HomeMy WebLinkAbout02-17-06
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOJIC~ OF INHERITANCE TAX
.APPR4I$.EHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-13-2006
HALSEY
05-29-2005
21 05-0518
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
VIOLET M FILE NO. 21 05-0518 ACN 101
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
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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MLISS M HALSEY
318 S FREDERICK ST
MECHANICSBURG PA 17055
ESTATE OF
HALSEY
TAX RETURN WAS: (X) ACCEPTED AS FILED
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
NOTE:
If an assessment was issued previously, lines
reflect figures that include the total of ALL
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
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
DATE
11-28-2005
+
NUMBER
CD006031
INTEREST/PEN PAID (-)
.00
(9)
UO)
CHANGED
U)
(2)
(3)
(4)
(5)
(6)
(7)
210,000.00
122,353.00
.00
.00
52,255.00
.00
122,146.00
(8)
REV-1547 EX AFP (06-05)
VIOLET
M
14,213.00
7.952.00
(11)
(2)
(3)
(4)
.00 X 00 =
474,589.00 X 045 =
.00 X 12 =
.00x15=
(9)=
AMOUNT PAID
21,357.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE 02-13-2006
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
506,754.00
22.165 00
484,589.00
10,000.00
474,589.00
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
(5)
(6)
U7>
(8)
.00
21,357.00
.00
.00
21,357.00
21,357.00
.00
.00
.00
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.)