HomeMy WebLinkAbout01-02-09COMMONWEALTH OF PENNSYLVANIA
_ DEPARTMENT OF REVENUE
_ - NATtLE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AP_PRAIS'EMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION - _ _ ._ - 'O F` DEDb~TIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 REY-1547 EX AFP (12-OS)
~~~#i~~1 .~'~ -~ ~~'~ { ~ ~2 DATE 12-22-2008
ESTATE OF MADEIROS JR TIMOTHY C
(1L~~-;~:'~- DATE OF DEATH 10-19-2007
C~~'~,~,i.,_~=; ~;:~;l~j i FILE NUMBER 21 07-1048
' = ~~ ~'', COUNTY CUMBERLAND
HIAMILTON C DAVIS ACN 101
20 E BURD ST APPEAL DATE: 02-20-2009
P'0 BOX 40 (See reverse side under Objections)
SHIPPENSBURG PA 17257 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 ~-
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REV-1547 EX AFP (12-08) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MADEIROS JR TIMOTHY C FILE N0. 21 07-1048 ACN 101 DATE 12-22-2008
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) C1) .00 NOTE: To insure proper
2. 'Stocks and Bonds (Schedule B) ~2) ,00 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this form with your
4. (Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 24 7,7 00.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets Ig) 247,700.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,426 .00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11. Total Deductions C11) 5.4?6.00
12. Net Value of Tax Return (12) 242,274.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 242,274.00
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.
ASSESSMIENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) 242,274.00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE
NUMBER
INTEREST/PEN PAID C-) AMOUNT PAID
r
~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE