HomeMy WebLinkAbout09-11-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 010255
ANDES SAMUEL L
525 NORTH 12TH STREET
LEMOYNE, PA 17043
fold
101
AMOUNT
528.33
TOTAL AMOUNT PAID: 528.33
REMARKS: I'~,
I~~
CHECK# 7038
INITIALS: CJ I'~,
SEAL RECEIVED BY: G I ENDA EARNER STRASBAUGH
R~GISTER OF WILLS
II
REGISTER OF WILLS
II
II
~! ACN
A SESSMENT
CONTROL
NUMBER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
h , Ir°~' ,~~ ~~ ~~' NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAX~E-S =% ~~~t ~ ~
INHERITANCE TAX DIVISION •AP.PRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 28D601 '"`~tiai .'r . j ,,,'~ ~ ~_ OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 17128-0601
ZOQ8 SEP i 1 AID I I ~ 28
CLERK 0~=
ORPI-~N'S ~'GE~RT pp
~ gyn.-,., ~t1
SAMUEL L AN r ` ~~' ~'1
PO BOX 168
LEMOYNE PA 17043
REV-1547 EX AFP (06-05)
DATE 08-25-2008
EST/~-TE OF GILL GEORGE M
DATA OF DEATH 07-13-2007
FILE NUMBER 21 07-0779
COUNTY CUMBERLAND
ACN ', 101
', APPEAL DATE: 10-24-2008
', (See reverse side under Objections)
Amount Remitted Z $ 3 3
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
',REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE PA 17
~ 013
T ALONG THIS LINE
________________________ ~ __RETAIN-LOWER-PORTION
F R YOUR RECORDS ~
REV-1547 EX AFP
-
C03-05) NOTICE OF INHERITANCE TAX
~ ---
API
RAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS ANA ASSESSMENT OF TAX
ESTATE OF GILL
-----------
OR
GEORGE M FILE N0. 21 070779
ACN 101
DATE 08-25-2008
TAX RETURN WAS: (X) ACCEPTED AS FIL~D C ) CHAN
GED
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) ~~ (1) 127,500.00 NOTE: To insure proper
(2) -~0 0
3. Closely Held Stock/Partnership Interest (Schedule C) ~' credit to your account,
submit t
~
C3) 00
4. Mortgages/Notes Receivable (Schedule D) ~ he upper portion
of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ~
. tax payment.
(5) 4 5,161
22
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G) (6) .00
8• Total Assets (7) .00
APPROVED DEDUCTIONS AND EXEMPTIONS: (8) 172,661.22
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 36,458.55
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions K10)_ 7 .975 70
12. Net Value of Tax Return (11) ;S G ; ~~
13. Charitable/Governmental Bequests; Non-elected 9113 Trust
(S
3) 134,226:
s
chedule J) (1
14. Net Value of Estate Subject to Tax 00
(14)
NOTE: If an assessment was issued
reflect figures th
t i
p
i
~
i
e 134,226.97
a
nclude
the
total
of
ALL'returns
assessed~to7date.and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (15) .00 X 00 = .00
17. Amount of Line 14 at Sibling rate (16) ' 00 X 045 = . 00
134,226:
18. Amount of Line 14 taxable at Collateral/Class B 16,107.24
00 X 15 _
rate (18)_~
19. Principal Tax Due - .00
T X EDITS: (19)=
AYMENT 16,107.24
RECEI T DISCOUNT (+)
DATE NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
10-08-2007 CD008788
06-03-2008 CD009830 526.32 10,000.00
26.32- 5,607.24
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-04-2008 T~TAL TAX
CREDIT
16,107.24
BA ANCE OF TAX DUE .00
IN EREST AND PEN. 28.33
TOTAL DUE
~ IF PAID AFTER DATE INDICATED, SEE REVERSE 28.33
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE I
S REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FOR
-
M FO R INSTRUCTIONS.)