HomeMy WebLinkAbout09-12-08 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ., ,NDT,,ICE OF INHERITANCE TAX
' _ _~pp~AZ6~TIEMT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 OF ~DUC'TIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601 -" `~' REV-1547 EX AFP (06-05)
~~~~ S~~ ( ~ ~~ ~ ~ ~ 54 DATE 09-09-2008
ESTATE OF MANN ANNA J
DATE OF DEATH 08-31-2007
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1L~ri~\ ~}~~ FILE NUMBER 21 OS-0582
v~)' ~A,i~~+~~~ %. '.?~ ART COUNTY CUMBERLAND
ANDREW L SAYLOR E~ ''~~''-' '"' ~`: ~~ ACN 101
GIBBEL ETAL APPEAL DATE: 11-08-2008
41 EAST ORANGE STREET (See reverse side under Objections)
LANCASTER PA 17602 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, P.A 17013
CUT ALONG THIS LINE -- -- -• R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS E-
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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 MANN ANNA J FILE N0. 21 08-0582 ACN 101 DATE 09-09-2008
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) 21,8 06.78 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) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 111 , 054.65
B. Total Assets (8) 132, 861 .43
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
3,607.00
(9)
(lo) .00
C11) 3.607.00
c1z) 129,254.43
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ,J) C13) .00
14. Net Value of Estate Subject to Tax (ly) 129,254.43
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 rate
19. Principal Tax Due
rwx rornrrc.
(15) 129,25G.43 X 00 _ .00
(16) • 00 X 045 _ . 00
(ln • 00 X 12 _ . 00
c19)= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
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
C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. J ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DU~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)