HomeMy WebLinkAbout09-13-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,'_ ~ ,.lII!J,Jl;E r'!r INHERITANCE TAX
,;:DJf,,~ii~$~t, ",AlLOIIANCE OR OISALLOIIANCE
,OF 'DEDUCn~ AND ASSESSI1ENT OF TAX
09-13-2005
MILLER
04-11-2005
21 05-0375
CUMBERLAND
101
APPEAL DATE: 11-12-2005
( See reverse side under Objections)
ARount 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-co3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAISEMENT:-ALLONANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DORIAN E FILE NO. 21 05-0375 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z6D6D1
HARRISBURG PA 17128-0601
2nrr; ('CD
~LlJ'~ "_'0....1
1 3 p~;
\: I,G
GERALD J SHEKLETSKI
STONE ETAL
PO BOX E
NEW CUMBERLAND
Cr,,,
,I :-~-1
E~
PA 17070
ESTATE OF
MILLER
*
REV-1547 EX AFP (06-05)
DORIAN
E
TAX RETURN liAS: (X) ACCEPTED AS FILED
DATE 09-13-2005
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule OJ
S. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule f)
7. Tr8nsfers (Schedule 6)
8. Totel Assets
Il)
(2)
(3)
(4)
(5)
(6)
(1)
.00
.00
.00
.00
5.373.90
765.84
149,130.04
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitable/Gover~ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estat. Subject to Tax
I~ an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. ADOUnt of Line 14 at Spousal rate (IS)
16. A.ount of Line 14 taxable at Lineal/Class A rat. (16)
17. Amount of Line 14 at Sibling rat. (17)
18. Amount of Line 14 taxable at Col1.teral/Class B rate (18)
19. Principal Tax Due
NOTE:
(9)
IlO)
12,504.81
(19)=
NOTE: To insure proper
credit to your account,
sub.i t the upper portion
of this for. with your
tax paynent.
155,269.78
1?~n4 81
142,764.97
.00
142,764.97
.00
6,424.42
.00
.00
6,424.42
rAX CREDIT""
".~.L" " (.J AIlOUNT PAID
DATE _BER INTEREST/PEN PAID (-)
06-30-2005 CD005506 321.22 6,103.20
TOTAL TAX CREDIT 6,424.42
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
.00
(11)
(12)
(13)
(14)
.00
142,764.97
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
. 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" (CRJ, YOU IlAY BE DUE I a
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) V-L--