HomeMy WebLinkAbout05-09-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~ ~„~~- Ire- ," b NOTICE OF INHERITANCE TAX
BURERiI OF INDIVIDUAL TAXES, `~~~~ ,:~ '~; ArRRRA•ISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION r i r• ,' „ d~ 'SEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 '~' t~ ~'~; '.u : ,t ~~-
HARRISBURG PA 17128-0601 " " "
2U~8 ~4RY -g AM ~ ~ ~ 22
CLERK OF
RPNAf~'S ``~'!}RT
NINA G MILOVANp~~~(3'i#~=~6Gp'!i' ', :'.' P!~
LL~:,
2ND FLR
129 E ORANGE ST
LANCASTER PA 17602
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _ ~ R_ETA_IN LOWER PORTION FOR YOUR RECORDS 4- _ _______________
REV-1547 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DERVISEVIC SAHA FILE N0. 21 06-0919 ACN 101 DATE 05-12-2008
TAX RETURN WAS: C ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
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
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
C87 69,981.73
APPROVED DEDUCTIONS AND EXEMPTIONS: 13,940.78
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4 2.328 .34
12
269
X6
C11) .
.
11. Total Deductions 13, 712.61
0127
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J7 (13) 13,712.61
14. Net Value of Estate Subject to Tax C14)
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 ALL returns assess ed to date.
ASSESSMENT OF TAX: 00 00 .00
C15)
t . _
X
-
15. e
Amount of Line 14 at Spousal ra 61
712
13 045= 617.07
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .
,
~ 0 X
12 .00
(177
t _ X
_
17. e
Amount of Line 14 at Sibling ra 00 15 .00
teral/Class B rate C18)
ll
t C . X
18. a
o
Amount of Line 14 taxable a 617.07
_
C197
19. Principal Tax Due
T X C EDITS•
AYMENT
RECEIPT
DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-05-2008 WRITEOFF .00 29.67
57
459
02-15-2008 CD009311 .00 .
INTEREST IS CHARGED THROUGH u5-ci-cuua
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
REV-1547 EX AFP (06-05)
DATE 05-12-2008
ESTATE OF DERVISEVIC SAHA
DATE OF DEATH 09-26-2006
FILE NUMBER 21 06-0919
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-11-2008
_ (See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
tl) .00
cz) .00
c3) .00
t47 .00
c5) 69.981.73
t6) .00
c7) .00
TOTAL TAX CREDIT 459.57
BALANCE OF TAX DUE 157.50
INTEREST AND PEN. 4.26
TOTAL DUE 161.76
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REpUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (8-88)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FILE NUMBER
Saha Dervisevic 2106-0919
REVIEWED BY ACN 101
Deborah Washington
ITEM
SCHEDULE NO,
EXPLANATION OF CHANGES
H B-3 The claim for family exemption has been disallowed. The claimant must be a spouse or if
no spouse, a parent, or child living in the same household as the decedent as of date of
death.
Interest is abated in the amount of $29.67 from the delinquent date 06-26-07 to 02-05-08,
the date of receipt of the proceeds of litigation.
Interest is effective 02-06-2008.
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