HomeMy WebLinkAbout07-17-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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H-(:()"iJ: : !,-,tT,'j:: NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES - .. '~P"RAISEIiENT 1 ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION " ,I Of 1 DEDUCTIONS AND ASSESSMENT OF TAX
PO lOX Z8060l
HARRISBURG PA l7lZS-060l
07-10-2006
MOSES
01-10-2005
21 05-1047
CUMBERLAND
101
APPEAL DATE: 09-08-2006
( See reverse side under Objections)
A.ount R.itted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS .....
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HELEN C FILE NO. 21 05-1047 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2G% JUt. I 7
"" ~..l II' ') 8
U,l'i I " .J
R MARK THOMAS
101 S MARKET ST
MECHANICS BURG
PA 17055
ESTATE OF MOSES
*'
REV-1547 EX AFP (06-05)
HELEN
C
TAX RETURN WAS: (X) ACCEPTED AS FILED
DATE 07-10-2006
( ) CHANGED
If an asses..ent was issued previously, lines 14, 15 and/or 16, 17, 18 and
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15 . AIIount of Line 14 at Spousal rate liS)
16. AIIount of Line 14 taxable at Lineal/Class A rate (16)
17. AIIount of Line 14 at Sibling rate (17)
18. ~ount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. MortgageslNote. Recalvable (Schedule D)
S. CashlBank Deposits/Misc. Personal Property (Schedule E)
6. JOintly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Sove~tal Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
NOTE:
DATE
NUMBER
INTEREST/PEN PAID (-)
(1)
(2)
(3)
(4)
(S)
(6)
(7)
31076.00
.00
.00
.00
150.00
125.760.00
.00
(8)
NOTE: To insure proper
cradi t to your account 1
~it the upper portion
of this for. with your
tax payaent.
1281986.00
A 071 DO
1201915.00
.00
1201915.00
19 will
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(9)
(10)
81071. 00
.00
(11)
(12)
(13)
(14)
{l9l=
.00
.00
.00 ~'
.00 V
. IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (eR) 1 YOU I1AY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
(Schedule .J)
1201915.00 X
.00 X
.00 X
.00 X
AttOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE