HomeMy WebLinkAbout10-03-05
10-03-2005
DONMOYER
04-22-2005
21 05-0400
CUMBERLAND
101
APPEAL DATE: 12-02-2005
( See reverse side under Objectiom')
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-ioi:oSl-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEHENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LOUISE E FILE NO. 21 05-0400 ACN 101
BUREAU OF INDIVIDUA[rAXis~;
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
'" n
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
DEBRA D'MCCLAIN
2 WHEATFIELD DR
CARLISLE
PA 17013
ESTATE OF
DONMOYER
REV-ls47 EX AFP (06-05)
LOUISE
E
TAX RETURN WAS: (X J ACCEPTED AS FILED
CHANGED
DATE 10-03-2005
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule BJ
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule DJ
5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule FJ
7. Transfers (Schedule GJ
8. Total Assets
I1J
(2J
(3J
(4J
(5)
(6)
(7]
.00
27.705.27
.00
.00
123.280.34
.00
.00
(8J
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule IJ
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
110J
2,935.40
1.598.86
(llJ
(12)
(13)
114J
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tex payment.
150,985.61
4.534 'H,
146,451.35
.00
146,451.35
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate 116J
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18J
19. Principal Tax Due
.00 X DO = .00
146,451.35 X 045 = 6,590.31
.00 X 12 = .00
.00 X 15 = .00
119J= 6,590.31
TAY CREDITS:
..." m:." K!:(;l:IPT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-15-2005 " CD005578 329.52 6,260.80
TOTAL TAX CREDIT 6,590.32
BALANCE OF TAX DUE .0ICR
INTEREST AND PEN. .00
TOTAL DUE .0ICR
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
Pi-
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)