HomeMy WebLinkAbout04-29-05
CONNONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOnCE OF rNIIERXTAIICE TAX
BUREAU OF IIIIIVlDUALQ~n.r:ri r,Cc:rr n .~PPRAISEHENT, ALLOIIAllCE OR DISALLOIIAllCE
INtfERITANCE TAX DIVISION, ,1.. V,-/, !v-l..- L[ i iLl.: . j:"" OF DEDUCTIONS AND ASSESSMENT OF TAX
PO lOX 28D6Dl .
HARRISBURG PA 17128-0601
..
REV-ISt? EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
I
MAKE CHECK PAYABLE AND REMIT PAY"ENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ___
.!"-"1!fl:,."ft.m.m~'.Wftl!l!.!ftP.IRlYl'IM!'t.m.l'II\fDY!ftM!'fl~."lfI':tWIM!'t.Mt'.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ILGENFRITZ SVBILLA FILE NO. 21 05-0111 ACN 101 DATE 104-25-2005
znDS
?9 r,t.; I?: 03
- ... ,.'-..,
Ci 1=P'(
'---,...".\
HAROLD SrI~~iK'
64 S PITt'sr
CARLISLE PA 17013
TAX RETUm "AS: I X I ACCEPTED AS FILEO
04-25-2005
ILGENFRITZ
08-22-2004
21 05-0111
CUMBERLAND
101
A-.rot R..1ttocl
SVBILLA
I I CHAHllED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. _1 Estate 1_1. Al
2. Stocks _ Bond. 1_1. BI
3. Closoly 1ls1d Stook/Psrtnorsh1p Int.re.t l$eMdul. CI
'I. IIortlPllPls/Hot.s Ree.lvsbl. I_I. DI
S. C.sh..- IIspos1ts/H1.... P.rsonsl Propsrty ISch.....l. EI
6. J01ntly Osnsd Propsrty ISchsdul. FI
7. Tr....fsr. ISchsdul. BI
8. Tot.l Assots
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F....ral E_so./Ads. Co.t./H1sc. E_so. ISchocIul. HI
10. Dsbts/HortlPllPl L1sb111t1../L1sns 1_1. II
11. Total _Uons
12. Not V.l.. of T_ R.turn
13. Chsrltsbl./Bovs...-.tal ~.ts; Hon-.lsctocl 9113 Trusts
14. Not V.l.. of Estat. _Jsct to T_
III
12}
131
I'll
ISI
161
171
.00
.00
.00
.00
1.331.50
.00
.00
181
NOTE: T~ Insur. proper
cr.d:l.t ~~ your ltCCC>>W1t,
_it ~ _r portion
of this, for. with your
*- .-l-t.
i
I
1,331.50
191
110!
492.00
.00
1111
1121
1131
1141
IS_l. .n
6Q, nn
839.50
.00
839.50
NOTE: If an ........nt wa. i..ued previously, lin.. 14, 15 and/or 16, 17, 18 ~nd 19 will
ref1ec't figur.. 'thll't include 'the 'ta1:al of ALL rlt'turne ......d 'to dll'te'i
ASSESSMENT OF TAX:
15. _t of Uno 14 .t Spousal rat. 1151 .00 x 00 = .00
16. -.nt of Uno ~4 t_l. .t U....l/Cl.ss A ..t. 1161 839.50 x 045 = 37.78
17. -.nt of Uno 14 .t S11>11"" rat. 1171 .00 x 12 = .00
18. -.nt of Lins 14 t_sbl..t Coll.t.ral/Cl... Brat. 1181 .00 X 15 ~ .00
19. Pr1nc1...1 T." _ 119l= , 37.78
DATE
02-)5-2005
IUlBER
C 004947
INTEREST/PEH PAID I-I
.00
~
. IF PAID AFTER DATE IIIOICATEO, SEE REVERSE
FOR CALCULATIOII OF ADDITIOIIAL INTEREST.
I IF TOTAL DUE IS LESS TIWI $1, III PAYHENT IS IEllUIRED.
IF TOTAL DUE IS REFLECTED AS A .CREDIT" ICRI, YOU MY BE DUE
A REFUIII. SEE REVERSE SIDE OF THIS FORH FOR IHSTRUCTIONS.I
~ PAID
37.78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
37.78
.00
.00
.00