HomeMy WebLinkAbout12-08-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~,..-r ~~ ~- ~^,r •I~OTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES i', .uIF!PR/CISEMENT, ALLOWANCE OR DISALLOWANCE
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INHERITANCE TAX DIVISION OF'!DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 _.~.~„J ~, .,, ~, 'il_
HARRISBURG PA 17128-0661 ~~
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RONALD E JOHNS014`~' -' '~ ;``~ ~A,
ANDREWS >~ JOHNSON
78 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND I:0 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 CONNOLLY DOROTHY M FILE N0. 21 08-0469 AI:N 101 DATE 12-01-2008
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)
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
APPROVED DEDUCTIONS AND EXEMPTIONS:
C1) .00 NOTE: To insure proper
C2) .00 credit to your account,
(3) .00 submit the upper portion
of this form with your
C4) .00 tax payment.
c5) .00
t6) 23,790.00
cn 93,622.92
c8) 117,412.92
9.
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
C9) 24;,203.40
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions I11) ?4. 0.40
12. Net Value of Tax Return C12) 93,209.52
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule .I) (13) .00
14. Net Value of Estate Subject to Tax ClG) 93,209.52
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 X15) .00 X
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 93,205-.52 X
17. Amount of Line 14 at Sibling rate (17) .00 X
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X
19. Principal Tax Due
Tex rocnrTC.
00 _ .00
045_ 4,194.43
12 _ .00
15 _ .00
Ilg)= 4, 194.43
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT F'AID
08-19-2008 CD010164 .00 4,194.43
REY-1547 EX AFP (06-05)
DATE 12-01-2008
ESTATE OF CONNOLLY DOROTHY M
DATE DF DEATH 0~4-19-2008
FILE NUMBER 21 08-0469
COUNTY CUMBERLAND
ACN 1~D1
APPEAL DATE: 01-30-2009
(See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYAH~LE AND REMIT PAYMENT T0:
TOTAL TAX CREDIT 4,194.43
BALANCE OF T,AX DUE .00
INTEREST ANII PEN. .00
TOTAL DUIE .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.)