HomeMy WebLinkAbout09-12-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ` ~". ..~ r r ',"NO'T~I CE OF INHERITANCE TAX
INHERITANCE TAX DIVISION -- ---AP.PRA.ISEMENT, ALLOWANCE OR DISALLOWANCE
PD BOX 280601 _ I ` `D'F DEDl1CTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
200 SAP E 2 ~~i l9 ~ 53
~. -r,~ rte,'
i~t t f1 \
QQp; ;.~ ~ ~ RT
THOMAS P GACKILING~i~ ,~~ {~,~~
213 MARKET STREET
8TH FLOOR
HARRISBURG PA 17101
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, P,A 17013
CUT ALONG THIS LINE ---- --) R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~- _ __
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOLLINGER EVA M FILE N0. 21 07-0838 er_N 101 nwTC no_no_~nnn
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)
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:
(1) .00 NOTE: To insure proper
(2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
(4) .00 tax payment.
cs) 3 800.00
(6) . DO
v) .00
(B) 3,800.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 300.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions
(11) 300.00
12. Net Value of Tax Return 3
500
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trus C12)
ts (Schedule J) (13) ,
.
.00
14. Net Value of Estate Subject to Tax 3
500
00
(14) ,
.
NOTE: If an assessment was issued previously, lines
reflect fi
ur
th 14, 15 and/or 16, 17, 18 and 19 will
g
es
at include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 3,500.00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 _ .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 (18) .00 X 15 _ .00
19. Principal
TAX CREDITS: Tax Due (19)= .00
L15000N1 (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
REV-1547 EX AFP (06-05)
DATE 09-09-2008
ESTATE OF HOLLINGER EVA M
DATE OF DEATH 09-07-2007
FILE NUMBER 21 07-0838
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-08-2008
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
TOTAL TAX CREDIT .00
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 S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRN Fna iNCTDnrTrnuc ,