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HomeMy WebLinkAbout11-28-05 11-21-2005 POTAK 05-06-2005 21 05-0438 CUMBERLAND 101 APPEAL DATE: 01-20-2006 ( See reverse side under Ohjections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA ,..' (''\: 1= OF DEPARTMENT OF REVENUE f)C"j"'(j\=()tD dr-I \G-, :~ NOTICE OF INHERITANCE TAX T~S~, A~PRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ~\,' '3~ 06 1U~\~ H\}IJ 2. B \ I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN THOMAS J AHRENS':, AHRENS LAW OFFICE 5521 CARLISLE PIKE MECHANICSBURG PA 17050 REV-1547 EX AFP (06-05) PAUL J TO: CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF POTAK PAUL J FILE NO. 21 05-0438 ACN 101 DATE 11-21-2005 T AX RETURN WAS: (X) ACCEPTED AS F I LED } CHANGED NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate IS. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: 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. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) S. Total Assets (l) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 4.340.00 20.100.24 20,310.96 (S) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 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) (l0) 6,927.73 1.007.88 (ll) (l2) (l3) (l4) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 44,751.20 7.9~"i 61 36,815.59 .00 36,815.59 (l5) .00 X 00 .00 (l6) 36,815.59 X 045 = 1,656.70 (In .00 X 12 = .00 (lS) .00 X 15 = .00 (l9)= 1,656.70 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (_) 09-06-2005 CD005768 .00 1,656.70 TOTAL TAX CREDIT 1,656.70 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 II 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" (CR), YOU MAY BE DU A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ; \I'