HomeMy WebLinkAbout09-13-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~~"IY'C\Cn. -""JP;,E fJ,f INHERITANCE TAX
i::',M'l'~Sji"EiljI.. iM:LOWANCE OR DISALLOWANCE
;;-:r;:C!I':D~DllCUqNS AND ASSESSMENT Of TAX
09-13-2005
YARLETT
01-26-2005
21 05-0128
CUMBERLAND
101
APPEAL DATE: 11-12-2005
( 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 _
Riy:is47-ix-AFP"'(o3:osi-NOTlci-oF-INHiRITANci-TAx-APPRAIsiMiNT:-ALLOWANci-oR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LESTER H FILE NO. 21 05-0128 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU Of INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
?rH1~ ('':"0 I ~ Pt-:! I '5
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CRAIG A DIEHL ESQ
C A DIEHL LAW OFFICES
3464 TRINDLE RD
CAMP HILL
r'
PA 17011
ESTATE OF YARLETT
'*'
REY-1547 EX AFP (06-05)
LESTER
H
TAX RETURN WAS: (X I ACCEPTED AS fILED
DATE 09-13-2005
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.t. (Schedule AJ
2. Stocks and Bonds (Schedule B)
3. Closely Held stock/P.rtnership Interest (Schedule C)
~. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. T~nsf.rs (Schedule G)
8. Tot.l Assets
III
(21
(31
(41
(51
(61
(71
.00
.00
.00
.00
94.862.91
1. 057 . 17
660.92
(81
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExPenses/Ad.. Costs/Hisc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule II
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect ~igures that include the total o~ Abb returns assessed to date.
ASSESSMENT OF TAX:
lS. A~unt of Line 14 at Spousal rate (15)
16. A~unt of Line 14 taxable at Lineal/Class A rate (16)
17. AIIount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Due
TAX C
NOTE:
DATE
03-15-2005
NUHBER
CD005057
INTEREST/PEN PAID I-I
191.19
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
(91
1101
4,583.49
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this for. with your
tax pay_nt.
96,581.00
11.606 R1
84,974.19
.00
84,974.19
.00
3,823.84
.00
.00
3,823.84
3,941.19
117.35CR
.00
117.35CR
If TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REWIRED. '"L
If TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YOU MAY BE DUIlIV
A REfUND. SEE REVERSE SIDE Of THIS fORM fDR INSTRUCTIONS.] -y
7.023.32
1111
1121
1131
1141
.00 X 00 =
84,974.19 X 045 =
.00 X 12 =
.00 X 15 =
1191=
AMOUNT PAID
3,750.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE