HomeMy WebLinkAbout07-22-05
07-25-2005
MELLOTT
02-22-2004
21 05-0292
CUMBERLAND
101
APPEAL DATE: 09-23-2005
( See reverse side under Objections)
ABOunt 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 +-
REV:is4i-EX-AFP-io3:0Sj-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCE"OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ELIZABETH B FILE NO. 21 05-0292 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
nr-.f.l(,nr--" c'cc'rc_c' NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TA""" ,"-'J;,'-- j I," I ' , "~PRAISE"ENT, ALLOIIANCE OR DISALLOIlANCE
INI€RlTANtE TAX DIVISION T - ,- - ,~-, OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ' '
HARRISBURG PA 17128-0601
7rns '''1 ??
_ 0.." v .. __ ,.~ ,_<;_
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
"",\1
"
; ,
.?: 28
CtEr;K.
r~'c '1'-'
DAVID H MAIt'INEAU ESQ
METZGER ETAL
PO BOX 5300
HBG
PA 17110
ESTATE OF MELLOTT
*'
REV-IS47 EX AFP (06-051
ELIZABETH B
TAX RETURN liAS: I X) ACCEPTED AS FILED
) CHANGED
DATE 07-25-2005
I~ an asses~ent was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will
r~lect ~1gures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. Amount of Line 14 at Spous81 rate (15)
16. ~unt of Line 14 taxable at Lineal/Class A rat. (16)
17. Anount of Line 14 at Sibling rat. (17)
18. "ount of line 14 taxabla at Collataral/Class Brat. (18)
19. Principal Tax Due
X :
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.t. (Schedul. A)
2. stocks ond Bonds ISchedule B)
3. Closely Held Stock/Partnership Int.rest (Schedule C)
4. Hort.ges/Not.s Receivabl. (Schedule DJ
.5. Cash/Bank Depos,ita/H,isc. Personal Prop....ty (Schedule EJ
6. Jointly Otmed Property (Schedule F J
7. Transfers (Schedule 8J
8. Total Assets
III
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
1.299.48
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F..,8ral ExPenses/AdII. Cost.s/Hlsc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule IJ
11. Total Deductions
12. Net Value of Tax Return
13. Cheritable/Sovern.-ntal 8equestsi Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
110)
6,021.48
2.661.86
Ill)
112)
113)
114)
NOTE:
.00
.00
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
DATE
~UNT PAID
NUmlER
INTEREST/PEN PAID 1-)
~
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 proper
cracl.1 t to your accou'tt I
subBlt the upper portion
of this forM with your
tax pay...,t.
1,299.48
A.~R~ ~4
7,383.86-
.00
7,383.86-
119)=
.00
.00
.00
.00
.00
.00
.00
.00
.00
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REquIRED.
IF TOTAL DUE IS REFLECTED AS A nCREDI~' ICR), YOU ~Y 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS F~ FOR INSTRUCTIONS.)