HomeMy WebLinkAbout10-09-08COMMONWEALTH OF PENNSYLVANIA REV-1162 EX~11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 010390
SLIKE JOHN E ESQUIRE
SAIDIS SHUFF FLOWER ET AL
2109 MARKET STREET
CAMP HILL, PA 1701 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: 204-oi-7760
FILE NUMBER: 2107-0996
DECEDENT NAME: MECK RUSSELL C
DATE OF PAYMENT: 10/09/2008
POSTMARK DATE: 10/09/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 10/25/2007
REMARKS:
SEAL
CHECK# 50277
101 ~ 5269.26
TOTAL AMOUNT PAID:
5269.26
INITIALS: CJ
RECEIVED BY: GLENDA EARNER ~TRn~Rni iru
REGISTER OF WILLS
TAXPAYER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP C06-05)
DATE 09-22-2008
ESTATE OF MECK RUSSELL C
DATE OF DEATH 10-25-2007
FILE NUMBER 21 07-0996
CDUNTY CUMBERLAND
JDHN E SLIKE ESQ ACN 101
SAIDIS ETAL APPEAL DATE: 11-21-2008
2109 MARKET ST (See reverse side under Objections)
CAMP HILL PA 17011 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~! RETAIN LOWER PORTION FOR YOUR RECORDS ~ _
REV-1547 EX AFP (03-05~ NOTICE OF INHERITANCE TAX AP'PRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AN',D ASSESSMENT OF TAX
ESTATE OF MECK RUSSELL C FILE N0. 21 07-0996 ACN 101 DATE 09-22-2008
TAX RETURN WAS: (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
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
Ci) 175, 000. DO NOTE: To insure proper
C2)_ 116.766.00 credit to your account,
C3) .00 submit ~i upper portion
~ of this ~rm with.,your
OO
C4) .
r--~ax paynwa:t. --
C5)__ 90.204.02`^ ~ o -
-'
~
~~ ~
Cs~ _~ "_' ~ `~ 381 974. 02
ti _~
-, _
.---
-
24,896.11
C9) J
y
Clo)_ 1.653.44 1~ .~
(11) 749 _ ~~
C1z) 355,420.47
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 355,420.47
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:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) • 00 X 045 = . 00
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 _ .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 355,420.47 X 15 _ 53,313.07
19. Principal Tax Due
C19)=
53,
313.07
rex rQrnrrc.
AY NT
DATE C I
NUMBER ISCO C+
INTEREST/PEN PAID C-)
AMOUNT PAID
12-27-2007 CD009115 2,631.58 50,OD0.00
06-24-2008 CD009936 .00 416.00
+n,LnLJI iJ V1'INRgCL 917RUUbr7 lU-U/-LUUtS
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT 53,047.58
BiALANCE OF TAX DUE 265.49
~'NTEREST AND PEN. 3,77
TOTAL DUE 269.26
~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN #1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.)
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