HomeMy WebLinkAbout06-21-99
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BUREAU OF INDIVIDUAL TAMES
INHERITANCE TAM DIYISION
I)[PT. 280601
HARRISaURa, PA 171r8-0601
CDHHDNWEALTH OF PENNSYLVANIA
DEPARTHENT DF REVENUE
INHERITANCE TAX
RECDRD ADJUSTHENT
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
LARRY A HARTMAN
DAUPHIN DEPOSIT
213 MARKET ST
HBG
BK a TR
\,'
",
'PA 17101
04-22-1999
HERENDEEN
10-01-1995
21 95-D777
CUMBERLAND
101
A.aunt Ra.Htad
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'It-I"..."" 11"'"
JAMES
H
MAKE CHECK PAYABLE AND REHIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17D13
NOTE I To Insura proper cradlt to your account, sub_It tha uppar portion of this for. with your taK pay.ant.
CUT ALDNG THIS LINE ~ RETAIN LDWER PDRTION FOR YOUR RECDRDS ~
Rifv:i5!ij-Ejf-AFji-io9~97j------.-.-iN-HERi-fANc-i-TA-i-REl:ORD--ADj-usrifiNT--..-----------------------------
ESTATE DF HERENDEEN
JAMES
H FILE ND. 21 95-0777
ADJUSTMENT BASED ON.
VALUE OF ESTATE:
PROTEST BOARD DECISION
1. Raal E.t.te (Schedule A)
2. Stock. and Bonds (Schadule 8)
3. Closaly Held stock/Partnarship Intare.t (Schadula C)
4. Hortg.ge./Notas Receivable (Schedule D)
S. Ce.h/Bank Deposit./HI.c. Personal Property (Schedule E)
6. Jointly Owned Property (Schadule F)
7. Transfers (Schedule G)
8. Total A..at.
DEDUCTIDNS AND EXEMPTIDNS:
9. Funeral Expense./AdMinistrative Cost./
HIscellanaou. Expen.e. (Schedule H)
10. Debta/Hortgaga Liabilitie./Llens (Schadul. Il
11. Total Deduotions
12. Net Value of Tax Return
Charitabla/Governaent.l Baquests; Non-alect.d 9113 Trusts
Hat Valua of eatat. SUbject to Tax
13.
14.
TAX:
IS. ..aunt of Line 14 at Spousal rat.
16. "aunt of Lina 14 taxable at Linaal/Clan. A rata
17. A_aunt of Lina 14 taxable at Collateral/Cl... Drat.
18. Principal Tax Du.
TAX CREDITS:
PAYNENT
DATE
RECEIPT
NUNOER
DISCOUNT 1+)
INTEREST/PEN PAID (-)
12-29-1995
06-28-1996
04-21-1999
AA08245B
AA1l29B9
REFUND
1.315.79
.00
.00
(9)
lID)
(15)
(16)
(17)
ACN 101
(1)
(2)
(3)
(4)
(5)
(6)
(7)
109,000.00
739 ,138.13
8.720.00
25.321.12
51. 651. 21
.00
8.495.00
(8)
63.461.13
10.188.74
Ill!
(12)
1131
(14)
(Schedule 4)
240 .454 .88 M. 00 =
623 ,220. 71 M. D6 =
.00M.15=
lIe)
ANOUNT PAID
25,000.00
11,117.44
39.89-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
DATE
04-22-1999
942.325.46
73.649.87
86B.675.59
5.00D.00
863.675.59
.00
37.393.24
.00
37.393.34
37 393.34
.00
.DO
.00
· IF PAID AFTER DATE INDICATED. SEE REVERSE (IF TOTAL DUE IS lESS THAN fI, NO PAYNENT IS R"-QUIRED.
FOR CAlCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)