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HomeMy WebLinkAbout08-07-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ri,-'i ".. .~- \. NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 07-31-2006 WERTZ 03-11-2006 21 06-0290 CUMBERLAND 101 APPEAL DATE: 09-29-2006 (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 +- REy:is47-Ex-AFP-ioj:osi-NOTICE-OF-INHERITANCE-TAX-APPRAIsEHENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DOROTHY A FILE NO. 21 06-0290 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BDX 280601 HARRISBURG PA 17128-0601 n i MICHAEL L BANGS 429 S 18TH ST CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17011 ESTATE OF WERTZ '* REV-1547 EX AFP (06-05) DOROTHY A TAX RETURN WAS: (X) ACCEPTED AS FILED DATE 07-31-2006 ) CHANGED 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 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 Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (9) (10) NOTE: (1) (2) (3) (4) (5) (6) (7) 135,000.00 23.089.81 .00 .00 64.031. 36 1.924.33 34,838.78 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 258,884.28 18.142 79 240,741. 49 .00 240,741.49 I~ an assessment was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. 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 15,237.99 2.904.80 (11) (12) (13) (14) .00 240,741.49 .00 .00 X 00 = X 045 = X 12 = X 15 = (19)= .00 10,833.37 .00 .00 10,833.37 TAX CREDITS: . ~. n_n . I'(CI.C.Lrl (+J AI10UNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-06-2006 CD006793 541. 67 10,291.70 TOTAL TAX CREDIT 10,833.37 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. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE U~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)