HomeMy WebLinkAbout09-13-05
COMMONWEALTH OF PENNSYLVANIA *'
DEPARTMENT OF REVENUE
r,",f'nrJ-rll9'1\J\~~'iPlr,itNHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES PC~I'WI$EfIEIfr ,"-ALJ.DIIANCE DR DISALLDIIANCE
INHERITANCE TAX DIVISION C', "OF,'UEDlItTIONS 'AND ASSESSHENT OF TAX
PO BOX 280601 I"', -.-,,',. , ': -, -
HARRISBURG PA 17128-0601 REV-lS47 EX AFP (06-05)
\? ....... 1: :}bDATE 09-13-2005
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L~Ln ' ~ ESTATE OF BOODA HUGH M
DATE OF DEATH 03-03-2005
,-."- FILE NUMBER 21 05-0335
COUNTY CUMBERLAND
J MICHAEL SALADIK e, ACN 101
,
HERR II LOW APPEAL DATE: 11-12-2005
234 N DUKE ST ( See reverse side under Objections)
LANCASTER PA 17602 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 LONER PORTION FOR YOUR RECORDS _
REy:is47-Ex-AFP-io3:osl-NOTICE-OF-INHERITANCE-TAX-APPRAISEMENT:-ALLOWANCE-OR---------------
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOODA HUGH M FILE NO. 21 05-0335 ACN 101 DATE 09-13-2005
TAX RETURN liAS: I X) ACCEPTED AS FILED I ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) 11) .00 NOTE: To insure proper
2. stocks end Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held stock/Partnership Interest (Schedule C) (3) .00 sub.it the upper portIon
of thIs form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax pay..ent.
5. Cash/Bank Oeposits/"lsc. Personal Property (Schedule E) IS) 7.364.86
6. ~ointly Owned Property [Schedule f) (6) .00
7. Transf.rs [Schedule G) (7) .00
8. Total Assets (8) 7,364.86
APPROVED DEDUCTIONS AND EXEMPTIONS: 4,109.62
9. Funeral Expenses/Ad.. Costs/Hisc. ExPenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedul. I) 110) 465.46
11. Total Deductions Ill) 4.~7~ 08
12. N.t Value of Tax Return 112) 2,789.78
13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 113) .00
14. Net Value of Estate Subject to Tax 114) 2,789.78
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total ~ ALL returns assessed to date.
ASSESSMENT OF TAX: .00 X 00
IS. A.ount of Line 14 at Spousal rat. 115) = .00
16. A~unt of Line 14 taxable at Lin.al/Class A rat. 116) .00 X 045 = .00
17. Amount of Line 14 at Sibling rat. 1l7l 2,789.78 X 12 = 334.77
18. Amount of Line 14 taxable at Collat.ral/Class B rate IlB) .00 X 15 = .00
19. Principal Tax Du. 119)= 334.77
TAX CR [TS,
. "J A/1OUNT PAID
DATE NUMBER INTEREST/PEN PAID 1-)
05-26-2005 CD005373 15.79 300.00
07-01-2005 CD005518 .00 18.98
TOTAL TAX CREDIT 334.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE I IF TDTAL DUE IS LESS THAN $1, NO PA~ENT IS REQUIRED. ~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE"
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)