HomeMy WebLinkAbout04-19-85
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DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
P.O. BOX 8327 f' RECORD AD\JUSTMENT
HARRISBURG, PA 17105 DATE
ESTATE OF MISIASZEK HELEN FILE NO. 21 78-0432
DATE OF DEATH 07-06-78 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE OIECKS PAYABLE TO -REGISTER OF
WILLS, AGENT.II
INHERITANCE TAX
ASSESSMENT
CONTROL NO.
101
GEORGE F DOUGLAS JR
27 W HIGH ST
PO BOX 261
CARLISLE PA 17013
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
Amount Remitted to Reoister of Wills
CUT ALONG THIS LINE -- RETAIN LOWER PORTION FOR YOUR RECORDS --c
----------------------------------------------------------------------.
REV. 1593EX (11-84)
**INHERITANCETAX RECORD ~STMENT**
ESTATE OF HIS IASZEI<
HELEN
FILE NO.21 78-0432
ACN 101
DATE 04-10-85
ADJUSTMENT BASED ON:
ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivlble (Schedule D)
5. Cash/Bank Deposits/Mise. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Tr.,sfers (Schedule G)
8. Total Assets
( 1 )
( 2)
( 3)
( 4)
( 5)
( 6)
( 7)
.00
.00
.00
.00
16,500.00
.00
.00
( 8)
16,500.00
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/Miscellaneous
Expenses (Schedule H)
1 O. Debts/Mortgage Liabilities/Liens (Schedule I
11. Total Deductions
12. Net Value of Tax Return
1 3. Charitable/Governmental Bequests (Schedule J)
1 4. Net Value Q f Estate Sub ject to Tax
( 9)
(1 Q)
5,212.45
.00
(11 )
( 12)
(13)
(14)
5,212.45
11,287.55
.00
11,287.55
TAX:
15. Amount of line 1 4 taxable at 6% rate
16. Amount of line 14 taxable at 15% rate
1 7. Principal Tax Due
TAX CREDITS:
( 15)
( 16)
11,287.55
.00
X.06=
X. 15=
(17)
677.25
.00
677.25
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE # INTEREST (-)
I 10-31-84 087561 226.03- 1,689.75
TOT AL TAX CREDIT 1 _4F\~.7?
BALANCE OF TAX DUE 786.47CR
INTEREST .00
* IF PAID AFTER DATE INDICATED SEE REVERSE FOR CALCULATION TOTAL DUE 786.47CR
OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR). NO PAYMENT IS REQUIRED)
REV- 1470 EX (5-84) ,
COM MON)NEALT.A-f OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION ., '.
P. O. BOX 8327 ,
HARRISBURG, PA 17105
INHERITANCE TAX
EXPLANATION OF CHANGES
DECEDENTS NAME
FilE NO.
ACN
ITEM
'SCHEDULE NO.
EXPLANATION OF CHANGES
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TAX EXAMINER:
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