HomeMy WebLinkAbout12-22-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
LISA MARIE COYNE
COYNE & COYNE
3901 MARKET ST
CAMP HILL
- - ---NOTICE OF INHERITANCE TAX
APPRATSEMENT, ALLOWANCE OR DISALLOWANCE
- AF DEDUCTIONS AND ASSESSMENT OF TAX
'~~~~ C!~C ~2 1~f.~ ~ ~ 07
~ ri`
I~ -
' y~ ;
•'f
'
~~._~
1 ` i
-' „
`
,
PA 17011
REV-1547 EX AFP (06-05)
DATE 12-15-2008
ESTATE OF ANDROSHICK ROBERT F
DATE OF DEATH 10-28-2007
FILE NUMBER 21 07-1013
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-13-2009
(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 -_-- --) RETAIN LOWER PORTION FOR YOUR RECORDS ~- _ __
-------------------- ----------------------- ________
REV-1547 EX AFP (03-05 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ANDROSHICK ROBERT F FILE N0. 21 07-1013 ACN 101 Herr 17_I~_~nnu
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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 36,057.72
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 24,815 .40
11. Total Deductions
C11) 60.87 12
12. Net Value of Tax Return (12) 572, 616.44
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax 572
616
44
(14) ,
.
NOTE: If an assessment was issued previously, l ines 14, 15 and/or 16
17 18 a
d 19
reflect figures that include the total of
ALL ,
,
n
will
returns assessed to date
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (lg) .00 00 00
_
X .
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 572, 616.44 X 045 = 25, 767.74
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
TAX CREDITS: (19)= 25, 767.74
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
01-28-2008
08-29-2008 CD009214
CD010214 1,268.42 24,100.00
TAITCDCCT Tn
r~,~nr.r., .00 379.35
-- - -- -•••-•-•-~.. ...,.vvvn ic-ou-LUUo
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 25,747.77
BALANCE OF TAX DUE 19.97
INTEREST AND PEN. 2.92
TOTAL DUE 22.89
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. , I
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ~-f~
REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(1) 199, 000.00 NOTE: To insure proper
(2) .DO credit to your account,
(3) .00 submit the upper portion
of this form with your
(4) .00 tax payment.
(5)_ 7,889.00
(6) 381 855.95
(7) 44, 744.61
(g) 633, 489.56