HomeMy WebLinkAbout07-16-10COMMONWEALTH 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
REV-1162 EX(11-96)
NO. CC) 013063
GRAYSON BETH B
12 STINGRAY DRIVE
SINKING SPRINGS, PA 19608
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ESTATE INFORMATION: SSN: 177-52-6453
FILE NUMBER: 2109-1 169
DECEDENT NAME: BOWER GWEN
DATE OF PAYMENT: 07/ 1 6/2010
POSTMARK DATE: 07/ 1 6/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 1 2/ 1 2/2009
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $1,050.00
TOTAL AMOUNT PAID:
$1,050.00
CHECK#140
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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pN~S~~~~-N+D ASSESSMENT OF TAX REV-1547 EX AFP c12-o9)
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ESTATE OF BOWER GWEN
~~~ DATE OF DEATH 12-12-2009
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~~ FILE NUMBER 21 09-1169
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• ACN 101
APPEAL DATE: 08-27-2010
(See reverse side under Objections)
Auount Reuitted ~ ~~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
LOWER PORTION FOR YOUR RECORDS ~E~•
-- -----
~l7CI~ WANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
FILE N0.:21 09-1169 ACN: 101 DATE: 06-28-2010
TAX RETuKn ..,.._. C ) ACCEPTED as FILED c X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 192,812 • 00 WOTE- To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 2,3 0 7.0 9 =submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax paysent.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 29,856.50
5. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule 6) C7) 13 s 907.05
8. Total Assets c8) _ 238 , 882.64
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ada. Costs/Misc. Expenses (Schedule H) C9? 4 7,9 7~9
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 123,637.37
11. Total Deductions tll) _ 171,613.26
12. Net Value of Tax Return C12) _ 67, 269.38
13. Charitable/6overnaental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _, 6,0 0 0.0 0
14. Net Value of Estate Sub3ect to Tax C14) _ 61 , 269.38
NOTE: If an assessment vas issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL ret urns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate t15) .00 X 00 =~ .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) _ ~d~j~4 _ 69 x 045 =° 928.56
17. Amount of Line 14 at Sibling rate C17) 30 .6~4. 69 X 12 =• 3, 676.16
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 10,000.00 X 15 -• 1,500.00
19. Principal Tax Due C19)_° 6, 104.72
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUNBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-25-2010 CD012397 247.37 4:7D0.00
03-09-2010 CD012437 5.37 101.98
rAYntNt Must BE MADE BY 09-12-2010.
TOTAL TAX PAYMENT 5,054.72
BALANCE OF TAX DUE 1,050.00
INTEREST AND PEN. .00
TOTAL DUE 1,050.00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A ''CREDIT" tCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.