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HomeMy WebLinkAbout09-02-05 09-05-2005 SHAFFER 01-03-2005 21 05-0014 CUMBERLAND 101 APPEAL DATE: 11-04-2005 ( 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 +- REv:is47-Ex-AFP-io3:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MARIE E FILE NO. 21 05-0014 ACN 101 -= """W'O", "__1"_ -.- BUREAU OF INOIVI_L,! ',,^9 J! I:',' ,f- ! :~ INHERITANCE TAX DIVISI(JJr{ -',:' -'-c: "., , "--- - PO BOX 280601 : -,' - 1 " HARRISBURG PA 17128-0601- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX 2GDj SF;) ~- 2 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN Di' '0. II il ::::. r.,.->_" JAN J L 845 HBG L ~OWN BROWN & ASSOCS SIR THOMAS CT 12 PA 17109 ESTATE OF SHAFFER *' REV-1547 EX AFP (06-05) HARlE E TAX RETURN WAS: I X) ACCEPTED AS FILED ) CHANGED DATE 09-05-2005 NOTE: I~ an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will r~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: IS. AlIOUnt of Line 14 at Spousal rat. US) 16. Anount of Line 14 taxable at Lineal/Class A rat. (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class Brat. (18) 19. Princi~l rax Du. .00 X 00 = .00 86,779.11 X 045 = 3,905.06 .00 X 12 = .00 .00 X 15 = .00 (19)= 3,905.06 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.t. (Schedule A) 2. stocks and Bonds (Schedule BJ 3. Closely Held Stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule GJ 8. Total Assets 11) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 60.456.44 .00 40,654.94 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule IJ 11. Total Deductions 12. Net Value of Tax Return 13. Charitabl./Gover~nt.l Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) 110) 12,819.21 1.513.06 Ill! 112) 113) 114) NOTE: To insure proper credit to your account, submit the upper portion of this for. with your tax p.~nt. 101,111.38 14.33' '7 86,779.11 .00 86,779.11 TAX CREDITS: rAm<", ,OJ AHDUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 03-30-2005 CD005138 195.25 3,800.00 08-29-2005 REFUND .00 90.19- TOTAL TAX CREDIT 3,905.06 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM ~OR T~T~lrTTnwc 1