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HomeMy WebLinkAbout09-13-05 09-13-2005 EPPLEY 03-11-2005 21 05-0269 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 _ REy:is4'-Ex-AFP-ioi:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEHENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CATHERINE M FILE NO. 21 05-0269 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIDN PO BOX ZSD6Dl HARRISBURG PA 171Z8-D601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE R:.rr,~.:rr~~~' .' ~pF. ~.' HERITANCETAX ~t!EN1: {.AL~uIlANCE OR DISALLOIIANCE : JII'.I!ED"!lTIIlIIsJ\ND ASSESSHENT OF TAX 7n!?~ <::r:-P 10 ...,,'Ij',J U'...,. ,J D~' I jJ I: !f6 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN I:-~T r.i 1" KEITH 0 BRENNEMAN ESQ '. SNELBAKER & BRENNEMAN 44 W MAIN ST MECHANICSBURG PA 17055 ESTATE OF EPPLEY *' REY-1547 EX AFP (06-05) CATHERINE M TAX RETURN liAS: (X I ACCEPTED AS FILEO ) CHANGEO DATE 09-13-2005 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. C.sh/8ank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 4,645.20 .00 .00 .00 2.470.51 4.450.16 .00 (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 Return 13. Charitable/Governnental Bequests; Non-elected 9113 Trusts (Schedule ~) 1~. Net Value of Estate Subject to Tax (9) (10) 15.067.59 .00 I1ll (12) (13) (14) NOTE: If an assessment was issued previoUSly, lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. ~ount of Line 14 at Spousal rate (15J 16. Amount of Line 1~ taxable at Lineal/Class A rate (16J 17. Amount of Line 1~ at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, subnit the upper portion of this for. with your tax pa~nt. 11.565.87 11;.067 59 3.501. 72- .00 3.501. 72- 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. .OOXOO= .00 X 045= .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 '" AHOUNT PAlO OATE NUHBER INTEREST/PEN PAID (-) 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 ADOITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIREO. IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE OUE.r7. . A REFUND. SEE REVERSE SlOE OF THIS FORN FOR INSTRUCTIONS.) ~ ~