HomeMy WebLinkAbout12-31-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RIDER NANCY ANN
1786 NORTH MEADOW DRIVE
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: ssN: 14s-i4-saos
FILE NUMBER: 2109-0342
DECEDENT NAME: BEAMER MARGARET R
DATE OF PAYMENT: 12/28/2009
POSTMARK DATE: 1 2/22/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 03/28/2009
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ S 13.45
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1 180
SEAL
INITIALS: CJ
RECEIVED BY:
$13.45
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 012151
REGISTER OF WILLS
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NOTICE OF INH VaI11a ~
ERITANCE TAX pE11t1S~/
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j/CCL~QWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
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BUREAU OF INDIVIDUAL TAPES ,
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PO BOX 280601
HARRISBURG PA 17128-0601 -'
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~~~~~~~ 2$ p~ ~+ ~~ DATE 12-14-2009
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ESTATE OF BEAMER MARGARET
DATE OF DEATH 03-28-2009
~.~E~i~~1~ FILE NUMBER 21 09-0342
Q~~N~~~~~ ~t J~JI~T COUNTY CUMBERLAND
JOHN M EAKIN
C~~~ '` ~~ ~ { `~~ ~'~? , ~A,
ACN 101
APPEAL DATE: 02-12-2010
MARKET SQ BLDG (See reverse side under Objections)
MECHANICSBURG PA 17055
Amount Rewitted ~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RETAIN LOWER PORTION_FOR_YOUR_RECORDS ~ __
CUT ALONG THIS LINE ~-1
--
"- _ _ ________
--
_
---------_---_--------------'--
_ -THEY=I347 EX.-Afi`P Z"ID'0~ NOfiICE- OF INHERITANCE_ TA7C~
D ASSE ALTOWIIFFCE
,
SSMENT OF TAX OR
DISALLOWANCE OF DEDUCTIONS AN
MARGARET RFILE N0.:21 09-0342 ACN: 101 DATE: 12-14-2009
ESTATE OF: BEAMER
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN RASED ON: ORIGINAL RETURN
134,700.00
NOTE: To ensure proper
C1)
1. Real Estate (Schedule A) 0 0 credit to Your account,
(2)
2. Stocks and Bonds (Schedule B) .
00 submit the upper portion
Closely Held Stock/Partnership Interest (Schedule C) (3)
3 ,
00 of this form with Your
t
.
C4)
4. Mortgages/Notes Receivable (Schedule D) .
200.00 .
tax paymen
5. Cash/Bank DaPOSits/Misc. Personal Property (Schedule E) C5) 2,554.95
C6)
6. Jointly Owned Property (Schedule F)
00
C7)
7. Transfers (Schedule G) .
454
9
ce) .
137,
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 161
OZ
29
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule~H) C9) .
.
61
34 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .
29,508.68
cll)
11. Total Deductions C12) 107,946.27
12. Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sche
13
dule J) C14~ .00
27
94 6
107
. .
,
14. Net Value of Estate Subject to Tax.
If an assesswent was Issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
-
-
-
__
NOTE:
ur•es~ tFat include tfie total--of-AL~ re~
-
to
urns~ assessed
da~Ee.
reflect fiD
ASSESSMENT OF TAX: C15) ,p0 x 00 .00
15. Amount of Line 14 at Spousal rate
C16)
ln7 .946.2 X 045
4'857
16. Amount of Line 14 taxable at Lineal/Class A rate
nn X 12 • 00
c17)
17. Amount of Line 14 at Sibling rate .
, 00 X 15 . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) (19)= 4,8 57.58
19. Prinelpal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
_~~_~nn9 CD011380 242.21 4,60
INTEREST IS CHARGED THROUGH 12-29-2009
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 4,844.13
BALANCE OF TAX DUE 13.45
INTEREST AND PEN. .00
TOTAL DUE 13.45
* IF PAID AFTER DATE INDICATED, SEE REVERSE
.~..e rep rug eTTnN OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.