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BUREAU OF INDIVID~1)ri~E$
INfERITAHCE TAX DIVISION:-,-
PO BOX Z80601 --
HARRISBURQ PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
ZOO5 r,;:\y 20 PFil2: 39
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-23-2005
HUEY
06-26-2004
21 05-0090
CUMBERLAND
101
CLt:TV nc
L.Ml\ vi
ORPHAN'S COURT
NANCY S:Wffif'- , ~'(')
13 W COOVER ST
MECHANICSBURG PA 17055
*
REY-1547 EX AFP (03-05)
HAZEL
E
AlIOunt R..i tted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
It~V--MC,."ft.m.M~'1I!1.m't\'l!t.W.!MftIt""'IFIlY.'tX\!'.A'll\fJtl\TftMMl':.ycr.WJlFllY.llW'.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HUEY HAZEL E FILE NO. 21 05-0090 ACN 101 DATE 05-23-2005
TAX RETURN WAS: I X I ACCEPTED AS FILED
I CHANGED
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~1ect ~igures that inc1ude the tatal ~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AIrount of Loins It; at Spousal rat.. (1S)
16. ~unt of line 14 taxable .t Lineal/Class A rate (16)
17. A.aunt of Line 14 at Sibling rat. (17)
18. AlIOunt of Line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Due
C I :
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Sc~dul. A)
2. Stocks _ Bonds ISchedule BI
3. Closely Held stock/Partnership Interest (Schedule C)
4. MortgageslNoies RecelV8ble (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule El
6. Jointly Owned Property (Schedule Fl
7. Transfers (Schadule G)
8. Total Assets
III
121
(31
I~I
(51
161
171
.00
.00
.00
.00
8,452.00
65.542.00
.00
(BI
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExPenses/Ad.. CostslHisc. Expenses (Schedule Hl
10. Debts/Mortgage Liabilities/Liens (Schedule Xl
11. Total Deductions
12. Net Value of Tax Return
13. Charltable/Governaental Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
2,194.00
191
1101
.00
1111
1121
1131
11~1
ISchedul. JI
NOTE:
.00
71 ,800.00
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
T
DATE
01-28-2005
AHOUNT PAID
3,231. 00
NUHBER
CD004893
INTEREST/PEN PAID (-I
.00
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure prope...
credit to your account,
subn! t the upper portion
of this fom with your
tax paYlfent.
73,994.00
?lQ400
71 ,800.00
.00
71,800.00
1191=
.00
3,231. 00
.00
.00
3,231. 00
3,231.00
.00
.00
.00
IF TOTAL IlUE IS LESS THAN $1, NO PAYHENT IS RElIUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I