HomeMy WebLinkAbout08-12-05
08-15-2005
LAUBACH
01-19-2000
21 05-0473
CUMBERLAND
101
APPEAL DATE: 10-14-200~
(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 -
iEv:is47-Ex-AFP-io3:osi-NOTICE-OF-INHEiITANCE-TAx-APpiAIsEMENT:-ALLowANCE"OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CARRIE I FILE NO. 21 05-0473 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INHERITANCE TAX
BUREAU OF INDIVIOUARq701l~~D rcc;,:c r,LAPPRAISEHENT, ALLOWANCE DR DISALLOWANCE
INHERITANCE TAX DIVISIoN ,_\jl,.), ,,)_. .), I._\.. - .~ OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX za06Dl .~ , " . I "~
HARRISBURG PA 171ZS-0601
2DD~ ;~I'JG 1 2
1: 01
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
Pi~
Cl C01/ (.',.....,'
'_'_'",;\ ....J
DAVID W J;(\;'R
REAGER &"ADLER
2331 MARKET ST
CAMP HILL
;-rT
"
.~,,\
PA 17011
ESTATE OF
LAUBACH
*'
REV-l~ EX AFP (06-05)
CARRIE
I
TAX RETURN WAS: I X I ACCEPTED AS FILED
I CHANGED
DATE 08-15-2005
I~ an assess_ent was issued previously, lines 14, 15 and,or 16, 17, 18 and 19 will
r~lect ~igures that include the total ~ ~ returns assessed to dat~
ASSESSMENT OF TAX:
15. ABount of Line 14 at Spousal rate (15)
16. ~ount of Line 14 taxable at Lineal/Class A rat. (16)
17. Amount of Line 14 .t Sibling rat. (17)
18. ~ount of Line 14 taxable .t Collateral/Class Brat. (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Re.l Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partn.~ship Interest (Schedule C)
4. Hortgages/Notes Receivabl. (Schedule DJ
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. JointlY OWned Property (Schedul. F)
7. Transf.,..s (Schedule Q)
8. Total Assets
III
121
131
141
151
161
171
.00
.00
.00
.00
.00
114,750.00
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Sovernaental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subiect to Tax
(91
1101
1,532.00
97.576.00
(111
1121
1131
1141
NOTE:
.00 X 00 =
.00 X 06 =
.00 X 00 =
15,642.00 X 15 =
NOTE: To insure proper
credit to your account,
~lt the upper portion
of this for. with your
tax P8yt1ent.
114,750.00
QQ. lOR nn
15,642.00
.00
15,642.00
1191=
.00
.00
.00
2,346.30
2,346.30
TAY CDEftITS.
_1+' AHDUNT PAID
DATE NUI1BER INTEREST/PEN PAID I-I
05-24-2005 CD005364 647.57- 2,998.68
TOTAL TAX CREDIT Z,351.11
BALANCE OF TAX DUE 4.81CR
INTEREST AND PEN. .00
TOTAL DUE 4.81CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN 01, NO PAYKENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU KAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.~