HomeMy WebLinkAbout04-07-03BUREAU OF ZNDZVZDUAL TAXES
CONMONWEALTH OF PENNSYLVANZA
DEPARTMENT OF REVENUE
NBTZCE OF ZNHERZTANCE TAX
APPRAZSENENT, ALLDNANCE OR DZSALLO#ANCE
OF DEDUCTZONS AND ASSESSNENT OF TAX
SCOTT M DINNER ESQ'~n2
$117 CHESTNUT ST
CAMP HILL
APR 14 9'05
DATE 04-07-Z003
ESTATE OF HULL
DATE OF DEATH 10-29-2001
FZLE NUMBER 21 02-0515
COUNTY CUNEERLAND
ACN 101
Amount Remitted
HERBERT L
MAKE CHECK PAYABLE AND RERZT PAYMENT TO:
REGISTER OF WZLLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THXS LZNE ~ RETAZN LOWER PORTZON FOR YOUR RECORDS ~
DZSALLOWANCE OF DEDUCTZONS AND ASSESSNENT OF TAX
ESTATE OF HULL HEREERT L FZLE NO. 21 02-0515 ACN 101 DATE 04-07-2005
TAX RETURN WAS. (X) ACCEPTED AS FZLED ( ) CHANGED
RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE
APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rea/ Estate (Schedule A) (1)
2. Stacks end Bands (Schedule B) (2)
S. Closely Held Stock~Partnership Znterast (Sctmdule C) ($).
q. Mortgages/Notes Receivable {Schedule D) (q)
S. Cash/Ba~k Deposits/Misc. Personal Property (Schedule E) ($)
6. Jolntly Owned Property (Schedule F} (6)
7 TransFers (Schedule G) (7)
8. TotaZ Assets
APPROVED DEDUCTIONS AND EXEMPTZONS:
9. F~u~erel Expenses/Adm Costs/Hisc. Expanses (Schedule H) (9).
10. Debts/Mortgage Llebilitxes/Liens (Schedule Z) (10)
11. Tote1 Deductions
1,264~000.00
546~940.00
.00
.00
8q~$57.00
77~500.00
q$O~ 108 O0
submlt the upper portion
of this form with your
tax payment.
2,402,905 O0
199,588 92
(11) ~
(12) 2,196,794.79
NOTE:
refZect ~igures that include the tara1 ef AL~L returns assessed to date.
ASSESSHENT OF TAX:
15 Amount of Line lq at Spousal rata (15) .00 X O0 . O0
16 Amount of Lind lq taxable at Lineal/Class A rate (16) 1,915,724.79 X Oq5 = 86,117.62
17 Amoun~ of Line 1~ a~ Sibling ra~e (17) .00 X 11 = .00
18 ~o~ of Line 1~ *exile a~ Colla*eral/Class B ra~e (18)
19. Prlnctpal Tax ~e
rAX CREDITS:
PAYHENT ~C~IPT D/SCOUNT
DATE N~BER INTEREST/PEN PAZD (-)
07-26-Z002 CDO01~50 O0
01-$0-200S CDOOZIOR O0
Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) .00
Net VaZue of Estate Sub~ect to Tax (lq) 2,196,794 79
~f an assessment ~as 1ssued prev$ous~y, Z~nes lq, 15 and/er 16, 17, 18 and 19 w~11
(19)= 128,578.12
AMOUHT PAZD
115,000.00
13,578.12
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-$1-200S TOTAL TAX CREDZT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
#
ZF PAZD AFTER DATE ZNDZCATED, SEE REVERSE
FOR CALCULATZON OF ADDZTZONAL ZNTEREST.
128,578 12
.00
400.96
400.96
( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT ZS REgUZRED.
ZF TOTAL DUE IS REFLECTED AS A 'CREDIT" (CR), YOU MAY BE DUE
A REFUND SEE REVERSE S/DE OF THIS FORM FOR ZNSTRUCT/ONS )