HomeMy WebLinkAbout11-14-08 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ' "qq` ~'`R~OR'~~'`~6fy~NHERITANCE TAX
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INHERITANCE TAX DIVISION
PO BOX 280601 ,
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MFNfi,.ALbpWANCE OR DISALLOWANCE
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HARRISBURG PA 17126-060:L REV-1547 EX AFP (06-05)
~~{~~ ~~~F~ ~ ~} ~,~'~ ~~~ ~G4DATE 11-10-2008
ESTATE OF MILLER BRIAN D
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~,~ f;~,r DATE OF DEATH 11-25-2007
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`~ ;~ ( ~~ ~C?T FILE NUMBER 21 08-0457
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RUSSELL A MILLER f g rrr °,,i~ "1 n~ COUNTY CUMBERLAND
JR GJ
~,-. ACN 101
624 LEMAR AVE APPEAL DATE: 01-09-2009
H BG PA 171 12 (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 -__ - -- R_ETA_IN LOWER POR_TION
FOR YOUR RECORDS ~-
REV-1547 EX AFP C03-05~ _
_ _____________
NOTICE OF INHERITANCE TAX APPRAISEMENT,-ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MILLER BRIAN D FILE N0. 21 08-0457 ACN 101 DATE 11-10-2008
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) 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
4.
Mortgages/Notes Receivable (Schedule D)
(4)
00 of this form with your
. tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .0 0
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (g) .00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5,97 3.4 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) x+.973.40
12. Net Value of Tax Return C12) 5,973.40-
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (l4) 5,973.40-
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 C15) .00 X 00 __ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) .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
rwv rorntr~_ (19)= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST ANA PEN. .00
TOTAL DUE .00
C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)