HomeMy WebLinkAbout04-18-07
CO_l,MONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MOYER THOMAS 0
2 WILLOW MILL PARK ROAD
MECHANICSBURG, PA 17050
n_+_n_ fold
ESTATE INFORMATION: SSN: 188-32-5112
FILE NUMBER: 2105-1116
DECEDENT NAME: MOYER RAYMOND R
DATE OF PAYMENT: 04/18/2007
POSTMARK DATE: 04/18/2007
COUNTY: CUMBERLAND
DA TE OF DEATH: 12/20/2005
NO. CD 008049
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $174.10
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$174.10
REMARKS:
CH ECK# 3074
INITIALS: JA
RECEIVED BY:
SEAL
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
__NQTIGEOF INHERITANCE TAX
-:APPRAISEMENt, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
'*
,"" -- ,~......
REV-1547 EX AFP (06-05)
DATE 04-09-2007
ESTATE OF MOYER RAYMOND R
DATE OF DEATH 12-20-2005
FILE NUMBER 21 05-1116
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-08-2007
( See reverse side under Objections)
A.ount Re.ittedl 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-C03:0Sj-NOTicE-OF-iNHERiTANCE-TAX-APPRAiSEHENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MOYER RAYMOND R FILE NO. 21 05-1116 ACN 101 DATE 04-09-2007
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ORfJl:
MURREL R WALTERS I I tl !~, ,-
54 E MAIN ST 1,,_,:'L'._
MECHANICSBURG PA 17055
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T AX RETURN WAS: (X) ACCEPTED AS F I LED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
Stocks and Bonds (Schedule B)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
155,250.00
.00
.00
.00
19,676.77
.00
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
1. Real Estate (Schedule A)
2.
3.
4.
5.
6.
7.
8.
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
(8)
174,926.77
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
(9)
(10)
9,779.00
700.00
(11 )
(12)
(13)
(14)
10.479.00
164,447.77
.00
164,447.77
13.
14.
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
(15) .00 X 00 .00
(16) 164,447.77 X 045 = 7,400.15
(17) .00 X 12 = .00
(18) .00 X 15 = .00
(19)= 7,400.15
TAX CREDITS:
PAyMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-18-2007 CD007713 .00 7,400.15
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-19-2007 TOTAL TAX CREDIT 7,400.15
BALANCE OF TAX DUE .00
INTEREST AND PEN. 174.10
TOTAL DUE 174.10
* 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 DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)