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HomeMy WebLinkAbout07-22-05 07-25-2005 LEEDY 02-25-2005 21 05-0354 CUMBERLAND 101 APPEAL DATE: 09-23-2005 ( 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-ioi:osi-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCE-oil--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX NANCY l FILE NO. 21 05-0354 ACN 101 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXIlSr'(Y'i',er': :TF/(lQ'!"l"ISEHENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISIllH,'" '.' ,j - OF DEDUCTIONS AND ASSESSHENT OF TAX PO BOX 280601 '.' i. ,_' HARRISBURG PA 17128-0601 . , , znnU':.22 1',: 2: 29 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CI_.~F!< nr: (ye' DAVID J LENlJ*'" 130 W CHURCIf ST DILlSBURG ,,-.-\',....,..,... PA 17019 ESTATE OF lEEDY *' REY-1547 EX AFP (06-05) NANCY l TAX RETURN liAS: I X I ACCEPTED AS FILED I CHANGED DATE 07-25-2005 I~ an assessment was issued previOUSlY, lines 14, IS and' or 16, 17, 18 and 19 will r~lect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 1&. AIrount of Line 14 at Spousal ret. US) 16. ~t of Lin. l' taxable .t Lineal/Class A rat. (16) 17. Anount of Line 14 at Sibling rat. (17) 18. A.ount of Line 14 taxable .t Collateral/Class Brat. (18) 19. Principal Tax DUB A C RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Estate ISchedule AI 2. Stocks and Bonds ISchodUla BI 3. Closely Held stock/Partnership Interest (Schedule C) 4. "ortgagas/Notes Receivable (Schedule 0) S. Cash/Bank Oeposits/Hisc. Personal Property (Schedul. E) 6. Jointly Owned Property ISchedula FI 7. Transf.rs (Schedule S) 8. Total Assets III 121 131 141 ISI 161 171 .00 .00 .00 .00 6.769.61 .00 .00 181 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral ExPenses/Ad.. Costs/Hlsc. Expenses (Schedule H) 10. Oebts/Hortgage Liabilities/Liens (Schedule I) 11. Total DeductJons 12. Net Value of Tax Return 13. ~ritabl./60Y.rnnental Bequests; Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estat. Subject to Tax (91 1101 4,966.00 3.929 54 Ill) 1121 (131 1141 NOTE: .00 .00 .00 .00 X 00 = X 045 = X 12 = X 15 = . AIIOUNT PAID DATE _BER INTEREST/PEN PAID (-I ~ 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 credit to your account, su~it the upper portion of this for. with your tax payaent. 6,769.61 R.RQ'i 1;4 2,125.93- .00 2,125.93- 1191= .00 .00 .00 .00 .00 .00 .00 .00 .00 I IF TOTAL DUE IS LESS THAN $I, NO PA YHENT IS REIlUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIr' ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.I