HomeMy WebLinkAbout09-12-07
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
FREY ROBERT M
5 S HANOVER STREET
CARLISLE, PA 17013
-------.. fold
ESTATE INFORMATION: SSN: 191-18-3865
FILE NUMBER: 2107-0124
DECEDENT NAME: MIXELL KATHLEEN C
DATE OF PAYMENT: 09/1 2/2007
POSTMARK DATE: 09/1 2/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 02/01/2007
NO. CD 008669
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $175.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$175.00
REMARKS: RECEIPT TO ATTORNEY
CHECK# 7745
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH .
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CO~MONWEALTH 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 09-11-2007
ESTATE OF MIXELL KATHLEEN C
DATE OF DEATH 02-01-2007
FILE NUMBER 21 07-0124
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-10-2007
( 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-C03:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MIXELL KATHLEEN C FILE NO. 21 07-0124 ACN 101 DATE 09-11-2007
ROBERT M FREY
FREY & TILEY
5 S HANOVER ST
CARLISLE
PA 17013
TAX RETURN WAS: ( ) ACCEPTED AS FILED
( X) CHANGED
SEE ATTACHED NOTICE
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
r-->
120,000.00(") NOTE: Tansure prt9per
278,496.0a;;oredit t'a" yoUrAcc~unt.
o 0'::; ~ubmit ~ uP~~~ j)o;rtion
. -l60his'-brm with 'ylour
. OOLj~ paYlII&Qt. '
171 ,661 . 0 0 (~?~ s2 N --)
1,376.00 ,:3~ -0
15,528.00 --
_J~
(8) ::::::t
.:lJ
~.
581.?, 061.001:,
&:'"
\.D
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)
CIO)
33,989.00
1.229.00
CI1)
CI2)
CI3)
(14)
~"i.;18.00
551,843.00
.00
551,843.00
NOTE: If an assessment was issued preViously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of Ab.6. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate CIS) .00 X 00 .00
16. Amount of Line 14 taxable at Lineal/Class A rate CI6) 551,843.00 X 045 = 24,832.00
17. Amount of Line 14 at Sibling rate CI7) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate CI8) .00 X 15 = .00
19. Principal Tax Due CI9)= 24,832.00
TAX CREDITS:
PAyMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-06-2007 CD008252 .00 24,657.00
PAYMENT MUST BE MADE BY 11-01-2007*. TOTAL TAX CREDIT 24,657.00
BALANCE OF TAX DUE 175.00
INTEREST AND PEN. .00
TOTAL DUE 175.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
~OR 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
- ---..... ~~~ ~~.......... ..Tnr nr T....T<:: ~ORM ~OR INSTRUCTIONS.)
REV-1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
Kathleen C Mixell
FILE NUMBER
REVIEWED BY
Deborah Washington
ACN
2107 -0124
101
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
2 to 4 The deduction claimed for reimbursement has been disallowed. No evidence of a written
contract of indebtedness between decedent and claimant was submitted.
ORIGINAL
Page 1