HomeMy WebLinkAbout12-02-05
BUREAU OF INDIVIDQA(ft~i nC[i('e
INHERITANCE TAX DIYIS:rll1ot-." .- ./ ..... I.u...
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
REY-1547 EX AFP (06-05)
11-28-2005
LONG
01-05-2005
21 05-0030
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
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REv:is4'-Ex-AFP-coi:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FRANKIE E FILE NO. 21 05-0030 ACN 101
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
FRANKIE
E
;,: .~
r.. .I
,f--"I'"
THOMAS"'E FLOWER
SAIDIS ETAL
2109 MARKET ST
CAMP HILL
PA 17011
DATE 11-28-2005
ESTATE OF
LONG
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
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
134,624.25
.00
.00
.00
91.263.58
.00
220,175.90
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
U)
(2)
(3)
(4)
(5)
(6)
(7)
446,063.73
(9)
UO)
39,943.66
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
1.106.09
Ul)
(2)
(3)
(4)
41.049 75
405,013.98
.00
405,013.98
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:
NOTE:
.00 X
405,013.98 X
.00 X
.00 X
00 =
045 =
12 =
15 =
.00
18,225.63
.00
.00
18,225.63
(9)=
DATE
09-16-2005
NUMBER
CD005807
+
INTEREST/PEN PAID (-)
.00
AMOUNT PAID
18,225.63
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 18,225.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. r\~-
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE;
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)