HomeMy WebLinkAbout04-15-05COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES.. ppPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX o1v1s1oN OF DEDUCTIONS AND ASSESSMENT OF TAX
PQ BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP (03-057
DATE 04-18-2005
ESTATE OF BRITCHER FRANCES M
DATE OF DEATH 03-01-2004
FILE NUMBER 21 05-0144
COUNTY CUMBERLAND
ROB A KRUG ESQ ACN 101
53 E CANAL ST Amount Remitted
PO BOX 155
DOVER PA 17315
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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DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BRITCHER FRANCES M FILE N0. 21 05-0144 ACN 101 DATE 04-18-2005
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) 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
(1) .00
(2) .00
t3) .00
t4) .00
t5) 2,215.57
(6) .00
(7) .00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
t8) 2,215.57
APPROVED DEDUCTIONS AND EXEMPTIONS:
2,620 .70
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 2 .620 _ 70
12 . Net Value of Tax Return (12 ) 4 0 5.13 -
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (i4) 405.13-
NOTE: If an assessment was issued previously, lines 14, 15 andior 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 (15 ) . 0 0 X 0 0 _ . 0 0
16. Amount of Line 14 taxable at Lineal/Class A rate (16) • 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 (18) •0 0 X 15 - .00
19. Principal Tax Due (19)= .00
DATE ~ NUMBER I INTEREST/PEN PAID (-) I AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
^ 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" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)