HomeMy WebLinkAbout06-06-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-„r „-,~--., .~, T~-CE.:OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES App".&A1S~SEMFNT~,: ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _ `' ;~~ ;DEDI~CTIQNS AND ASSESSMENT OF TAX
PO BOX 280601 _ - ~ ;~,; ~ ~; _
HARRISBURG PA 17128-B6U1 REV-1547 EX AFP C06-05)
~Q~~ J~~ _~ P~ ~2~ ~ ~ DATE 06-03-2008
ESTATE OF STAUB ARLENE M
DATE OF DEATH 11-30-2006
~' ~~i~ GF FILE NUMBER 21 06-1077
~~PrlP-~~~ ~ ~~_~~~~ COUNTY CUMBERLAND
TERRY E STAUB C~„J;it~ ~'''r ".~'., p~, ACN 1D1
397 PEACH GLEN RD APPEAL DATE: 08-02-2008
GARDNERS PA 17324 (See reverses~ideunderObjections)
Amount Remitted
MAKE CHECK PAYAH~LE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND l:0 COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ---1 RETAIN LOWER PORTION FOR YOUR RECORDS E--
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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 STAUB ARLENE M FILE N0. 21 06-1077 ACN 101 DATE 06-03-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) 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) C2) ,OD credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) • of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Sank Deposits/Misc. Personal Property (Schedule E) C5) 9L581.00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets Ce) 9,581.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
8,363.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions C11) 8.363-00
12. Net Value of Tax Return (12) 1,218.00
13. CharitablelGovernmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 1,218.00
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 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 C16) 1,218.00 X 045 = 54.81
17. Amount of Line 14 at Sibling rate C17) • 00 X 12 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 _ .00
19. Principal Tax Due (19)= 54.81
TAY CRFiITTC,
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
09-17-20D7
12-15-2007 CD008869
CD009086
, .00
22- 54.81
93
14
, . .
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 147.73
BALANCE OF TAX DUE 92.92CR
INTEREST AND PEN. .00
TOTAL DUE: 92.92CR
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS RE4UIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)