HomeMy WebLinkAbout08-30-05
08-22-2005
BONSALL
03-05-2005
21 05-0370
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 CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS _
REy:is47-Ex-AFP-io3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CAROLE FILE NO. 21 05-0370 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF lNOIVlDUlCcmD OF~ICF rF APPRAISEHENT, ALLOIIANCE OR DISALLOIIANCE
INtERITANtE TAX DIVISIb!lt:.,..,.." 1(".::'.=_. ",- :: OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 _~':_ , ..1" , _ _, : '.
HARRISBURG PA 17128-0601; " ,
20G5 WG 30 P;'i I:: 25
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
G_c?'\ c,r::
n.....'-" ,,',' .'1 .,..~"
JOHN D GRtGS~VESQ'
101 S MA'tl'KET ST
MECHANICSBURG
PA 17055
ESTATE OF
BONSALL
'*
REV-1547 EX AFP (06-05)
CAROLE
TAX RETllRH liAS: I X I ACCEPTED AS FILED
I CHANGED
DATE 08-22-2005
I~ an assesSRent was issued previously, lines 14, IS. and/or 16, 17, 18 and 19 will
re~lect ~igur8s that include the total ~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AlIOUni: of Line 14 at Spousal ....t. US)
16. A~unt of Line 14 taxable at Lineal/Class A rate (16)
17. A~unt of Line 14 .t Sibling rat. (17)
18. A.aunt of Line 14 taxable at Collateral/Class Brat. (18)
19. Princi~l Tex Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule Al
2. Stocks end Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total As_ts
III
121
131
I'll
151
161
(7)
.00
.00
.00
.00
20.696.08
.00
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ada. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Gover~ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
191
1101
5,268.00
15.949.42
1111
1121
1131
1141
NOTE:
.00 X
.00 X
.00 X
.00 X
NOTE: To insure proper
creeli t to your account,
sub.it the upper portion
of this form with your
tax paYllent.
20,696.08
".'174'
521.34-
.00
521.34-
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
1191=
TAX C DI?S:
1+) ANOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-I
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I 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 DF THIS FORH FOR INSTRUCTIONS.I