HomeMy WebLinkAbout03-10-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
("'C:~AJ;~EHENT, ALLOWANCE OR DISALLOWANCE
..,! "-()fDEDUCTIONS AND ASSESSHENT OF TAX
I.; '.
03-13-2006
THEAL SR
11-25-2005
21 05-1062
CUMBERLAND
101
APPEAL DATE: 05-12-2006
( 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 +--
iEV:is4;-Ei-AFP-coi:osi-NOTicE-OF-iNHEiiTANCE-TAX-APpiAisEMENT:-ALLOWANCE-oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CHARLES T FILE NO. 21 05-1062 ACN 101
BUREAU OF INDIVIDUAL TAXES-r ", - -,-'"
INHERITANCE TAX DIVISION
PO BOX Z8060l
HARRISBURG PA 171Z8-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2006 MAR lOAM II: 35
CLERK OF
~BPHII!\l'" f'OU.'R' T
JOHN D KILLIA" '.~Rr:~n}:;:"0(~,11 tD!
KILLIAN & GEP T"'" ',' '" - i,',' ,A
218 PINE ST
HBG
PA 17101
ESTATE OF THEAL SR
*'
REV-1547 EX AFP (06-05)
CHARLES
T
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 03-13-2006
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks 8nd Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GovernBental Bequests; Non-elected 9113 Trusts
14. Net Value of Estata Subject to Tax
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
10.333.00
.00
.00
'(8)
NOTE: To insure proper
credit to your account,
sublli t the upper portion
of this fOri! with your
tax paYllent.
10,333.00
B.?4n nn
2,906.00-
.00
2,906.00-
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~ abb returns assessed to date.
ASSESSMENT OF TAX:
15. A.ount of Line 14 at Spousal rate (15) . 00 X 00 = . 00
16. Allount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 = .00
17. A.ount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. A~nt of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
C ITS:
DATE
+
INTEREST/PEN PAID (-)
NUHBER
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(9)
(10)
2,235.00
11.005.00
(11)
(12)
(13)
(14)
.00
.00
.00
.00
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUEe
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
----- - -,--
(Schedule J)
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE