HomeMy WebLinkAbout08-05-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~DI""(\P!!Fn C:::F1CE O~ NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL .,~",~_~;: J' ", ~PRAISEMENT, ALLOWANCE OR DISALLOWANCE
INtERITANCE TAX DIVISION '.',~, .]',,<,-:-: -, ~_ OF DEDUCTIONS AND ASSESSMENT OF TAX
PDBOX28D601 '.\-.' .-" ---
HARRISBURG PA 17128-0601
08-08-2005
JACKSON
02-10-2004
21 05-0210
CUMBERLAND
101
APPEAL DATE: 10-07-2005
( 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:os;-NOTICE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MARTHA H FILE NO. 21 05-0210 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2C\85
1.': ~_ ~: c:: 5
J-",.1 v
-J
,--
'>.,.,
DONNA M MUl:lIN
JAMES ETAL
134 SIPE AVE
HUMMELSTOWN
ESQ
PA 17 036
ESTATE OF
JACKSON
..
REV-1547 EX AFP (06-05)
MARTHA
H
TAX RETURN WAS: I X) ACCEPTED AS FILED
DATE 08-08-2005
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..1 Est.t. (Schedule A)
2. Stocks end Bonds (Schedule B)
3. Closely Held stock/Partnership Interest [Schedule C)
4. Hortgages/Notes Receivable (Schedule DJ
5. Cash/Bank DepositslMisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfers [Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
29.138.08
.00
.00
.00
.00
468.224.46
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H)
10. Debts/Hort~ge Liabilities/Liens (Schedule I)
11. Total Deductions
12. N.t Value of Tax R.turn
13. Charitabl./Gov.r~ntal Bequests; Non-elected 9113 Trusts (Schedule ~J
14. Net Value of Est.t. Subject to Tax
I~ an asses..ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect ~igures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. AlIOUnt of Line 14 at Spousal rat. (15)
16. Anount of Line 14 taxable at Lineal/Class A rat. (16)
17. A~unt of Line 14 at Sibling rat. (17)
18. A.aunt of Line 14 taxable at Collaterel/Class Brat. (18)
19. Principal Tax Due
TAX C
NOTE:
_BER
INTEREST/PEN PAID 1-)
DATE
~
(9)
(10)
17,645.00
NOTE: To insure proper
credit to your account I
sub.it the upper portion
of this form with your
tax paYllent.
497.362.54
17.64<; 00
479,717.54
479,717.54
.00
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
.00
Ill)
(12)
(13)
(14)
.00 X
.00 X
.00 X
.00 X
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
(19)=
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FDHN FOR INSTRUCTIONS.)