HomeMy WebLinkAbout12-05-07
11-20 -2007
PEIFER JR
09-18-2003
21 07-0519
CUMBERLAND
101
APPEAL DATE: 01-19-2008
( See reverse side under Objections)
A.ount Remittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT T
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
(',,:':!('!=I(Oi'ICE OF INHERITANCE TAX
ApPRAJ~~A~NT, ALLOWANCE OR DISALLOWANCE
'-:T ("OF\OE!DI.!CTIONS AND ASSESSMENT OF TAX
'-- \.....' ".'"
2001 DEe -5 PH 12: 36
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CI q
jl,,) ,
C:l FF< OF
.~ -- ('(jURT
" ,
( ,/~,.\
MICHAEL L BANGS
429 S 18TH ST
CAMP HILL
PA 17011
JOHN
F
f~!_~~~~~_!~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_~Q~_!Q~~_~~~Q~~~__~_______________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PEIFER JR JOHN F FILE NO. 21 07-0519 ACN 101 DATE 11-20- 07
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19
reflect figures that include the total of Abh 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
AX C DITS:
PAYM NT
DATE
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)
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
5,884.69
.00
.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
12,294.48
(9)
ClO)
74,603.80
Cl1)
Cl2)
Cl3)
Cl4)
II.
12.
13.
14.
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
NOTE:
Cl5)
.00 X 00
.00 X 045 =
.00 X 12
.00 X 15
Cl9)=
Cl6)
Cl7)
Cl8)
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
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 insure
credit to your
submit the uppe
of this form wi
tax payment.
roper
count.
portion
your
(8)
5,884. 9
81,013. 9-
o
81,013. 9-
11
o
o
o
o
o
.0
.0
.0
.0
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIO