HomeMy WebLinkAbout05-16-05
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RETAIN LOWER PORTION FOR YOUR RECORDS ~
tt1!t.!/I!'.!NlftA1:"t'lMM.m.lWlUTlCr.wr~.'lrC[WlMM.IlW'.............. ...
ALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JELSIE C FILE NO. 21 05-0168 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
"~","~~'_", 0,~.JI~DF INHERITANCE TAX
i(:.:,JJli~PJl~~l!Pt)r ALLOWANCE OR DISALLOIlANCE
''':OF'QEQlJI:T:tONS AND ASSESSMENT OF TAX
2 05 Mf,'! 16 H1 2: 46
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BRIDGET M WHITLEY E
KEEFER ETAL
PO BOX 11963
HBG
CI rr,/ nc
LC,-,:\ ...;1
ORPH"'PC' ",(" .nT
, i["I,I'; ,; \,,_,_)\..}n
JtP'" n".
PA 17108
CUT ALONG THIS LINE
UV-"M~"Yf.7nWm~'U!1.
DI
ESTATE OF LAROCCA
RETURN liAS: I
I ACCEPTED AS FILED
I X I CHANGED
RESERVATION CONCERNING FU URE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A
2. Stocks and Bonds (Sche 1. B)
3. Closely Held Stock/Part rship Interest (Schedule C)
4. Mortgages/Notes Rec8iv 1. [Schedule D)
S. Cash/Bank Deposits/Mise Personal Property (Schedule E)
6. Jointly Owned Property Schedule fJ
7. Transfers (Schedule G)
8. Total Assets
III
(21
131
(41
(51
161
(7)
05,,16,,2005
LAROCCA
09"16-2004
21 05-0168
CUMBERLAND
101
Amo...t R...i Hood
.00
1.627.00
.00
.00
2.108.00
.00
115.000.00
181
APPROVED DEDUCTIONS AND E EMPTIONS:
9. Funeral Expenses/Adm. C sts/Hisc. Expenses (Schedule H)
10. Debts/Mortgage Liabilit as/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Ret rn
13. Ch.ritable/Gover~ al Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net V.lue of Estate ubject to Tax
191
1101
3,142.00
37.500.00
1111
1121
1131
1141
SEE
*'
REV-1547 EX AFP (03-05)
JELSIE
C
DATE 05-16-2005
ATTACHED NOTICE
NOTE: To insure proper
credit to your account,
~it the upper portion
of this for. with your
tex p.~nt.
118,735.00
40.642 DO
78,093.00
.00
78,093.00
as issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
at include the total of ~ returns assessed to date.
NOTE: I~ an assessment
reflect ~igures t
ASSESSMENT OF TAX:
15. A.ount of Line 14 at
16. ~unt of Line 14 tax
17. Amo...t of Line 14 .t S
18. Anount of Line 14 taxa
19. Principal Tax Due
TA D:
usal rate US)
e at Lineal/Class A rate (16)
ling rate (17)
e at Collateral/Class B rate (18)
+
INTEREST/PEN PAID (-I
.00
NUI1BER
CD004967
DATE
02-16-2005
.00 X 00 =
78,093.00 X 045 =
.00 X 12 =
.00 X 15 =
1191=
AMOUNT PAID
3,016.00
~ PAYMENT MUST BE MADE BY 0
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
-16-2005lE.
.00
3,514.19
.00
.00
3,514.19
3,016.00
498. 19
.00
498.19
. IF PAID AFTER DATE INDICATED SEE REVERSE
FOR CALCULATION OF ADDITIONA INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REIlUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.I
REV-1470EX (6..l\8)
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME Jelsie C. LaR FILE NUMBER
cca 2105-0168
REVIEWED BY Sheila Megor n ACN
ell 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
G The decedent transferred the real estate on 10/02/2000 to her children so; therefore. no
settlement co sts can be deducted from the contract sales price of the real estate.
'C'
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