HomeMy WebLinkAbout08-12-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
R,r'np"cr: rCP:f: r,c NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL ''FAllitS'~-~-'' ""~ '-"APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DlvISION:r=('::~.;',:~:<"~_,' I (, OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 I '__...' r , .
HARRISBURG PA 17128-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-15-2005
HERTZLER
02-26-2005
21 05-0219
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:is47-Ex-AFP-io3:osj-NorIcE-oF-INHERIrANcE-TAX-APPRAiSEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GLADYS E FILE NO. 21 05-0219 ACN 101
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MURREL R'~ALTERS
54 E MAIN ST
MECHANICSBURG
III ESQ
PA 17055
ESTATE OF
HERTZLER
DATE 08-15-2005
TAX RETURN liAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..1 Estate (Schedule A)
2. Stocks and Bonds ISch.clul. B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/NOtes Receivable (Schedule DJ
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. .Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
) CHANGED
(lJ
(2)
(3)
(4)
15)
(6)
(7)
.00
.00
.00
.00
24.538.09
.00
.00
IB)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Hortg8g8 Li~ilitieslLi.ns (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitable/Govern..ntal Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assess.ent was issued previously, lines 14, lS and/or 16, 17, 18 and
rl!'l'leet .,igures that include the totalof' ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AlIOunt of Line 14 at Spousal rate (15)
16. A.ount of Line 14 taxable at LlnBBl/Class A rat. (16)
17. AltOUOt oi Line 14 at Sibling r.t. (17)
18. AlIOuot of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
X T .
NOTE:
+
INTEREST/PEN PAID (-)
43.92
DATE
05-25-2005
_BER
C0005361
. If PAID AfTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
19)
(10)
1,790.70
119)=
'*'
REV-l!iu EX AFP (06-05)
GLADYS
E
3.225.33
I1lJ
112)
113)
114)
.00
19,522.06
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
NOTE: To insure proper
credit to your account,
sub.i t the upper portion
of this fora with your
tax pay.ent.
24,538.09
Ii.nl~ 03
19,522.06
.00
19,522.06
19 will
.00
878.49
.00
.00
878.49
878.49
.00
.00
.00
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU HAY BE DUE --4-.
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIDN~_l__~
AHDUNT PAID
834.57
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE