HomeMy WebLinkAbout95-0605REV-1547 EX AFP (12-95)
COMNONMEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN 101
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG, PA 17128-0601 DATE 02-12-96
ESTATE OF GUGKLtY GHLUE B FILE N0. -0 0
DATE OF DEATH 06-05-95 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT 70 THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT°
REMIT PAYMENT TO:
ALAN B RHINEHART REGISTER OF WILLS
DAUPHIN DEPOSIT BK 8 TR CUMBERLAND CO COURT HOUSE
PO BOX 9 CARLISLE, PA 17013
SHIPPENSBURG PA 17257
Amount Rerittsd
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR °°-''-____
DISALLOWANCE OF DEDUCTIONS-AND ASSESSMENT OF TAX
ESTATE OF COCKLEY CHLOE B FILE N0. 21 95-0605 ACN 101 DATE 02-12-96
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOT ICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estat• (Schedule Al
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedul• C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Sank 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 Expanses/Ade. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedul• J)
14. Net Value of Estate Subject to Tax
(1) .00
(2) .00
(3) .00
(4l . 00
(5) 231.42
(b) 209.144.52
(7) .00
(g) 209,375.94
(9) 9,310.92
(10) .00
(11) 9 .3] 0.92
(12) 200, 065.02
(13) .00
(14) 200, 065.02
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rats (15) • 00 X . 00_ . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 200 , 065.92 X . 06. 12, 003.92
17. Amount of Line 14 taxable at Collateral/Class B rate (17) •00 X .15. .00
18. Principal Tax Due (lg) 12, 003.92
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE
NUMBER
INTEREST (-) AMOUNT PAID
08-14-95 AA048109 552.63 10,500.00
10-30-95 AA082269 .00 755.16
F'AYMtNi MUST BE MADE BY US-U6-963E.
TOTAL TAX CREDIT 11,807.79
BALANCE OF TAX DUE 196.13
INTEREST .00
TOTAL DUE 196.13
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT^ (CRJ, YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)