HomeMy WebLinkAbout08-30-05
08-22-2005
BOLAN
03-19-2005
21 05-0315
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-Ex-AFP-coi:osi-NOTICE"OF-INHERITANCE-TAX-APPRAISEMENT:-ALLOWANCE"OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
THEO B FILE NO. 21 05-0315 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
=.ooC'-n nf-rv'. r\c NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL"'~!';l~F}:,) UT',-J: <)APPRAISEHENT. ALLOWANCE OR DISALLOIlANCE
~~~~"~~~oIAX DIVISION (-',~. ""-,. ! '.~ OF DEDUCTIONS AND ASSESSI1ENT OF TAX
HARRISBURG PA 171Z8-06Dl
Zn"""'''O
uU;J J-.tY" .)j
ll: 25
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PH
CLE~:,<
0,"",r-.
\.)r:,'"
WILLIAM CQDISSINGER
DISSINGER ETAL
400 S STATE RD
MARYSVILLE
PA 17053
ESTATE OF
BOLAN
*'
REV-1S47 EX AFP {D6-0Sl
THEO
B
TAX RETURN liAS: I X) ACCEPTED AS FILED
) CHANGED
DATE 08-22-2005
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 ~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 1'1 at Spousal rat. (15)
16. Amount of Line 14 taxable at Lineal/Class A rat. (16)
17. MOunt of Line 14 at Sibling rat. (17)
18. A.aunt of line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Sc~dul. A)
2. Stocks and Bonds ISchBdula B)
3. Closely Held stock/Partnership Interest (Schedule Cl
4. Mortgages/Notes Receivable (Schedule Dl
s. Cash/Bank Deposits/Hisc~ Personal Property (Schedule EI
6. Jointly Owned Property (Schedule f)
7. Transfers (Schedul. Gl
8. Tot.1 Assets
(1)
(2)
(3)
(4)
IS)
(6)
(7)
.00
2.254.16
.00
.00
136.919.39
.00
.00
IB)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ada. Costs/Hlsc~ Expenses (Schedule HI
10. Debts/Hortgage Liabilities/Liens (Schedule Il
11. Total Deductions
12. Net Value of Tax Return
13. Charitabl./Gover~ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. N.t Value of Est.t. Subject to Tax
(9)
(10)
17 ,246.72
164.94
1111
(12)
(13)
(14)
NOTE:
.00 X
121,761. 89 X
.00 X
.00 X
00 =
045 =
12 =
15 =
(19)=
NOTE: To insure proPer
credit to your account,
subltit the Upper portion
of this form with your
tax pay.ent.
139,173.55
17 411 66
121,761. 89
.00
121,761. 89
.00
5,479.29
.00
.00
5,479.29
"AXr~~ 1+' AMOUNT PAID
DATE NUHBER INTEREST/PEN PAID 1-)
PAYMENT MUST BE MADE BY 12-19-2005*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 5,479.29
INTEREST AND PEN. .00
TOTAL DUE 5,479.29
~
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRlrTTn~ l