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HomeMy WebLinkAbout12-22-08BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 2~'~ Q~`C 22 ~~ ~ € ~ 0~ DAVID A PHILLIPS WAGGONER ETAL 5006 E TRINDLE RD MECHANICSBURG COMMONWEALTH OF PENNSYLVANIA _ DEPARTMENT OF REVENUE ,,, NOtICE OF INHERITANCE TAX <,AP1?RAIS~MENt, ALLOWANCE OR DISALLOWANCE ~O~ DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C06-05) DATE 12-15-2008 ESTATE OF BAKER JAMES R DATE OF DEATH 05-13-2005 FILE NUMBER 21 08-0087 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 02-13-2009 (See reverse side under Objections) Amount Remitted~~~ ,, ~..r ,r ((~~ i - T _ "i~.a v~. - , 200 PA 17050 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 -------------------- ------------- F- REV-15 ---------- 47 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALL OWANCE _ ___ ______ OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BAKER JAMES R FILE N0. 21 08-0087 ACN 101 DATE 12-15-2008 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) I1) 00 2. Stocks and Bonds (Schedule B) (2) . .00 NOTE: To insure proper credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 15 0,000.00 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) C5) .00 6. Jointly Owned Property (Schedule F) (() .00 7. Transfers (Schedule G) (7) .00 8. Total Assets fig) 150, 000.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 7,82 0 .00 10. Debts/Mortgage Liabilities/Liens (Schedule I) (LO) .00 11. Total Deductions 12. Net Value of Tax Return (11) 7.890.00 142 180 00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C12) (13) . , .00 14. Net Value of Estate Subject to Tax (14) 142, 180.00 NOTE: If an assessment was issued previously, lines 14, 15 and/or reflect figures th t 16, 17, 18 and 19 will a include the total of ALL returns assess ed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due c15) 142, 180.00 X 00 _ . 00 C16) . 00 X 045 = . 00 c17) .00 X 12 _ .00 c18) .00 X 15 _ .00 C19)= . 00 ~ DATE I NUMBER ~ INTEREST/PEN PAID (-) I AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. L.~.., FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE ~j A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~