cl7) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate Cl8) .00 X 15 = .00
19. Principal Tax Due Cl9)= 7,979.89
TAX C ITS:
-P-A NT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-26-2007 CD008468 .00 7,979.89
TOTAL TAX CREDIT 7,979.89
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
" IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
lISA MARIE COYNE
COYNE & COYNE
1-''',
APPEAL
(S
12-21-2007
d Ob' )