HomeMy WebLinkAbout09-02-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL !TIQ(~P,,::!' lereW'': (Ai'PRAISEHEHT, ALLDIIANCE DR DISALLDIIANCE
INHERITANCE TAX DIVISION' - ......',. -. "' '--- - OF DEDUCTIONS AND ASSESSHENT OF TAX
PO BOX Z8G6Gl "
HARRISBURG PA 171ZS-0601
09-05-2005
SIDER
02-20-2005
21 05-0569
CUMBERLAND
101
APPEAL DATE: 11-04-2005
( See reverse side under Objections)
Amoun1: RMi1:1:edl 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 -
REV:is47-EX-AFP-io3:0si-NOricE-OF-iNHERirANcE-rAi-APPRAiSEMENr:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GLADYS B FILE NO. 21 05-0569 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
<:".., --7
. ..
Pi"i 12: ! 2
(,C~
DAVID R G~ZESQ
WIX ETAL ..-
PO BOX 845
HBG
PA 17108
ESTATE OF SIDER
'*
REV-1547 EX AFP (06-05)
GLADYS
B
TAX RETURN liAS: I X) ACCEPTED AS FILED
DATE 09-05-2005
I ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estete ISchedule A)
2.. stocks WId Bonds (ScMdul. I)
3. Closely Hald stock/Partnership Interest (Schedule C)
4. Hortg.ges/Notes Receivabl. (Schedul. DJ
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule El
6. JOintly Owned Property ISchedule F)
7. Tr~sf.rs (Schedule Q)
a. Total Assats
11)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
6.865.62
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/AdIl. Costs/Hisc. Expenses (Schedule H)
10. Oebts/Hortgage Liabilities/Lians (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitabl./GoYer~nt.l Bequests; Non-elected 9113 Trusts {Schedule J)
14. Net Value of Estate Subject to Tax
If an assess.en1: was issued previously, lines 14, 15 and,or 16, 17, 18 and 19 will
reflec1: figures 1:ha1: include 1:he 1:o1:al of ALL re1:urns assessed 1:0 da1:e.
ASSESSMENT OF TAX:
15. AlIOUnt of Line 1" at Spousal rat. US}
16. A.ount of Line 14 t.x~le at Line8l/Class A rat. (16)
17. Anaunt of Line 14 et Sibling rate (17)
18. A.ount of Line 14 taxable .t Collateral/Class B rate (18)
19. Principel Tax Due
X D
NOTE:
DATE
NUI1IlER
INTEREST/PEN PAID (-)
~.
3,015.00
92.663.61
Ill)
112)
113)
(14)
(9)
I1D)
.00 X
.00 X
.00 X
.00 X
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account I
sub.i t tM upper portion
of this for. with your
tax paY.llnt.
6,865.62
91;.678 61
88,812.99-
.00
88,812.99-
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(19)=
.00
.00
.00
.00
IF PAID AFTER DATE IHDICATEO, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TMAM $1, NO PAYIIENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU NAY BE VIE
A REFUND. SEE RJ;.Vl=ftw: C:Tn~ ,,~ 'l"U'PP p-..... --- ---~--