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HomeMy WebLinkAbout06-02-06 05-29-2006 FOUST 09-21-2005 21 05-0901 CUMBERLAND 101 APPEAL DATE: 07-28-2006 ( 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 +-- REv:is47-Ex-AFp-coj:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LOVAL I FILE NO. 21 05-0901 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '-.'\f- rNDTICE OF INHERITANCE TAX APPRAI:?EI1ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX f")....o ~ -' ! DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN STEPHEN L BLOOM~E~Q 2100 LONGS GAP RD CARLISLE PA 17013 ESTATE OF FOUST REV-1547 EX AFP (06-05) LOYAL I TAX RETURN WAS: (X) ACCEPTED AS FILED DATE 05-29-2006 ) 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. 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) 98,000.00 .00 .00 .00 1,000.00 12,376.72 .00 (8) 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 (9) (10) 12,508.67 389.42 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 111,376.72 (11) (12) (13) (14) 12.898.09 98,478.63 .00 98,478.63 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 1&, 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 98,478.63 X 045 = 4,431.54 .00 X 12 = .00 .00 X 15 = .00 (19)= 4,431.54 ".." / NUMBER {+) AMOUNT PAID DATE INTEREST/PEN PAID (-) 12-21-2005 j CD006134 221. 58 4,349.00 TOTAL TAX CREDIT 4,570.58 BALANCE OF TAX DUE 139.04CR INTEREST AND PEN. .00 TOTAL DUE 139.04CR * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ,:~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU~'), A REFUND. SEE REVERSF STnF nF TIHc::. ~nD" ~nD T~I<'TD""TTn..'" , .