HomeMy WebLinkAbout11-27-06
11-27-2006
PATTERSON
06-28-2005
99 06-0241
NON-RESIDENT FL
101
APPEAL DATE: 01-26-2007
( See reverse side finder Objections)
Mount R_:l.tted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
PA DEPARTMENT OF REVENUE
P.O. BOX 280601
HARRISBURG, PA 17128-0601
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REV-537 EX AFP (03-05) NOTICE OF NONRESIDENT INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PATTERSON RITA C FILE NO. 99 06-0241 ACN 101
TAX COtIPUTATION ItETHOD ELECTED: (X) FLAT RATE () PROPORTIONATE
TAX RETURN WAS: ( ) ACCEPTED AS FILED (Xl CHAN8ED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R_l estate (Schedule A)
2. Stocks.... lands (Schedule 8)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. ItortgageslNotes Receivable (Schedule D)
i. CashlBank DepositsllUsc. Personal Property (Schedule E)
6. .Jointly ChIned Property (Schedule F)
7. Transfers (Schedule 8)
8. Totel Assets
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
, ~ "'f
IUIEAU OF INDIVIDUAL TAXES:-,~:::~:::' \Ji \ '..t!CE OF NONRESIDENT INHERITANCE
IllERITANCE TAX DIVISION \):.(:-. it,) \ ,: i6X APPRAISEMENT, ALLOWANCE OR
PO lOX Z8D6Dl I L........, .,. \ ' - . DISALLOWANCE OF DEDUCTIONS,
HARRISBURG PA 17121-0601 AND ASSESSMENT OF TAX
2006 NOV 27 Pi'~ I: 21 DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLERK OF
ORCUA \ ','0, rY)U.RT
II . lr'll \: :..) ~,..../',.
DECHERT IDAWN~~.il CO.. PA
CIRA CENTRE
2929 ARCH ST
PHILADELPHIA
PA 19104-2808
(1)
(2)
(3)
(4)
(i)
(6)
(7)
200,000.00
.00
.00
.00
.00
.00
.00
APPROVED DEDUCT!ONS AND EXEMPTIONS:
9. Funeral Expanses/A_. Costslttlsc. Expenses (sChedule H) (9)
10. DebtslHorte-ge Liabilities/Liens (Schedule I) (II)
11. Total Deductions
12. Net Ve1ue of Tax Retum
13. Charltable/80ve~tal Baquasts lSchedu1e J)
14. Net Velue of Estate Subject to Tax
.00
.00
O~ - ( I to <0
*'
REV-537 EX AFP (06-05)
RITA
C
DATE 11-27-2006
NOTE: To Insure proper
credit to your accountl
.--It the upper portion
of this fo~ with your
tax p~t.
(8)
2001000.00
(lU
(12)
(13)
(14)
.00
200.000.00
200.000.00
.00
NOTE:
!~ an a..e....nt was 1..ued pr.viously, lines 14, 15 and'or 16, 17, 18 and 19 will
refl.ct ~1gure. that include the total of ~ returns a......d to date.
ASSESSMENT OF TAX:
15. ~t of Line 14 et Spousal rate
16. ~t of Line 14 taxabl. at Llneal/Cla.. A rate
17. Mount of Une 14 at Sibling rate
18. Mount of Une 14 taxable at Collateral/Cla.s B rate
19. Pr nc~al Tax Due
(15) .00 X 00 =
(16) .00 X 045 =
(17) .00 X 12 =
(18) .00 X 15 =
(19)
AHOUNT PAID
DATE
NUltBER
INTEREST/PEN PAID (-)
.00
.00
.00
.00
.00
TOTAL TAX CRED!T .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. . 00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN tll NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR) 1 YOU tfAY BE DUE "'" l'-
A REFUND. SEE REVERSE SIDE OF THIS FORlt FOR INSTRUCTIONS.) "- 'oJ
. IF PAID AFTER DATE INDICATED 1 SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
JH OF PENNSYLVANIA
HERrrANCE TAX RETURN
NONRESIlENT DECEDENT
~TE OF
SCHEDULE A, PART 1
REAL ESTATE
IN PENNSYLVANIA
Patterson, Rita, C.
Part 1 must include all real property owned by the decedent individually or as a tenant in common with another party(ies). having its
situs in Pennsylvania. Property which is jointly-owned with right of survivorship should be disclosed on Schedule F. All real estate
must be reported at fair market value which is defined as the price at which property would be exchanged between a willing buyer and
a willina seller. neither beina compelled to buy or sell. both having reasonable knowledge of the relevant facts.
FILE NUMBER
9 q - Db - O;2<-t\
ITEM
NUMBER DESCRIPTION
1. Real property located at 455 Fairway Drive, Camp Hill,
East Pennsboro Township, Cumberland County,
Pennsylvania; Valued per appraisal of L. G. Connor
Real EState Appraiser Ltd. attached as Exhibit D.
VALUE AT DAlE OF DEATH
200,000
PART 1 TOTAL
$ 200,000.00
PART 2 TOTAL
Proportionate Method Only from reverse side $
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
200.000.00
STF PA42025F.5