HomeMy WebLinkAbout05-07-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE REV-1162 EX111-96)
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, Pq 17728-0601
RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 012710
BRANDY MARY LOU
337 MAPLE LANE
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
-------- tnlE NUMBER
ESTATE INFORMATION:
SSN: 208-24-2145
FILE NUMBER: 2108-0614
DECEDENT NAME: MELLINGER IRA C JR
DATE OF PAYMENT: 05/06/2010
POSTMARK DATE: 05/05/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/03/2008
REMARKS: RECEIPT TO ATTY
CHECK# 627
SEAL
TOTAL AMOUNT PAID:
815.82
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
A~NOC~~HERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES ,, ,i'~ WANCE OR DISALLOWANCE
INNERITANCE iAX DIVISION ~Q ! ND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PD BOX 200601 ~rv.~~ i4.~
f01RRISBUR6 PA 17128-0601 REV-1547 EX AFP C12-09)
20f0 MAY -6 AM ft~ 33
EARL RICHARD ETZWEILE
ETZWEILER & ASSOCS
105 N FRONT ST
HARRISBURG PA 17101
DATE 04-19-2010
ESTATE OF MELLINGER JR IRA
DATE OF DEATH 05-D3-2008 C
FILE NUMBER 21 08-0614
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-18-2010
(See reverse side under Objections)
A~ount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR
REV-1547 EX AFP C12-09) RECORDS F
NOTICE OF INHERITANCE TAX APPRAISEMENT
, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: MELLINGER OR
JR IRA
(FILE N0.:21 08-0614
ACN: 101
DATE
TAX RETURN WqS: (X) ACCEPTED AS FILED : 04-19-201D
C )
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN CHANGED
1. Real Estate CSehodule A)
2. stocks and Bonds (schedule B) I1) 137,OOD.00 NOTE: T o ensure proper
C2)
3. Closely Heid Stock/Partnership Interest CSehodul 6+104.80 credit to your account,
e C)
4. Mortgages/Notes Receivable CSchedul• D) C3) .00 submit
f t the upper portion
C4)
5. Cash/Sank Deposits/Misc. Personal Propert
(S .DO o
his form with your
tax payment.
y
chedule E)
6. Jointly Owned Property (Schedule F) C5) 16,47$, (>Q
7. Transfers CSehedula G) I6) .DO
n)
8. Total Assets .oa
APPROVED DEDUCTIONS AND EXEMPTIONS: IB) - 1 59 F:nz 40
9. Funeral Expenses/Adm. Costs/MSsc. Expenses CSchadule H) C9)_
10. Debts/Mortgage Liabilities/Liens (Schedule I) 17 68
uo) ~9 847 99
11. Total Deductions
12. Net Value of Tax Return I11) 47,173.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trust C12)
[ 112,409.73
14. Nat Value of Estate Subject to Tax s Schedule J)
C13) 102=G09 73
NOTE: If an assessvent was issued previousl
l 14 +
0
y,
i
reflect figures that include the total nes 14, 15 and/or 16,
17, 18 and
19
w111
of
ASSESSMENT OF TAX: ALL returns assessed to date.
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate C15) 'OD X 00 = .00
17. Amount of Line 14 at Sibling rate C16) nn x 045 '
.00
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Du I17)
C18) _ _
10,000 00 X 12
15 .00
e X
= 1,500.00
TAX CREDITS: I19)= 1,500 00
PAYMENT RECEIPT
DISCOUNT (+)
DATE
NUMHER INTEREST/PEN PAID (-)
04-21-~nno ,..,..,,.._ AMOUNT PAID
,~uu.
BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-22-2009 TOTAL TAX PAYMENT
BALANCE OF TAX DUE 1.500.00
.00
INTEREST AND PEN. 15.82
TOTAL DUE 15.82
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF T07AL DUE IS REFLECTED qS A "CREDIT" CCR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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