HomeMy WebLinkAbout12-08-08 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~'~' j ~,•NIO,TI~f-,,6,1'~ ~'NtIERITANCE TAX
BUREAU OF INDIVIDUAL TAXES rII4~ARAISE!MEN'i,"ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION
PO BOX 280601 .OF p;BAUCTI0N5! AFtD ASSESSMENT OF TAX
HARRISBURG PA 17128-0601 REV-1547 EX AFP (06-05)
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ESTATE OF BREIGHNER EDNA R
DATE OF DEATH 03-21-2008
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FILE NUMBER 21 08-0356
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ROBERT G FREY C
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r `J., P,~ ACN 101
FREY ~ TILEY APPEAL DATE: 01-30-2009
5 S HANOVER ST (See reverses~ideunderObjections)
CARLISLE PA 17013 Amount Remitted) 1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND I~0 COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _'~ R_ETA_IN LDWER 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 BREIGHNER EDNA R FILE N0. 21 08-0356 AI:N 101 DATE 12-01-2008
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)
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
cl) 45, 000.00
c2) .00
c3) .00
c4) .00
c5) 21_, 049.00
c6) .00
cn .00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
APPROVED DEDUCTIONS AND EXEMPTIONS:
~$) 66, 049.00
9.
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9) 21,352.48
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions
C11)
? ~ .48
12. Net Value of Tax Return C12) 44,696.52
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule .I) (13) 4,4 70.00
14. Net Value of Estate Subject to Tax ClG) 40,226.52
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 (16) •00 X 045 _ .00
17. Amount of Line 14 at Sibling rate I17) 13,409.00 X 12 _ 1,609.00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 26,81E1.00 X 15 _ 4,023.00
19. Principal Tax Due (19)= 5,632.00
Tex rRFnrre.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT F'AID
08-25-2008 CD010188 .00 5,632.00
TOTAL TAX CREDIT 5,632.00
BALANCE OF TAX DUE .00
INTEREST ANII PEN. .00
TOTAL DIIE .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" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)