HomeMy WebLinkAbout11-14-06
11-13-2006
GREEN
01-09-2005
21 06-0865
CUMBERLAND
101
APPEAL DATE: 01-12-2007
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
~Y!_~~9~~_!~J!_~J~~______~_ _!!!!!~-~g~!!_~g!!!9~_f9!_!9~!_!!~g!~~__~____________________
REV-1547 EX AFP (03-05) NOTI E OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISAL OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
R ZELLA M FILE NO. 21 06-0865 ACN 101
I~ an asses..ent 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. A.ount of Line 14 at Spousa
16. AIIount of Line 14 taxable a
17. A.ount of Line 14 at Siblin
18. AIIount of Line 14 taxable a
19. Principal Tax Due
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~;=r' ''\r''''''-rHorJ;C~,pF" ;l:NHERITANCE TAX
! ....A~Ui[sE~~t01~ iiAU~8WANCE OR DISALLOWANCE
~;, (-~CJFiDE~ION~ .,MD ASSESSMENT OF TAX
~.." h' "".' I . ,.' , ......../. ' : ' '.
006 NOV r 4 PM I: 12
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
STEPHEN 0 FUGETT
240 S 18TH ST
CAMP HILL
CLERK OF
ORPH,LI,N'S COURT
Li' ''-'''' ("I "
!' , "., I., 'n' n (~'fl p,'t!
j \ - '" . L.,' '., . ....., " ,_' .,~.. . ; t \
PA 1
ESTATE OF GREEN
( ) CHANGED
RN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTUR INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BA ED ON: ORIGINAL RETURN
1. R..l Estata (Schedule A)
2. Stocks and Bonds (Sch8dule B)
3. Closely Held Stock/Partner ip Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Hisc. P rsonal Property (Schedule E)
6. Jointly Owned Property (Sc dule F)
7. Transfers (Schedule G)
8. Total Assets
U)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
568.48
.00
.00
(8)
APPROVED DEDUCTIONS AND EX EM TIONS:
9. F&.neral Expenses/ AdII. Costs Hisc. Expenses (Schedule H)
10. DebtslHortgage Liabilities/ iens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. CharitablelGoYe~tal quests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subj t to Tax
(9)
UO)
61764.00
.00
(11)
(12)
(3)
(4)
NOTE:
rate
Lineal/Class A rate
rate
Collateral/Class B rate
.00 X
.00 X
.00 X
.00 X
US)
(6)
(7)
(8)
.
.
DATE
AMOUNT PAID
NUMBER
INTEREST/PEN PAID (-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
· IF PAID AFTER DATE INDICATED I SE~ REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.
REV-1547 EX AFP (06-05)
ROZELLA
M
DATE 11-13-2006
NOTE: To insure proper
credi t to your eccount I
subIIU the upper portion
of this form with your
tax payment.
568.48
&.7&ti 00
61195.52-
.00
61195.52-
19 will
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(19)=
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A nCREDI~' (CR)I YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)