HomeMy WebLinkAbout09-05-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,i;~-ir- i^'+' ~I~`~IOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~ppkAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION - 'OF bEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 '-<"-t, ~„j ' , ~.. ',,h - - -
HARRISBURG PA 17128-D601 REV-1547 EX AFP (06-05)
~~~~ S~~ _5 p~ 12: ~ ~ DATE 09-01-2008
ESTATE OF SEAGRIST ADELAIDE M
.,~ DATE OF DEATH 11-01-2007
C~ ~1''~ ~~I~ FILE NUMBER 21 08-0347
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BRUCE E SEAGRIST CU"`,A,ry` r, _'",.'; ~,~' • P~ ACNNTY loMBERLAND
306 PINEWOOD DR APPEAL DATE: 10-31-2008
SHIREMANSTOWN PA 17011 (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 SEAGRIST ADELAIDE M FILE N0. 21 08-0347 ACN 101 DATE 09-01-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) 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. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4 2,090.8 7
6. Jointly Owned Property (Schedule F) (6) 7,44 5.34
7. Transfers (Schedule G) (7) .00
8. Total Assets ce) 49,536.21
APPROVED DEDUCTIONS AND EXEMPTIONS:
4,425 .78
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1.306 .73
11. Total Deductions (11) 5.73 . ~,1
12. Net Value of Tax Return (12) 43,803.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (lG) 43,803.70
NOTE: If an assessment was issued previously, l ines 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) •00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 43,803.70 X 045 = 1,971.17
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 (19)= 1,971.17
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PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
06-06-2008 CD009860 .00 1,971.17
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 1,971.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00 _
1. ~
IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE /1
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)