HomeMy WebLinkAbout10-02-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
~~M'I!~C~j;.~E OR DISALLOWANCE
f, ":~~':I)~-q~~.~ 'ASSESSHENT OF TAX
'*
09-25-2006
WEBER
04-29-2006
21 06-0607
CUMBERLAND
101
APPEAL DATE: 11-24-2006
( See reverse side under Objections)
Amount RBi tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
~~!_~~9~_!~J!_~J~~______~___!!!~!~_~g!!!_~g!!!g~_~g!_!g~!_!!gg!~~--~--------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FLORENCE H FILE NO. 21 06-0607 ACN 101
JlATE
2005 OCT -2 Pl'112: 3hTATE OF
DATE OF DEATH
C! FRr( OF FILE NUMBER
r,nn~_,~,7.\]"c; ('.("'11 I::!T COUNTY
Unr, J! '. ' '.J ,y"),~,, I
!~"-'l Pt\ ACN
'.) \.,.J,. . I
I~ an assessaent was issued previouslY, lines 14, 15 and/or 16, 17, 18 and
reflect ~igures that include the total o~ !bb returns assessed to date.
ASSESSMENT OF TAX:
IS. AIIount of Une 14 at Spousal rate (1S)
16. ~t of Line 14 t.xable at Line.l/Class A rate (16)
17. Amount of Line 14 et Sibling rate (17)
18. AMOunt of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Zl10601
HARRISBURG PA 171Z11-0601
'1".,<,; ....);
CLYDE R BOMGARDNER
10 S MAIN ST
PO BOX 166
MIFFLlNTOWN
PA 17059
ESTATE OF WEBER
TAX RETURN WAS: (X) ACCEPTED AS FILED
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. Hortgages/Notes Receivable (Schedule D)
S. 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 Expenses/Ad.. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Tot.l Deductions
12. Net Value of Tax Return
13. Charitable/Gove~tal Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
NOTE:
DATE
NUttBER
INTEREST/PEN PAID (-)
. IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
REV-1S47 EX AFP (06-0S)
FLORENCE
H
DATE 09-25-2006
( ) CHANGED
(1)
(2)
(3)
(4)
(S)
(6)
(7)
.00
.00
.00
.00
4.000.00
.00
.00
(8)
41000.00
NOTE: To insure proper
credi t to your account I
subIIit the upper portion
of this for. with your
tax peyeent.
(9)
(1 OJ
625.00
3.861.13
(Schedule .n
(11)
(12)
(13)
(14)
4.486 1~
486.13-
.00
486.13-
19 will
.00 X
.00 X
.00 X
.00 X
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(19)=
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $11 NO PAvttENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIr' (CR)I YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)