HomeMy WebLinkAbout07-01-08 COMMONWEALTH OF PENNSYLVANIA
,DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION 1-••,,.,
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PO BOX 280601
HARRISBURG PA 17128-0601 U~ IQNS AND ASSESSMENT OF TAX
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DATE 06-23-2008
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LQ1t0 J(J~. -' PM !~ 0!- ESTATE OF HOFFMAN JACQUELIN M
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DATE OF DEATH 09-22-2005
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MICHAEL CHEREWKA (~ p~5~~/t,,~~~t~ COUNTY CUMBERLAND
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624 N FRONT ST IY~~rtL.~'i['~ {,Q., ~ APPEAL DATE: 08-22-2008
WORMLEYSBURG PA 17043 (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 THIS LINE _ ~--- R_ETA_IN LOWER POR_TION
FOR YOUR RECORDS ~
REV-1547 EX AFP C03-05~ _
_ _______________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOFFMAN JACQUELIN M FILE N0. 21 06-1029 ACN 101 DATE 06-23-2008
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) (1) .00 NOTE: To insure proper
2. Stooks and Bonds (Schedule B) (2) 11,291.00 credit to your account,.
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) C6)_ 130,816.95
7. Transfers (Schedule G) (7) .00
8. Total Assets (g) 142, 107.95
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,990.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 5.990. ~~
12. Net Value of Tax Return (12) 136, 117.95
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 136, 117.95
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 (15) 136, 117.95 X 00 _ . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 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 C18) •00 X 15 _ .00
19. Principal Tax Due (19)= .00
TAY ,`DCTTTC.
AYM NT
DATE R CEIPT
NUMBER SCOUN (+)
INTEREST/PEN PAID C-) AMOUNT PAID
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)