HomeMy WebLinkAbout10-17-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2806(11
HARRISBURG F'A 17128-0601
GARY J CROSSLEY
556 ALLENVIEW DR
MECHANICSBURG
• NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
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PA 17055
REV-1547 EX AFP (06-05)
DATE 10-13-2008
ESTATE OF CROSSLEY JOHN J
DATE OF DEATH 06-23-2007
FILE NUMBER 21 07-0866
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-12-2008
(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 ---- -i R_ETA_IN LOWER POR_TION
FOR YOUR RECORDS E~
_
REV-1547 EX AFP C03-05~ NOTICE OF INHERITANCE TAX APPR
AISEMENT, ALLOWANCE _ ____
OR __
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CROSSLEY JOHN J FILE N0. 21 07-0866 ACN 101 DATE 10-13-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED f ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: T o 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 pay ment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5)_ 8,34 5.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 8,345.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9.
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule
H) 2,347.68
C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 163.80
11. Total Deductions C11) ?,x,11 .48
12. Net Value of Tax Return C12) 5,833.52
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 5,833.52
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.
ASSESSNENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 5,833.52 X 045 = 262.51
17. Amount of Line 14 at Sibling rate (17) .00 X 12 _ .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 _ .00
19. Principal Tax Due (19)= 262.51
TAY /`DCPTTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID f-) AMOUNT PAID
09-21-2007 CD008721 13.13 14,250.00
TOTAL TAX CREDIT 14,263.13
BALANCE OF TAX DUE 14,000.62CR
INTEREST AND PEN. .00
TOTAL DUE 14,000.62CR
~ 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" CCR), YOU MAY BE DUE
O RFFIINiI_ SFF REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)