HomeMy WebLinkAbout06-20-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- - rr, ~.-"'~t0{TICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES .__M AF.~RAT§EMEN'i, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ,,'D~ DE1511~T''IONS AND ASSESSMENT OF TAX
PO BOX ;?806D1 ,~. _•.,,, . ~ t.:: :, , .......
HARRIS8IJRG PA 17128-0601
~~~8 ~~~~ 20 ~~ 4 ~'
~± ,",
Of ~ ~ '^+ ( r'I i~iT
~w< '• t~ ~,, ~ 1
HUBERT X GILROY ESQ 1 ~.~ _ `.~
MARTSON LAW OFFICES
10 E HIGH ST
CARLISLE PA 17013
REV-1547 EX AFP (06-05)
DATE Ob-16-2008
ESTATE OF BURKHOLDER BETH A
DATE OF DEATH 01-04-2008
FILE NUMBER 21 08-0082
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-15-2008
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TNIS LINE ~! RETAIN LOWER PORTION FDR YOUR RECORDS E'-~
-------------------------------------------------------------------------------
REV-1547 EX AFP C03-05~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BURKHOLDER BETH A FILE NO. 21 08-0082 ACN 101 DATE
-----------
Ob-16-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) ,00 credit to your account,
submit
00 the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) t3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets fig) .00
APPROVED DEDUCTIONS AND EXEMPTIONS: 6,5b6.00
9. Funeral ExpenseslAdm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage LiabilitieslLiens (Schedule I) (10) 18.227.40
11. Total Deductions C11)
?4.793.40
12. Net Value of Tax Return C12) 24,793.40-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) Z4,793.40-
NOTE: If an assessment was issued previously, l ines 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 rate C15) • 00 X 00 = . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) •0 0 X 045 = .00
17. Amount of line 14 at Sibling rate (17) • 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 = .00
19. Principal Tax Due
rwv rornrr~. C19)= .00
,~~ n a.v.
PAYMENT RECEIPT D SCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATTON OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUF /_-~
A RcGUUn ecc o~..~..,.~ ----