HomeMy WebLinkAbout02-17-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
, NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
REV'-1547 EX AFP (06-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-13-2006
DAVIS
01-01-2005
21 05-0295
CUMBERLAND
101
APPEAL DATE: 04-14-2006
( 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
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
lESTER E FILE NO. 21 05-0295 ACN 101
(' .~<
'. i.....l
lESTER
E
H ANTHONY ADAMS
STE 3
49 W ORANGE ST
SHIPPENSBURG
PA 17257
ESTATE OF
DAVIS
DATE 02-13-2006
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
.00
82,074.25
.00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
82,074.25
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
6,443.95
(9)
(10)
.00
(1lJ
(12)
(13)
(14)
6.443 95
75,630.30
.00
75,630.30
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL 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:
.00 X 00 = .00
75,630.30 X 045 = 3,403.36
.00 X 12 = .00
.00 X 15 = .00
(19)= 3,403.36
. ~....... IU:l,;l:.I.rl (+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-31-2005 CD005134 147.37 2,800.00
12-12-2005 CD006090 4.50- 463.36
TOTAL TAX CREDIT 3,406.23
BALANCE OF TAX DUE 2.87CR
INTEREST AND PEN. .00
TOTAL DUE 2.87CR
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. J ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU MAY BE DU~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.