HomeMy WebLinkAbout11-14-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
;-:-1:::rr"'"Qi,r:.:n (Y::;:'::'''''~ ('::NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES '~hj, ,V.J \..,J A~n$EHENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION :~' - -= rt "'OF 1)EDUCTIONS AND ASSESSHENT OF TAX
PO BOX 280601 " , ~ ~ ,
HARRISBURG PA 17128-0601
11-13-2006
BUSHVAGER
07-01-2006
21 06-0856
CUMBERLAND
101
APPEAL DATE: 01-12-2007
( See reverse side under Objections)
A.ount 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-1547 EX AFP (03-05) NOTI E OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISAL OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
G NEVI EVE M FILE NO. 21 06-0856 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
2006 NOV I 4 PM I: I 2
CLERI OF
ORPHCiN' \ COURT
f'Ll~ ,(p;~r)' t.; !r, ("'n m
DAVID W DELUCIY I ': :.,,~ ,c./', :,' ',/,. r,"\
JOHNSON ETAL
PO BOX 109
LEMOYNE
ESTATE OF BUSHYAGER
RN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTUR INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BA ED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks .-KI Bonds (Schedule )
3. Closely 'Held Stock/Partners ip Interest (Schedule C)
4. HortgageslNotes Receivable (Schedule D)
S. Cash/Bank DepositsIHisc. Pe sonel Property (Schedule E)
6. Jointly Owned Property (Sc ule F)
7. Transfers (Schedule G)
8. Total Assets
( ) CHANGED
(1)
(2)
(3)
(4)
(S)
(6)
(7)
.00
.00
.00
.00
.00
.00
587.446.17
(8)
APPROVED DEDUCTIONS AND EXEM TIONS:
9. Funeral Expanses/AdD. Cost isc. Expanses (Schlldul. H)
10. DabtslHortgaga Liabilities/ iens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GoYe~tal aquests; Non-elected 9113 Trusts (Schlldule J)
14. Net Value of Estate Sub ct to Tax
I~ an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
r~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. AIIount of Line 14 at Spou I rate (1S)
16. A~t of Line 14 taxable t Lineal/Class A rate (16)
17. AIIount of Line 14 at Sibll grate (17)
18. AIIount of Line 14 taxable t Col1ateral1,Class Brat. (18)
19. Principal Tax Due
NOTE:
+
INTEREST/PEN PAID (-)
1,257.15
DATE
09-27-2006
NUHBER
CD007265
14,800.98
13.912.25
(11)
(12)
(13)
(14)
(9)
(10)
.00 X
558,732.94 X
.00 X
.00 X
00 =
045 =
12 =
15 =
'*
REV-1S47 EX AFP (06-05)
GENEVIEVE M
DATE 11-13-2006
NOTE: To insure proper
cradi t to your eccount,
s~it the upper portion
of this for. with your
tax paYll8l1t.
587,446.17
28.71~ ?~
558,732.94
.00
558,732.94
(19)=
.00
25,142.98
.00
.00
25,142.98
AHOUNT PAID
23,885.83
TOTAL TAX CREDIT
BALANCE OF TAX QUE
INTEREST AND PEN.
TOTAL DUE
25,142.98
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INWEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A nCREDI~' (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)