HomeMy WebLinkAbout08-12-05
08-15-2005
BLACK
01-16-2005
21 05-0094
CUMBERLAND
101
APPEAL DATE: 10-14-2005
(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:is4i-Ex-AFP-io3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
PEARL 5 FILE NO. 21 05-0094 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r'- ~" _ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL.'-<l~Fi1~-' ('::::'('[ (""APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
INHERITANCE TAX DIVISION -, ._~:_-: '- ; LJ'_ '.' OF DEDUCTIONS AND ASSESSHENT OF TAX
PO BOX Z80601 " .,
HARRISBURG PA 171Z8-0601 . I -
2"r" .
!.:-I,')"
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
/2 Ft! I: 06
CO,.
li~ !.
RICHARD (1:!,WEBBER
WEIGLE & A5S0C
126 EKING 5T
5HIPPEN5BURG
1:->,
JR ESQ,
PA 17257
ESTATE OF
BLACK
*'
REV-1547 EX AFP (D6-DSl
PEARL
S
TAX RETURN WAS: (X 1 ACCEPTED AS FILED
1 CHANGED
DATE 08-15-2005
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Almunt of Line 14 at Spousal rate (IS)
16. A.ount of Line 14 taxable at Lineal/Class A rat. (16)
17. A~unt of Line 14 at Sibling rete (17]
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax au.
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.t. (Schedule A)
2. Stocks end Bonds (Schedule B)
3. Closely Held Stock/Pa~tnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule DJ
5. C8Sh/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(lJ
(2)
(3)
(~)
(S)
(61
(7)
.00
.00
.00
.00
23.728.05
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens.s/A~. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitabl./Sovern-.ntel Bequests; Non-electad 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tex
(91
110)
1,777.29
2.969.25
Ill)
1121
113)
1l~1
NOTE:
.00
18,981. 51
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
119)=
NOTE: To insure proper
credit to your account,
sub.lt the upper portion
of this for. with your
tax payaent.
23,728.05
4.741; "ti
18,981. 51
.00
18,981.51
.00
854. 17
.00
.00
854 . 17
TAlC CRII!DITS,
.... ".0.. (+J AIlOIINT PAID
DATE IlUI1BER INTEREST/PEN PAID (-)
04-15-2005 '- CD005205 39.47 750.00
05-20-2005 CD005349 .00 64.70
TOTAL TAX CREDIT 854. 17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, ND PAYHENT IS REllUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ICR), YDU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.~s>~