HomeMy WebLinkAbout10-13-06
10-09-2006
BRION
03-13-2006
21 06-0272
CUMBERLAND
101
APPEAL DATE: 12-08-2006
( See reverse side under Objections)
Amount 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 +-
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ETHEL M FILE NO. 21 06-0272 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z806Dl
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Rrcc;q[:)~~~!(9E rINHERITANCE TAX
Ai'pkAISE"~'F "."LLOWANCE OR DISALLOWANCE
l"':Of JJEDuc:rfONS AND ASSESSMENT OF TAX
7"nr """T I ')
.Uuo l!IJ I J
Mi II: I (bATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
D(l, COUNTY
ACN
r'l 1::[:"/ ('r
....JL.t_\ \1 \ \~.' \
ROBERT C SAlOIS
SAlOIS ETAL
2109 MARKET ST
CAMP HILL
ESQ
PA 17011
ESTATE OF
BRION
.
REV-1547 EX AFP (06-05)
ETHEL
M
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 10-09-2006
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Proparty (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
12.798.37
.00
10,262.14
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
688.20
80.48
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
23,060.51
768 68
22,291.83
.00
22,291.83
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
NOTE: I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
.00 X 00 =
22,291.83 X 045 =
.00 X 12 =
.00XI5=
(19)=
.00
1,003.13
.00
.00
1,003.13
TAX CREDITS:
, .., n.... , no ......, (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-18-2006 CDOO7128 .00 1,003.13
TOTAL TAX CREDIT 1,003.13
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ct
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)