HomeMy WebLinkAbout06-06-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUG~'IQNS;~{J~~tf~33~-SSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 _ ~ ~ REV-1547 EX AFP (06-05)
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~~' ~ ~~DdTE 06-03-2008
~~~~ `~~~~ ~~ PDI~f~E IO~ODEATH 007812-2007 MILDRED E
FILE NUMBER 21 07-0704
C~,~R{ ~~ OUNTY CUMBERLAND
ANDREW C SHEELY ESQ ~~~~A~1'; C, ~"}~# 101
127 S MARKET ST C~~~,t^ ,-~ APPEAL DATE: 08-02-2008
PO BOX 95 ~ ' ~ ~~' (See reverse side under Objections)
MECHANICSBURG PA 17055 Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HORN MILDRED E FILE N0. 21 07-0704 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)
2. Stocks and Bonds (Schedule B)
3
4
5
6
7
s
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
cs)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
4,446.02
APPROVED DEDUCTIONS AND EXEMPTIONS:
1,471.83
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
L0. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 13.923.56
11. Total Deductions (11) 15.395.39
12. Net Value of Tax Return (12) 10,949.37-
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 10,949.37-
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 X15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .0 0 X 04 5 = .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
TAY f DCTTTC.
c19)= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
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 C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. `~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE JJ
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
C1)
00
I2) .00
c3) .00
c4) .00
c5) .00
I6) 4,446.02
I7) . 00