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HomeMy WebLinkAbout01-25-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE , . ~OTICE OF INHERITANCE TAX , APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 01-21-2008 ESTATE OF JAKUBOWSKI JANET M DATE OF DEATH 12-29-2006 FILE NUMBER 21 07-0013 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 03-21-2008 ( See reverse side under Objections) Amount Remittedl 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 JAKUBOWSKI JANET M FILE NO. 21 07-0013 ACN 101 DATE 01-21-2008 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISION PO BOX 28D6Dl HARRISBURG PA 17128-D6Dl ~ 1- I r-~ r i ~ I (.":"'1 . ,) J ,_, i" {~ "J ROBERT M FREY FREY & TILEY 5 S HANOVER ST CARLISLE ,.. PA 17013 TAX RETURN WAS: (X) ACCEPTED AS F I LED 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 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 NOTE: ) CHANGED (1) (2) (3) (4) (5) (6) (7) 121,562.00 .00 .00 .00 9,628.00 .00 .00 REV-1547 EX AFP (D6-D5) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. (8) 131,190.00 (9) ClO) 14,799.00 Cl1) Cl2) Cl3) Cl4) ~1i.734 no 105,456.00 .00 105,456.00 10,935.00 If an assessment was issued preViously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of !bh 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 (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal TAX CREDITS: PAYMENT DATE 09-26-2007 10-12-2007 Tax Due RECEIPT NUMBER CD008744 CD008806 DISCOUNT (+) INTEREST/PEN PAID (-) .00 .00 INTEREST IS CHARGED THROUGH 02-05-2008 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM * IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. Cl5) Cl6) .00 X 00 105,456.00 X 045 = .00 X 12 .00 X 15 Cl9)= .00 4,746.00 .00 .00 4,746.00 4,512.23 233.77 6.56 240.33 ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D~E"-V A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) AMOUNT PAID 4,446.00 66.23 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE