HomeMy WebLinkAbout09-18-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. ;`' „,_ ~ ,, Ng1'II~E OF INHERITANCE TAX ~
BUREAU OF INDIVIDUAL TAXES ,- AgpPRAISEMENT, ALLOWANCE DR DISALLOWANCE
INHERITANCE TAX DIVISION _„ _ ,._;~~ gF DE`DUGTIONS AND ASSESSMENT OF TAX
PD BOX 280601
HARRISBURG PA 17128-0601 p REV-1547 EX AFP (01-09)
2~`v9 ~J~t ~ ~ ~ ~~~ ~~ DATE 09-15-2009
ESTATE OF GOBLE NICHOLAS L
(`I ~~~ (?i` DATE OF DEATH 08-12-2008
L__~ ,:L
~~r~_a~;ti,J vi.~J;~;~" FILE NUMBER 21 08-0861
~i i ~'~'~ `~' '~ ~~ COUNTY CUMBERLAND
LISA MARIE COYNE ~ ACN 101
COYNE & COYNE APPEAL DATE: 11-14-2009
3901 MARKET ST (See reverse side under Objections)
CAMP HILL PA 17011-4227 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 E-
REV-1547 EX AFP CO1-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GOBLE NICHOLAS L FILE N0. 21 08-0861 ACN 101 DATE 09-15-2009
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
~1) 175, 000.00
Cp) 164 , 090.75
C3) .00
C4) .00
c5) 43,449.79
c6) .00
(7) 216,390.53
IB)
C9)
58,120.48
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
598,931.07
Clo) 25,696.48
(11) R3.816.96
C1z) 515, 114.11
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax C14) 515, 114.11
NOTE: If an assessment was
reflect figures that
ASSESSMENT OF TAX:
issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
include the total of ALL returns assessed to date.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
rwv rornrrc•.
(15) .00 X
C16) 515, 114.11 X
C17) • 00 x
c19) • 00 x
00 _ .00
045_ 23,180.13
12 _ .00
15 _ .00
C19)= 23, 180.13
,~ PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-07-2009 CD011087 .00 23,180.13
TOTAL TAX CREDIT 23,180.13
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 81, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
o REFUND- SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)