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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
03-27-2006
WILSON
08-31-2005
21 05-0867
CUMBERLAND
101
APPEAL DATE: 05-26-2006
(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
~~!_~k9~~_!~~~_~~~~______~___~!!~!~_~9~!~_~9~!!9~_~9~_r9~~_~!~9~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ROBERT M FILE NO. 21 05-0867 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
RONALD E JOHNSON ESQ
ANDREWS 8 JOHNSON
78 W POMFRET ST
CARLISLE
PA 17013
ESTATE OF
WILSON
REV-1547 EX AFP (06-05)
ROBERT
M
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 03-27-2006
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. 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
118,000.00
.00
.00
.00
5,647.28
5,829.26
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage 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
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ALL
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:
DATE
01-31-2006
NUHBER
CD006262
+
INTEREST/PEN PAID (-)
.00
(9)
(10)
21,462.74
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
129,476.54
21.728 32
107,748.22
.00
107,748.22
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00
4,848.67
.00
.00
4,848.67
4,848.67
.00
.00
.00
265.58
(11)
(12)
(13)
(14)
.00 X 00 =
107,748.22 X 045 =
.00 X 12 =
.00 X 15 =
(19)=
AHOUNT PAID
4,848.67
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIP' (CR), YOU HAY BE 0
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)