HomeMy WebLinkAbout05-20-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
„ NDTjFE,QF 3MkERITANCE TAX
BUREAU OF INDIVIDUAL TAXES AppRALS~MEN~T.~ ALLOWANCE OR DISALLDWANCE
INHERITANCE TAX DIVISION OF DEDUCTIbNS AND ASSESSMENT OF TAX
PO BOX 280601 ._ _.
HARRISBURG PA 17128-0601 -- ~ v REV-1547 EX AFP CD1-09)
?~'~~t~Y G~ ~~~4HSTATE OF HULSE-2009 PATRICIA A
DATE DF DEATH 01-25-2008
^` ^~; ~~'Y .~LE NUMBER 21 D8-.0449
I,,LCh.V`'. ~~i~
~~GH, `` ~~-~ ~U~Q~,NTY CUMBERLAND
RICHARD C SNELBAKER ~;t'~^,. _ ~., ;~A 101
SNELBAKER K BRENNEMAN C~'+ APPEAL DATE: 07-03-2009
PO BOX 318 (See reverse side under Objections)
MECHANICSBURG PA 17055 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
.CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LDWER PORTION FOR YOUR RECORDS ~
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REV°1547 EX AFP CO1-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HULSE PATRICIA A FILE N0. 21 08-0449 ACN 101 DATE 05-04-2009
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) C1) .DO NOTE: To insure proper
2. Stocks and Bonds (Schedule B) C2) ,DQ credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .DO submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 53.412.00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) 164,272.21
s. Total Assets CB) 217,684.21
APPROVED DEDUCTIDNS AND EXEMPTIONS: 13,473.59
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00
11 . Total Deductions C11) ) -'~ • 473 - rig
12. Net Value of Tax Return C12) 204,210.62
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 204,210.62
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) 169,735.17 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 34, 475.45 X 045 = 1 , 551.40
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 _ .00
19. Principal Tax Due C19)= 1,551.40
TAY /`D CTTTC.
A ME T
DATE RECEIP
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-12-2008 (0010643 8.63- 1,560.03
BALANCE OF UNPAID INTEREST/PENALTY AS OF
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
12-13-2008 TOTAL TAX CREDIT 1,551.40
BALANCE OF TAX DUE .00
INTEREST AND PEN. 5.67
TOTAL DUE 5.67
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1268
HULSE JOHN M
421 PARK HILLS DRIVE
MECHANICSBURG, PA 17055
fold
ESTATE INFORMATION: ssN: ~ ss-3o-~27s
FILE NUMBER: 2108-0449
DECEDENT NAME: HULSE PATRICIA A
DATE OF PAYMENT: 05/20/2009
POSTMARK DATE: 05/20/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /25/2008
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 55.67
TOTAL AMOUNT PAID:
REMARKS: RECEIPT GIVEN TO ATTY
CHECK# 210
SEAL
INITIALS: JN
REV-1162 EXI11-96)
55.67
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS