HomeMy WebLinkAbout09-10-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
HARTRANFT DENNIS M
151 E MAINE STREET
EPHRATA, PA 17522
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: i8s-o7-8824
FILE NUMBER: 2108-0186
DECEDENT NAME: MUMMERY ADELINE S
DATE OF PAYMENT: 09/ 10/2008
POSTMARK DATE: 09/09/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 02/16/2008
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ 528.43
TOTAL AMOUNT PAID:
REMARKS:
CHECI<# 2557
SEAL
INITIALS: CJ
RECEIVED BY:
528.43
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 010253
REGISTER OF WILLS
~?`C~MMONWEALTH OF PENNSYLVANIA
~ ~'-`' ` DEPARTMENT OF REVENUE
~~~~~~~~~~ ~{ ""'''`" NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AP PpRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION SEP I O P~ I i `}SEDUCTIONS AND ASSESSMENT OF TAX
PO 80X 280601 1A~Q ,7
WIRRISBURG PA 17128-0601
OARPN. ~ ~_~ ~~' f ~T
CUI`+~r _ _ ~~j
DENNIS M HARTRANFT JR
151 E MAIN ST
EPHRATA PA 17522
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALON_6 THIS LINE _ ~- R_ETA_IN 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 MUMMERY ADELINE S FILE N0. 21 08-0186 ACN 101 DATE 09-01-2008
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
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
C1) .00 NOTE: To insure proper
C2) 338,703.81 credit to your account,
00 submit the upper portion
(3) . of this form with your
cy) .00 tax payment.
c5) 51 , 218 .30
c6) .00
c7) 12,291.95
c8) 402, 214 .06
APPROVED DEDUCTIONS AND EXEMPTIONS: 15,306.29
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) c10) .00
cll) ) ~ •;n6.29
11. Total Deductions 386,907.77
12. Net Value of Tax Return (12) .00
13 Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13)
. 386,907.77
14. Net Value of Estate Subject to Tax C14)
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 ALL returns assessed to date.
ASSESSMENT OF TAX:
00
00
.00
15. Amount of Line 14 at Spousal rate X15) . X =
386,907.77 X 045= 17,410.85
16. Amount of Line 14 taxable at Lineal/Class A rate C16)
.00 X 12 = .00
17. Amount of Line 14 at Sibling rate c17)
•00 X 15 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
c19)= 17,410.85
19. Principal Tax Due
PA NTH
DATE R IP
NUMBER ISC UNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
04-29-2008 CD009630 842.11 16,000.00
05-28-2008 CD009805 .00 540.31
PAYMENT MUST BE MADE BY 11-16-2008*.
REY-1547 IX AFP C06-05)
DATE 09-01-2008
ESTATE OF MUMMERY ADELINE S
DATE OF DEATH 02-16-2008
FILE NUMBER 21 08-0186
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-31-2008
(See reverse side under Objections)
Amount Remitted ,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
IYIAL Iwn ~.~ccua ~
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
17,382.42
28.43
.00
28.43
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