HomeMy WebLinkAbout07-28-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
',C " (P~i.('c,.6hcE OF INHERITANCE TAX
(~,r',c;, fi-AfI.pR41$e"ENT ~ ALLOWANCE OR DISALLOWANCE
;OFQIDUCTIONS AND ASSESSMENT OF TAX
07-24-2006
FULTZ
08-20-2005
21 06-0182
CUMBERLAND
101
APPEAL DATE: 09-22-2006
( See reverse side under Objections)
~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 +-
iEV:is4'-Ei-AFP-io3:0si-NOTicE-OF-iNHEiiTANCE-TAX-A,piAiiEMENT:-ALLOWANCE-oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LARRY E FILE NO. 21 06-0182 ACN 101
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
, ". ')-1
,ili \. '-
~,
,.
STANLEY LASKOWSKI
CALDWELL KEARNS
3631 N FRONT 5T
HBG
ES.rt
PA 17110
ESTATE OF FULTZ
.
/
REV-1547 EX AFP (06-05)
LARRY
E
DATE 07-24-2006
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~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. A~t of Line 14 at Spousal rata (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. AROunt of Line 14 et Sibling rate (17)
18. AMount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX RETURN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estata (Schedule A)
2. Stocks .mI Bonds (Schedula B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. HortgageslNotes Receivable (Schedule D)
5. CashlBank DepositslHisc. Personal Property (Schedule E)
6. JOintly Owned Property (Schedule F)
7. Tr8nsfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/AdII. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Gover~tal Bequestsi Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
NOTE:
DATE
05-19-2006
INTEREST/PEN PAID (-)
.00
NUHBER
CD006722
( ) CHANGED
(1)
(2)
(3)
('I)
(5)
(6)
(7)
.00
.00
.00
.00
66.885.37
.00
.00
(8)
NOTE: To insure proper
credit to your account~
subIli t the upper portion
of this fora with your
tax pay...nt.
66~885.37
1'.'13 00
54~672.37
.00
54~672.37
00 =
045 =
12 =
15 =
.00
1~230.13
.00
.00
1~230.13
(9)
(10)
12~213.00
(19)=
1~230.13
.00
.00
.00
. IF PAID AFTER DATE INDICATED~ SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1~ NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIP' (CR) ~ YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(Schedule J)
.00
(11)
(12)
(13)
(14)
27 ~ 336.18 X
27 ~ 336 . 19 X
.00 X
.00 X
AMOUNT PAID
1~230.13
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE