HomeMy WebLinkAbout10-28-05
BUREAU OF INDIV:mDA~"T~
INHERITANCE TAX DIVISIIlN.. '.. .'..
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
,,- APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
'JC:
(~ ...:
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
KENNETH H SHEIBLEV
112 ROUND RIDGE RD
MECHANICSBURG PA 17055
ESTATE OF
SHEIBLEV
REV-1547 EX AFP (06-05)
FRANCIS
J
TAX RETURN WAS: (XJ ACCEPTED AS FILED
10-31-2005
SHEIBLEV
12-17-2004
21 05-0023
CUMBERLAND
101
APPEAL DATE: 12-30-2005
( See reverse side under Ohjections)
Amount Remitted [ ]
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-C03:0Si-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEHENT:-ALLONANCE-OR------------___
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FRANCIS J FILE NO. 21 05-0023 ACN 101
DATE 10-31-2005
J CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule AJ
2. Stocks and Bonds (Schedule BJ
3. Closely Held Stock/Partnership Interest (Schedule CJ
4. Hortgages/Notes Receivable (Schedule DJ
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule FJ
7. Transfers (Schedule GJ
8. Total Assets
llJ
(2J
(3J
(4J
(SJ
(6J
(7J
.00
17.883.00
.00
.00
16.905.00
3.442.00
.00
(8J
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExpenseS/Adm. Costs/Hisc. Expenses (Schedule HJ
10. Debts/Hortgage Liabilities/Liens (Schedule IJ
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule JJ
14. Net Value of Estate Subject to Tax
(9J
(!OJ
23,761.00
435.00
(llJ
112J
113J
114J
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that inclUde the total o~ ALL
ASSESSMENT OF TAX:
IS. Amount of Line 14 at Spousal rate (lSJ
16. Amount of Line 14 taxable at Lineal/Class A rate (16J
17. Amount of Line 14 at Sibling rate (17J
18. Amount of Line 14 taxable at Collateral/Class B rate (18J
19. Principal Tax Due
TAX CREDITS.
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
38,230.00
;;>4.] 96 00
14,034.00
.00
14,034.00
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.
n~",~"" I r+T AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-J
03-16-2005 "" CD005069 .00 450.00
TOTAL TAX CREDIT 450.00
BALANCE OF TAX DUE 450.00CR
INTEREST AND PEN. .00
TOTAL DUE 450.00CR
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. nY
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU HAY BE DUE \<1'
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.J
14,034.00 X 00 =
.00 X 045 =
.00X12=
.00X15=
119J=
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.00
.00
.00
.00
.00