HomeMy WebLinkAbout07-25-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
i;
BUREAU OF INDIVIDUAL TAXES " NQTICE OF INHERITANCE TAX
AFFRA3SEME'PIT', ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ! i,OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 J ~ ,, _; . _
HARRISBURG PA 17128-0601
EDWARD J PATRICK
275 EAST LAUER LN
CAMP HILL PA
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17011
REV-1547 EX AFP (06-05)
DATE 07-21-2008
ESTATE OF PATRICK REGINA
DATE OF DEATH 03-12-2008
FILE NUMBER 21 08-0331
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-19-2008
(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 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 PATRICK REGINA FILE N0. 21 08-0331 ACN 101 DATE 07-21-2008
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. 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 L)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
C1) .00 NOTE: To insure proper
(2) .00 credit to your account,
C3) .0 0 submit the upper portion
of this form with your
(4) .00 tax payment.
c5) 278 , 413.76
c6) .00
~7) 119,722.31
~$) 398, 136.07
C9)
00
clo) .00
C11) _ 00
c12) 398, 136.07
Non-elected 9113 Trusts (Schedule J) C13)
C14)
.00
398,136.07
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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B
19. Principal Tax Due
TAY /`DCTTTC.
c15) 398, 136.07 X
I16) • 00 x
C17) • 00 x
rate C18) • 00 X
00 _ .00
045 _ .00
12 _ .00
15 _ .00
c19)= . 00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) 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" CCR), VOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)