HomeMy WebLinkAbout12-05-07
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Dc('r':QnCn (\~Q1i'!r,;Et'I;lF I NHER IT ANCE TAX
, ;:__'__'\.AlljPP.IMt~EI1EH'f. '-ALLOWANCE OR DISALLOWANCE
H~12ii:J~~~ I(~DU~frI~8S AND ASSESSHENT OF TAX
*'
REV-1547 EX AFP (06-05)
SHARON DRAWBAUGH
7353 FISHNG CRK VLY
HBG PA
CLERK. OF
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-26-2007
DRAWBAUGH
01-11-2007
21 06-0650
CUMBERLAND
101
APPEAL DATE: 01-25-2008
( See reverse side under Objections)
Amount Remittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MYRTLE
Z001 DEe ~5 PM 12: 33
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-..j'.._,
RD
17112
TO:
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 DRAWBAUGH MYRTLE FILE NO. 21 06-0650 ACN 101 DATE 11-26-2007
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
Jointly Owned Property (Schedule F)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
50,749.11
.00
.00
(8)
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
1. Real Estate (Schedule A)
2.
3.
4.
5.
6.
7.
8.
Stocks and Bonds (Schedule B)
CloselY Held Stock/Partnership Interest (Schedule C)
Hortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
Transfers (Schedule G)
50,749.11
Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage 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
569.56
(9)
ClO)
273.97
(11)
Cl2)
Cl3)
Cl4)
R43 "'3
49,905.58
.00
49,905.58
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 ~ 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
TAX CREDITS:
PAYHENT RECEIPT DISCOUNT (+)
DATE NUHBER INTEREST/PEN PAID (-)
Cl5) .00 X 00 .00
Cl6) 49,905.58 X 045 = 2,245.75
Cl7) .00 X 12 = .00
Cl8) .00 X 15 = .00
Cl9)= 2,245.75
AHOUNT PAID
INTEREST IS CHARGED THROUGH 12-11-2007
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
2,245.75
30.00
2,275.75
\
* IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)