HomeMy WebLinkAbout12-02-05
11-28-2005
BUSHONG
12-24-2004
21 05-0022
CUMBERLAND
101
APPEAL DATE: 01-27-2006
( 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
~~!_~~9~~_!~!~_~!~~______~___~~!~!~-~Q~~~_~Q~!!9~_~Q~-!Q~~-~~~Q~~~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LOTTA H FILE NO. 21 05-0022 ACN 101
-
BUREAU OF INDIVI~.~~
INHERITANCE TAX DIVISUlIl' 'c '. ~-
PO BOX 280601 .- --.
HARRISBURG PA 17128-0601
,~\-
1'-'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
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,.,. 1"'\9
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
(~\ i~-
DAVID tt-STONE
STONE ETAL
414 BRIDGE ST
NEW CUMBERLAND
ESQ
PA 17070
ESTATE OF
BUSHONG
REV-1547 EX AFP (06-05)
LOTTA
H
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 11-28-2005
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 (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
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)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
1.901.45
171.171.61
.00
(8)
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)
(10)
15,928.61
89.97
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
173,073.06
16.018 1;8
157,054.48
.00
157,054.48
.00 X 00 = .00
157,054.48 X 045 = 7,067.45
.00 X 12 = .00
.00 X 15 = .00
(19)= 7,067.45
,,"'.."'.... (+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-24-2005 CD005122 353.37 7,000.00
TOTAL TAX CREDIT 7,353.37
BALANCE OF TAX DUE 285.92CR
INTEREST AND PEN. .00
TOTAL DUE 285.92CR
. 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 DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
J