HomeMy WebLinkAbout11-14-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES _-~ r'`~~ '~~4TFCE';`OF INHERITANCE TAX
AffPRAES~ME~T, ALLOWANCE OR DISALLOWANCE:
INHERITANCE TAX DIVISION "' pF ~ RUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 _,~ ~ , 4... ,
HARRISBURG PA 17128-0601
REV-1547 EX AFP (06-05)
Z~~~ ~~ ~ 4 A~ ~~; Z3 DATE :L1-10-2008
ESTATE OF PREBLE HERBERT N
DATE OF DEATH ]10-16-2007
0~('~ti,~,~'`a ~f'•)(,~~T FILE NUMBER 21 07-1010
JILL M WINEKA ESQ CLIP {. „ '~' '~' p~ COUNTY CUMBERLAND
ACN ].O1
PURCELL ETAL APPEAL DATE: 01-09-2009
1719 N F R O N T S T (See reverse side under Objections
HBG PA 17102 Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF' WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, P'A 17013
CUT ALONG THIS LINE ---- -- RETAIN LOWER PORTION 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 PREBLE HERBERT N FILE N0. 21 07-1010 ACN 101 DATE 11-10-2008
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) (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) 8.700.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 106,786.98
8. Total Assets (B) 115, 486.98
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 5,763.75
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 81.00
11. Total Deductions (11) A.;44.7,
12. Net Value of Tax Return (12) 109, 142.23
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ •00
14. Net Value of Estate Subject to Tax
(14) 109, 142.23
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 (15) 109, 142.23 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 C18) .00 X 15 _ .00
19. Principal Tax Due 00
TAX CRFIITTS C19)= .
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
~u~AL IAA GKEL)iT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DLIE
.00
.00
.00
.00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN S1, 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.)