HomeMy WebLinkAbout07-13-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RICE CHRISTOPHER EDEL
MARTSON DEARDORFF ET AL
10 E HIGW STREET
CARLISLE, PA 17013
fold
ESTATE INFORMATION: ssN: 172-38-8985
FILE NUMBER: 2108-1089
DECEDENT NAME: FRIEDBERG ANNETTE
DATE OF PAYMENT: 07/ 13/2010
POSTMARK DATE: 07/ 13/2010
.COUNTY: CUMBERLAND
DATE OF DEATH : 10/ 24/ 2008
REV-1162 EX(11-96)
NO. CD 013048
ACN
ASSESSMENT AMOUNT
CONTaOL
NUMBER
101 ~ 520.42
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 22726
SEAL
INITIALS: MAW
$20.42
RECEIVED BY: GLENQA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~` ~~~~~ ~~RIE~C~i TANCE TAX
'~,~ _x{.~ ~ ,~ ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES ~~'-~ ~ j~9~.. i~ir~~ 1 r*.
INHERITANCE TAX DIVISION ~ L v i o Y , c.,.r. `J
PO BOl( 280`01
FIARRISBUR6 PA 17128-0601
~~l0 JUI. 13 AM ! I + !
~r~
tt C~RQQP~ [(( I~~`~ ((~~C (O~ jU"~RT[~e
CHRISTOPHER E RICE
MARTSON LAW OFCS
10 E HIGH ST
CARLISLE PA 17013
penn~ylW~n~a
DEPARTMENT OF REVENUE
REV-1593 IX AFP C12-09)
DATE 07-01-2010
ESTATE OF FRIEDBERG ANNETTE
DATE OF DEATH 10-24-2008
FILE NUMBER 21 08-1089
COUNTY CUMBERLAND
ACN 101
Awount Remitted
~ ~. ~Z i
MAKE CHECK PAYABLE AND REMIT PAYMENT TO!s
REGISTER QF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit th• upper portion of this fora with your tax payaeht.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUIR RECORDS ~
~~~~~~N~~~~s~~~~r~~r~rar~N~~~~~~~a~~~s~~w~s~~~~~~~r~~~~~rr~.r~~~~~~~~~r~~~~~~~s~~~~~~~~~~~~~~~~~~~~~~~~s~~~~~~
REV-1593 EX AFP C12-09) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OFaFRIEDBERG ANNETTE FILE NO.:21 08-1089 ACN: 101 DATE: 07-01'-2010
ADJUSTMENT BASED ON: ADMINISTRATIVE CORREGTION
VALUE OF ESTATEs
1. Real Estat• (Schedule A) C1) .0 0
2. Stocks and Bonds CSchedul• B) C2) ~ 0 0
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 6)
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adeinistrative Costs/
Miscellaneous Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/6overnaental Bequests; Non-elected 9113 Trusts
14. Net Value of Estate Subject to Tax
TAX:
c3)
_~_~ . 0.0
C4)
~ .00
,
C5) 12
8 , 852.56
C6) .00
C7) : n nc~ n~
C8)
158,910.58
C9) 22, 98:1 .60
Clo) 963.23
C11) 23, 944.813
~~
C12) 134,965.75
CSched'ula J) c13) 54, 077.7'3
C14) 80,888.02
15. Aeount of Line 14 at Spousal rate C15) . 00 X.00 s .. 0' 0
16. Aaount of Line 14 taxable at Lineal/Class A rate C16) . 00 y. 045= . [~I U
17. Aaount of Line 14 at Sibling rate C
7
1
) .OO y. 12 " .0 0
18. Awaunt of Line 14 taxable at Collateral/Class B rate C18) a _
80,888.02 Y.15 133. 0
19. Principal Tax Due
C19)
12,133. 0
TAX CREDITS:
rwTneni RtCair~ Di5000NT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
01-20-2009 CD010782 381.22 7,243.27
11-09-2009 SBADJUST .00 .O1
12-08-2009 CD012118 64.20- 4,572.90
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-09-2009
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 12,133.20
lALANCE OF TAX DUE .00
INTEREST ANI~-PEN. 0.42
TC}TA tItIF ~Jf1 - 42
-_
O AL DUE IS REFLECTED AS A "CREDIt" CCR), YOU MAY BE V
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.')
~;
hi