HomeMy WebLinkAbout11-09-07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URGPA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,-. "~nct liF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIO~S AND ASSESSMENT OF TAX
'*
REV-1547 EX AFP (06-05)
: 'J} -~) hi 12: 25DATE 11-05-2007
ESTATE OF GOUSE ARLENE E
DATE OF DEATH 01-12-2007
FILE NUMBER 21 07-0060
~. COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-04-2008
( See reverse side "nde, Objections)
PA 17019 A.ount Re.ittedl 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 +-
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GOUSE ARLENE E FILE NO. 21 07-0060 ACN 101 DATE 11-05-2007
JAN M WILEY
WILEY ETAL
130 W CHURCH ST
DILLSBURG
TAX RETURK WAS: (X) ACCEPTED AS F I LED
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 ~ate
16. Amount of Line 14 taxable at Lineal/Class A ~ate
17. Amount of Line 14 at Sibling ~ate
18. Amount of Line 14 taxable at Collate~al/Class B ~ate
19. P~incipal Tax Due
{
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/Pa~tne~ship Inte~est (Schedule C)
4. Mo~tgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Pe~sonal P~ope~ty (Schedule E)
6. Jointly Owned P~ope~ty (Schedule F)
7. T~ansfe~s (Schedule G)
8. Total Assets
{D
(2)
(3)
(4)
(5)
(6)
(7)
45.605.70
.00
.00
.00
105.569.65
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fune~al Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mo~tgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Retu~n
13. Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J)
14. Net Value of Estate SUbject to Tax
(9)
<lO)
21,629.91
6.393.40
ell)
<l2)
(13)
<l4)
NOTE:
<lS)
<l6)
<l7)
<l8)
.00
123.152.04
.00
.00
X 00
X 045..
X 12 ..
X 15 ..
DATE
04-10-2007
08-23-2007
+
INTEREST/PEN PAID (-)
258.75
.00
AMOUNT PAID
4.916.25
366 . 84
NUMBER
CD008000
CD008592
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insu~e p~ope~
c~edit to yoU~ account,
submit the uppe~ po~tion
of this fo~m with yoU~
tax payment.
151.175.35
?R.D?3.31
123.152.04
.00
123.152.04
<l9)..
.00
5.541.84
.00
.00
5.541.84
5.541.84
.00
.00
.00
( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE D
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)