HomeMy WebLinkAbout06-17-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
06-20-2005
LUTHER
01-12-2005
21 05-0067
CUMBERLAND
101
APPEAL DATE: 08-19-2005
( See reverse side under Objections)
Amount Remitted I 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-co3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MIRIAM M FILE NO. 21 05-0067 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX Z8D601
HARRISBURG PA 171Z8-D6Dl
JU:i j j
l: 55
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,
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KEITH ol 'ltiENNEMAN. ESlf.
SNELBAKER & BRENNEMAN
44 W MAIN ST
MECHANICS BURG
PA 17 055
ESTATE OF
LUTHER
*'
REV-1547 EX AFP (06-05)
MIRIAM
M
TAX RETURN liAS: (X I ACCEPTED AS FILED
DATE 06-20-2005
I 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/Pe...tnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule DJ
S. Cash/Bank Deposits/tllsc. Personal Property (Schedule El
6. Jointly Owned Property (Schedule f)
7. Transfers (Schedule G)
8. Total A.ssets
III
(21
(31
I~I
151
161
(71
146,000.00
.00
.00
.00
11.531.86
.00
.00
(81
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens.s/A~. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
II. Total Dltductlons
12. Net ValU8 of Tax Return
13. Cheritable/Govern..ntal Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total of ~
ASSESSMENT OF TAX:
IS. A.ount of Line 14 at Spousal rate (IS)
16. ~ount of Line 14 taxable at Lineal/Class A rat. (16)
17. Amount of Line 14 at Sibling rat. (17)
18. Amount of Line 14 taxable .t Collat.ral/Class B rate (18)
19. Principal Tax Du.
T :
+
DATE
04-07-2005
NUI1BER
CD005174
INTEREST/PEN PAID (-I
276.15
~
(91
1101
33,856.47
NOTE: To insure proper
credit to your account~
submit the upper portion
of this for. with .your
tax payment.
157,531.86
~4 7QR 61
122,733.25
.00
122,733.25
14, 15 and'or 16, 17, 18 and 19 will
returns assessed to date.
.00
5,523.00
.00
.00
5,523.00
5,523.00
.00
.00
.00
. 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" (CRI, YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.I
942.14
Ill!
1121
1131
11~1
.00 X 00 =
122,733.25 X 045 =
.00 X 12 =
.00 X 15 =
1191=
ANOUNT PAID
5,246.85
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE