HomeMy WebLinkAbout06-02-10REV-1162 EX(11-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
CAVANAUGH PENNIE L
228 BRIAN DRIVE
ENOLA, PA 17025
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
------- fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 192-12-4189
2109-0608
HARKLEROAD MARY H
06/02/2010
06/01 /2010
CUMBERLAND
05/23/2009
TOTAL AMOUNT PAID:
REMARKS:
CHECK#100
SEAL
INITIALS: CJ
RECEIVED BY:
N0. CD 012832
AMOUNT
511.13
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
C~.'=i`~ '~`~
PENNIE L CAVANAUGhhI~ : ~;,1
228 BRIAN DR
ENOLA PA 17025
NOTICE OF INHERITANCE TAX
~1PPRA,ISEMENT,-~~ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
Pennsylvania
DEPARTMENT OF REVENUE i
REV-1547 EX AFP (12-09)
DATE 05-24-2010
HARKLEROAD MARY H
ESTATE OF
DATE OF DEATH 05-23-2009
FILE NUMBER 21 09-0608
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 07-23-2010
(See reverse side under Objections )
Amount Remitted t ~~ ~~
MAKE REGISTER OFB WI A SD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
-------------
~ RETAIN LOWER PORTION FOR YOUR
RECORDS
----~___-___t___-----
OR -----------
CUT AL ON C- THIS LINE ---------
R
R ALLOWANCE
ASSES
REV-1547 EX AFP C12-09~
DEDUCTIONS AND
ISALLOWANCENOF SMENT OF TAX
ATE 05-24-2010
D
HFILE N0.:21 09-0608 :
D
ACN: 101
ESTATE OF: HARKLEROAD MARY
A
TAX RETURN WAS' ~
RETURN N0. O1
FSUPPLEMENTAL
D
AND
ORIGINAL
APPRAISED VALUE OF RETURN BASED ON: L1) .00 NOTE: To ensure proper
ur account,
1. Real Estate (Schedule A) L2) .00 credit
submit to yo
the upper portion
2. Stocks and Bonds (Schedule B) C3)
C) .0 0 of this form with your
Closely Held Stock/Partnership Interest (Schedule
C4) .0 0 tax pay ment.
3.
Mortgages/Notes Receivable (Schedule D) 17,570.00
4.
sh/Bank Deposits/Misc. Personal Property (Schedule E) C6)
C 35,39 5.00
5.
a
6. Jointly Owned Property (Schedule F) L7) 19,958.00
7. Transfers (Schedule G) ~$) 72,92.3.00
g, Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
(Schedule H) 4 002.9.
Lioj
Funeral Expenses/Adm. Costs/Misc. Expenses
9 507.00
,
bts/Mortgage Liabilities/Liens (Schedule I)
D 4,509.00
e
10. C11) 68,414.00
11. Total Deductions c12) .00
12. Net Value of Tax Return C13)
Non-elected 9113 Trusts (Schedule J) C14)
tal Bequests;
68,414.00
13. Charitable/Governmen
14. Net Value of Estate Subject to Tax
l
8
A
n
and 19 will
If an assessment was issued Pr he
re~c
ALL
l da
assessea~ to
urns
NOTE:
of
t tal
that include t
reflect figures 00
ASSESSMENT OF TAX: L15)
ousal rate
t S .00 X 00 =
00 x 045 =
414 .
3,079.00
p
C16)
15. Amount of Line 14 a
taxable at Lineal/Class A rate .
68
_
00 X 12 ,DO
C17)
16. Amount of Line 14 , 00
17. Amount of Line 14 at Sibling rate
Collateral/Class B rate L1 _
.00 X 15 -
c19)= .
3,079.00
18. Amount of Line 14 taxable at
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+) AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAID ~')
3, 068.00
DATE , OQ
01-12-2010 CD012224
INTEREST IS CHARGED THROUGH 06-08-2010
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
rno rei rIILATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 3,068.00
BALANCE OF TAX DUE 11.00
INTEREST AND PEN.I .13
TOTAL DUE 1 11.13
AFREFUND.DSEEIREVERSECSIDEAOFATHLSEDORM FOR)INSTRUCTIONS DUE
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