HomeMy WebLinkAbout05-08-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NQTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES - APPRAxSEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _OF..,DEDUCTIONS AND ASSESSMENT DF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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MICHAEL S TRAVIS AT1'Y
3904 TRINDLE RD
CAMP HILL PA 17011
REV-1547 EX AFP (01-09)
DATE 05-04-2009
ESTATE OF GALLAGHER ROLAND J
DATE OF DEATH 1:L-19-2007
FILE NUMBER 2:L OS-0053
COUNTY CIMBERLAND
ACN 101
APPEAL DATE: 07-03-2009
(See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, P{- 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-
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REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GALLAGHER ROLAND J FILE N0. 21 08-0053 A(:N 101 DATE 05-04-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank 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 Expenses/Adm. 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;
14. Net Value of Estate Subject to Tax
C1) .00 NOTE: To insure proper
C2) .00 credit to your account,
(3)
.00 submit the upper portion
of this form with your
C4) .00 tax payment.
c5) 1 , 485.00
c6) .00
cn .00
cB) 1,485.00
4,432.60
(9)
clo) 30.110.11
I11) 34.549.71
c12) 33,057.71-
Non-elected 9113 Trusts (Schedule „I) I13) .00
c14) 33, 057.71-
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:
15. Amount of Line 14 at Spousal rate I15) .00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) • 00 X 045 _ .00
17. Amount of Line 14 at Sibling rate I17) .00 X 12 __ .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 _ .00
19. Principal Tax Due Clg)= .00
TAY !`QCATTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT F'AID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
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