HomeMy WebLinkAbout1-06-06
12-26-2005
HORNBECK
01-27-2005
21 05-0384
CUMBERLAND
101
APPEAL DATE: 02-24-2006
( See reverse side under Objections)
Amount Re.ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-
iEv:is47-Ei-AFP-io3:osi-NOTICE-OF-INHEiITANCE-TAi-APpiAIsEMENT:-ALLowANCE-oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JANET FILE NO. 21 05-0384 ACN 101
BUREAU OF INDIVIDUAL Lf~:':r;
INHERITANCE TAX DIVISION . c,. ',' .' I .' ". -'
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
:~~PRAISEHENTI ALLOWANCE OR DISALLOWANCE
,./, OF DEDUCTIONS AND ASSES~ENT OF TAX
1"). I:)
l:" __
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2:1] P ti
0'::"1
DAVID R G~Z:ESQ
WIX ETAL '",,'
PO BOX 845
HBG
PA 17108
ESTATE OF HORNBECK
'*
REV-1547 EX AFP (06-05)
JANET
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 12-26-2005
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect ~igures that include the total ~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. A.ount of Line 14 at Spousal rate (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. A.ount of Line 14 at Sibling rate (17)
18. A~unt of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
S:
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. ~rtgeges/Notes Receivable (Schedule D)
5. Cash/BBnk Deposlts/Hisc. 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
11.651. 71
30.980.00
551,733.95
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/~rtgage 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)
14,890.81
2.951.98
(11)
(12)
(13)
(14)
NOTE:
.00 X
576,522.87 X
.00 X
.00 X
00 =
045 =
12 =
15 =
+
MOUNT PAID
26,500.00
DATE
04-26-2005
NUI1BER
CD005244
INTEREST/PEN PAID (-)
1,297.18
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To Insure proper
credit to your account,
sub.it the upper portion
of this form with your
tax paYll8nt.
594,365.66
17.84? 79
576,522.87
.00
576,522.87
(19)=
.00
25,943.53
.00
.00
25,943.53
27,797.18
11853.65CR
.00
1,853.65CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. ('.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR) I YOU HAY BE DUE \.....
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)