HomeMy WebLinkAbout08-15-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTT,CE OF. ItIHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISfMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF- DEDUCT~fONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 ~~jj REV-1547 EX AFP (D6-05)
~t;['u !~i{-{a ~ J ~'~` +' ~'dATE 08-11-2008
ESTATE OF EDDY PRISCILLA A
t_~_„ , ; DATE OF DEATH 02-16-2008
Gp~.~,,;3:a`,':l {'i~:1~2? FILE NUMBER 21 08-0215
p.^% ~ PACOUNTY CUMBERLAND
KENDRA A MOHR C~`' ACN 101
PANNEBAKER 8~ MOHR APPEAL DATE: 10-10-2008
4 0 0 0 V I N E S T (See reverse side under Objections
MIDDLETOWN PA 17057 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 PORTION 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 EDDY PRISCILLA A FILE N0. 21 08-0215 ACN 101 DATE 08-11-2008
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) C1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) ,00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 7 0,123.06
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (g) 70, 123.06
APPROVED DEDUCTIONS AND EXEMPTIONS: 8,385.55
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
30. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 5.4 73.57
11. Total Deductions (11) )~.8~i9.12
12. Net Value of Tax Return (12) 56,263.94
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ,I) (13) .00
14. Net Value of Estate Subject to Tax
(14) 56,263.94
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:
00
00
. 00
15. Amount of Line 14 at Spousal rate C15) • X =
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 56,263.94 X 045 = 2,531 .88
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 inci
al
P Tax Due (19)= 2,531.88
. p
r
.. PAYM NT~~
DATE RECEIPT
NUMBER D SCOUNT Ct)
INTEREST/PEN PAID C-) AMOUNT PAID
05-12-2008 (0009709 126.59 2,405.29
TOTAL TAX CREDIT 2,531.88
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( 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
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)