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HomeMy WebLinkAbout06-13-05 BUREAU OF INDIVIDUAL-TAXES INHERITANCE TAX DIVISION PO BOX 280&01 HARRISBURG PA 17128.0&01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX '* REV-1547 EX AFP (0&-05) DATE 06-13-2005 ESTATE OF FINK CLAUDINE T DATE OF DEATH 12-30-2004 FILE NUMBER 21 05-0255 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 08-12-2005 ( See reverse side under Objections) Amount Remittedl I 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 +- REY:is47-EX-AFP-C03:0Sj-NOTicE-OF-iNHERiTANCE-TAX-APPRAiSEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FINK CLAUDINE T FILE NO. 21 05-0255 ACN 101 DATE 06-13-2005 !1 ; ,-~ Ji." 'v JLO f.i'l THOMAS ~iFril~ER. SAlOIS ETAL 2109 MARKET ST CAMP HILL PA 17011 TAX RETURN WAS: (X) ACCEPTED AS F I LED ) 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. 4. 5. 6. 7. S. Closely Held Stock/Partnership Interest (Schedule C) Mortgages/Notes Receivable (Schedule OJ Cash/Bank Deposits/Misc. Personal Property (Schedule E) Jointly Owned Propert~ (Schedule FJ Transfers (Schedule GJ (lJ (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 2.100.00 5.559.30 75.682.46 (S) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. Total Assets 83,341. 76 APPROVED DEDUCTIONS AND EXENPTIONS: 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 (9) UO} 3,565.00 Net Value of Estate Subject to Tax 2.876.65 uu U2} (13) Cl4J &.6Gl ;;:1; 76,900.11 .00 76,900.11 13. 14. Charitable/Governmental Bequests; Mon-elected 9113 Trusts (Schedule J) NOTE: If an assess.ent was issued previouslY, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures thet include the total of !bh returns assessed to date. ASSESSMENT OF TAX: 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. P~incipal Tax Due (1S) .00 X 00 .00 (l6) 76,900.11 X 045 = 3,460.50 (l7) .00 X 12 .00 (18J .00 X 15 .00 (9)= 3,460.50 TAX CR':DITS: PAYH,NT RECEIPT DIsCOUNT {+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (~) 03-17-2005 CD005092 "- 173.03 3,450.00 TOTAL TAX CREDIT 3,623.03 BALANCE OF TAX DUE 162.53CR INTEREST AND PEN. .00 TOTAL DUE 162.53CR * IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~"