HomeMy WebLinkAbout08-30-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAll
BUREAU OF INDIVIDUAL i~1DFf) nrF!('F r~PPRAIS~HENT, ALLOIIANCE OR DISALLOIIANCE
INtERITANCE TAX DIVISION - ,,::: '-' v" ". OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 "r,-. '
HARRISBURG PA 17128-0601" ~
08-22-2005
HAAF
12-30-2004
21 05-0252
CUMBERLAND
101
APPEAL DATE: 10-21-2005
( 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 .....
REV:is47-Ei-AFP-io3:0sj-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTHER M FILE NO. 21 05-0252 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
Zc:"c, ?,i',~ ^<:01 D' il: 2;0;
L:.,l: (',,___ ....'.. 1.J V
CLET( C~;~
n::(,"_J,',r':~ (
FRANK P Ier'ftiLITO ESQ
ZIMMERMAN ETAL
22 S DUKE ST
LANCASTER
PA 17602
ESTATE OF
HAAF
*'
REV-1547 EX AFP (06-05)
ESTHER
M
TAX RETURN liAS: I X I ACCEPTED AS FILED
DATE 08-22-2005
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Re.1 Est.t. (Schedule A)
2. Stocks and Bonds (Schedule I)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Kortgages/Notes Receivable (Schedule DJ
5. Cash/Bank D~slts/Hlsc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
III
121
131
141
151
161
(7)
.00
.00
.00
.00
12.398.18
.00
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens.s/A~. Costs/Kisc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitabl./Gov.r~ntal Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: I~ an asses~ent was issued previously, lines
reflect ~igures that include the total o~ ALL
ASSESSMENT OF TAX:
IS. ~ount of Line 14 at Spousal rat. (15)
16. Amount of Line 14 taxable .t Lin..l/Class A rat. (16)
17. AlIOUnt of Line 14 at Sibling rat. (17)
18. A~unt of Line 14 taxable .t Collateral/Class B rate (18)
19. Principal Tax Due
I S:
+
_BER
CD005385
INTEREST/PEN PAID I-I
.00
DATE
06-02-2005
"\
8,074.25
1.133.41
1111
1121
1131
1141
191
1101
NOTE: To insure proper
credit to your account,
submit the upper portion
of this for. with your
tax pa~nt.
12,398.18
Q.?07 fal.
3,190.52
1,190.5;2
2,000.00
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 00 =
.00 x 045=
.00 x 12 =
2,000.00 x 15 =
1191=
AItOUNT PAID
300.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
300.00
300.00
300.00
.00
.00
.00
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I