HomeMy WebLinkAbout11-13-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FLOWER THOMAS E
2109 MARKET ST
CAMP HILL, PA 17011
n__u__ fold
ESTATE INFORMATION: SSN: 1 94-28-8403
FILE NUMBER: 2106-0752
DECEDENT NAME: GOENS EV ALlNE
DATE OF PAYMENT: 11/13/2007
POSTMARK DATE: 11/09/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 11/03/2003
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
REMARKS: CHECK SIGNED BY THOMAS FLOWER
RECEIPT MAILED TO TOM FLOWER
CHECK# 5089
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 008957
AMOUNT
$29.58
$29.58
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTIC~ OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
'.J' t,l
::-bA:TE
ESTATE OF
DATE OF DEATH
!tILE NUMBER
COUNTY
ACN
11-05-2007
GOENS
11-03-2003
21 06-0752
CUMBERLAND
101
APPEAL DATE: 01-04-2008
( See reverse side under Objections)
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2806Dl
HARRISBURG PA 17128-0601
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THOMAS E FLOWER
SAIDIS ETAL
2109 MARKET ST
CAMP HILL
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PA 17011
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REV-1547 EX AFP <06-05)
EVALINE
K
I
PAYMENT TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------------------------------------
REV~1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GOENS EVALINE K FILE NO. 21 06-0752 ACN 101 DATE 11-05-2007
T AX RETURN WAS: (X) ACCEPTED AS F I LED
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
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10.
II.
12.
13.
14.
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
( ) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(9)
ClO)
67,500.00
.00
.00
.00
.00
.00
.00
(8)
17,841.75
987.04
Cl1)
Cl2)
Cl3)
Cl4)
Net Value of Estate Subject to Tax
Charitable/Governmental Bequests; .Non-elected 9113 Trusts (Schedule J)
If an assessment was issued previously, lines 14, 15 and/or 16. 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal ra~e
16. Amount of Line 14 taxable at Lineal/Class A rate
NOTE:
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
08-29-2007
RECEIPT
NUMBER
CD008609
DISCOUNT (+)
INTEREST/PEN PAID (-)
385.17-
Cl5)
Cl6)
Cl7)
Cl8)
.00 X
48,671.21 X
.00 X
.00 X
AMOUNT PAID
2,575.37
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-30-2007 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
67,500.00
18.8?8 79
48,671.21
.00
48,671.21
00 =
045 =
12 =
15 =
.00
2,190.20
.00
.00
2,190.20
Cl9)=
2,190.20
.00
29.58
29.58
* 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
JOHN E. SLIKE
ROBERT C. SAlOIS
JAMES D. FLOWER,JR
CAROLJ. LINDSAY
JOHN B. LAMPI
MICHAEL L. SOLOMON
GEORGE F DOUGLAS, III
DEAN E. REYNOSA
THOMAS E. FLOWER
MARYLOU MATAS
SUZANNE C. HIXENBAUGH
SAlOIS, FLo~m~~~~~ LINDSAY
A PROFESSIONAL COR .'ORATION
2109 MARKET ST EET
CAMP HILL, PENNSYL V~NIA 17011
TELEPHONE: (717) 737-3405 - FACSI.tILE: (717) 737-3407
EMAIL: attorney@sfl-1a.v.com
www.sfl-Iaw.com
CARLISLE OFFICE:
26 WEST HIGH STREET
CARLISLE, P A 17013
TELEPHONE: (717)243-6222
FACSIMILE: (717)243-6486
REPLY TO CAMP HILL
November 9, 2007
\
Office of the Register of Wills
Cumberland County Courthouse
One Counhouse Square
Carlisle, PA 17013
\
-~
I
Re:
Estate of Evaline Goens
File No. 21-06-0752
Dear Sir or Madam:
Enclosed is a $29.58 check in payment of the bala' ce of interest and penalty.
Please contact me if you have any questions rega-
Very truly.
TEF:slp
Enclosures