HomeMy WebLinkAbout01-30-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF' INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF'DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~ ~" -~
HARRISBURG PA 17128-0601 REV-1547 EX AFP (12-08)
L~~l~ .~.~~ J~ Fl~~ ~~L: ~~ DATE O1 -27-2009
ESTATE OF KOSLOV STEVEN A
r~;~-~ DATE OF DEATH 09-01-2006
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~,r`~,c, h(`J I T FILE NUMBER 21 07-0876
GRPr r+; ~-~,~.it CUMBERLAND
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EDWARD P SEEBER ESq CL~~f ACN 101
JAMES ETAL APPEAL DATE: 03-28-2009
134 S I P E AV E (See reverse side under Objections
HUMMELSTOWN PA 17036 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 C12-08) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KOSLOV STEVEN A FILE N0. 21 07-0876 ACN 101 DATE 01-27-2009
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) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 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) 1,208.75
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 1 , 208.75
APPROVED DEDUCTIONS AND EXEMPTIONS: 7,409.46
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1.38 0.00
11. Total Deductions (11) A • 789.46
12. Net Value of Tax Return C12) 7,580.71-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule .I) C13) .00
14. Net Value of Estate Subject to Tax X14) 7,580.71-
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:
•00 0 0 .00
15. Amount of Line 14 at Spousal rate C15) X =
16. Amount of Line 14 taxable at Lineal/Class A rate C16) . 00 X 045 = . 00
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 C19)= .00
~^ PAYMENT~v RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .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)r YOU MAY BE DUE.,
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ft~l