HomeMy WebLinkAbout06-06-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~'~" !~~T'i f` J-','R~TI~1: OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES A`PPti2A~S~HE[~T, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION 4'i , ,OF 'D~}~MUG~.IONS AND ASSESSMENT OF TAX
PO BOX 280601 _ ."., __ ~ •~~
HARRISBURG PA 17128-0601 REV-1547 EX AFP C06-05)
~~~~ ~~ _~ p~ ~~; 2~ DATE 06-03-2008
ESTATE OF RIVERA DEBI M
~,,~~,.~,~ ~r DATE OF DEATH 05-02-2007
~,,.~ 7 FILE NUMBER 21 08-0374
C}RPN'~~~~, ~ ,,URA
JERRY A WEIGLE ESQ Lj I' `'' r ,.,' , pA COUNTY CUMBERLAND
ACN 101
WEIGLE K ASSOC APPEAL DATE: 08-02-2008
126 EAST K I NG ST (See reverse side under Objections)
SHIPPENSBURG PA 17257 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 RIVERA DEBI M FILE N0. 21 08-0374 ACN 101 DATE 06-03-2008
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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. 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;
14. Net Value of Estate Subject to Tax
cl) .00
~2) .00
c3) .00
c4) .00
cs) 10 , 720 .37
c6)_ .00
(7) .00
(8)
6,337.46
C9)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
10,720.37
c10)_ 23,915.96
C11) 30.253.42
clz) 19,533.05-
Non-elected 9113 Trusts (Schedule J) C13) .00
c14) 19,533.05-
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)
16. Amount of Line 14 taxable at Lineal/Class A rate C16)
17. Amount of Line 14 at Sibling rate C17)
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
19. Principal Tax Due
rex rornrrc.
C19)= • 00
PAYMENT RECEIPT DISCOUNT (+)
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 C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
.00 x 00 = .00
. 00 X 045 = . 00
.00 X 12 = .00
.00 X 15 = .00