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HomeMy WebLinkAbout06-15-07 COMMONWEALTH 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 HOUGH MABEL K 324 W. ALLEN STREET MECHANICSBURG, PA 17055 ____un fold ESTATE INFORMATION: SSN: 159-24-9225 FILE NUMBER: 2106-0088 DECEDENT NAME: KALEY MIRIAM D DA TE OF PAYMENT: 06/15/2007 POSTMARK DATE: 06/15/2007 COUNTY: CUMBERLAND DA TE OF DEATH: 01/11/2006 NO. CD 008295 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $166.34 I I I I I I I I TOTAL AMOUNT PAID: $166.34 REMARKS: RECEIPT TO ATTORNEY CHECK# 203 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) R~C~IV~D I=ROM: PENNSYLVANIA INHj;RITANC~ AND ~STAT~ TAX OFFICIAL RECEIPT HOUGH MABEL K 324 W. ALLEN STREET MECHANICSBURG, PA 17055 --_..--- fold ESTATE INFORMATION: SSN: 159-24-9225 FILE NUMBER: 2106-0088 DECEDENT NAME: KALEY MIRIAM D DA TE OF PAYMENT: 06/15/2007 POSTMARK DATE: 06/15/2007 COUNTY: CUMBERLAND DA TE OF DEATH: 01/11/2006 NO. CD 008293 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $166.00 I I I I I I I I TOTAL AMOUNT PAID: $166.00 REMARKS: RECEIPT TO ATTORNEY CHECK# 203 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (06-05) DATE 03-19-2007 ESTATE OF KALEY MIRIAM D DATE OF DEATH 01-11-2006 FILE NUMBER 21 06-0088 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 05-18-2007 ( See reverse side under Objections) Amount Remittedl 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-co3:os5-NOTICE-OF-INHERITANCE-TAX.APPRAISEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KALEY MIRIAM D FILE NO. 21 06-0088 ACN 101 DATE 03-19-2007 MURREL R WALTERS III ESQ 54 E MAIN ST MECHANICSBURG PA 17055 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) Cl) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 90,466.05 .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) 90,466.05 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) ClO) 6,478.20 If an assessment was issued previouslY, lines reflect figures that include the total of Ahh 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 I-I 720.9r=-O Cl-rj;::2 ~.19~. 11..' , -'T- ( ~I "0"""2' 2 L-'6 94 Cl2)~:~ 1NJ, Q . (13) c_ '-n r ,e, l ..00 Cl4) ....... /, 83, 2~6. 94 )';~,~ 2 ."'. 14, 15 and/or 16,r,t" 18 lfn"d 19 will returns assessed tcr:~ate.~? NOTE: .00 f'.) X 00 = .00 .00 X 045 = .00 83,266.94 X 12 = 9,992.03 .00 X 15 = .00 Cl9)= 9,992.03 Cl5) Cl6) Cl7) Cl8) 19. Principal Tax Due TAX CREDITS. . PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-05-2007 CD007644 .00 9,992.03 BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-06-2007 TOTAL TAX CREDIT 9,992.03 BALANCE OF TAX DUE .00 INTEREST AND PEN. 166.34 TOTAL DUE 166.34 * 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