HomeMy WebLinkAbout08-28-06
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
('~:::::' 1'\ C ,"',~
U , "...iLNOTICE OF INHERITANCE TAX
APP~J~EttENT, ALLOWANCE OR DISALLOWANCE
. 'OF DEDUcTIONS AND ASSESSHENT OF TAX
08-28-2006
HOLLENBAUGH
04-18-2006
21 06-0367
CUMBERLAND
101
APPEAL DATE: 10-27-2006
( See reverse side under Objections)
~ount R-.ittedl 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 +-
iiv:is47-ix-AFP-io3:0si-NOYiCi-OF-iNHiiiYANCi-YAX-APpiAiiiMiNY:-ALLOWANCi-oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ANNA K FILE NO. 21 06-0367 ACN 101
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/ AdII. Costs/Hisc. Expenses (Schedule H)
10. DebtslHortgage Li~ilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Cherit~le/80ve~tel Bequests; Non-elected 9113 Trusts (Schedule J)
1.... Net Value of Estate Subject to Tax
I~ an asses..ent was issued preViously, lines 14, 15 and/or 16, 17, 18 and
r~lect ~igures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX::I
15. A~t of Line 1... et Spousal rate (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. A~t of Line 1... at Sibling rate (17)
18. A.ount of Line 1... taxable et Collateral/Class B rate (18)
19. Principal Tax Due
20aG
~~.'.' or
!t.. D
r.
('ry:
.j. I .
WILLIAM A ADDAMS
27 W HIGH ST
CARLISLE
PA 17013
ESTATE OF HOLLENBAUGH
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 end Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
.... Mortgages/Notes Receivable (Schedule D)
5. CeshlBenk Deposits/Hisc. Personal Property (Schedule E)
6. Jointly OWned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
NOTE:
DATE
07-13-2006
NWlBER
CD006964
INTEREST/PEN PAID (-)
40.41
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
( ) CHANGED
(1)
(2)
(3)
(...)
(5)
(6)
(7)
.00
.00
.00
.00
30.636.02
.00
.00
(8)
I
*'
REV-1547 EX AFP (06-05)
ANNA
K
(9)
(10)
12,676.96
DATE 08-28-2006
NOTE: To insure proper
credit to your account,
sub.it the upper portion
of this fo... with your
tax payeent.
30,636.02
12.t;7~ 96
17,959.06
.00
17,959.06
19 will
.00
808.16
.00
.00
808.16
808.57
.41CR
.00
.41CR
( IF TOTAL DUE IS LESS THAN $I, NO PA YHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
00
(11)
(12)
(13)
(1...)
.00 X
17,959.06 X
.00 X
.00 X
00 =
045 =
12 =
15 =
(19)=
AttOUNT PAID
768.16
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE