HomeMy WebLinkAbout08-16-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013209
CHERTOK STEPHANIE
61 W LOUTHER ST
CARLISLE, PA 17013-2936
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ESTATE INFORMATION: ssN: ~ 80-20-~ ~~8
FILE NUMBER: 2110-0445
DECEDENT NAME: PEACH HELEN M
DATE OF PAYMENT: 08/ 1 6/2010
POSTMARK DATE: 08/ 1 6/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/ 1 9/2010
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $46.20
TOTAL AMOUNT PAID:
546.20
CHECK# 3867
INITIALS: DM
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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• ~ -n~.~.~~.~-~, ~ NOTICE OF INHERITANCE TAX
L. ---•~•'•APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES, - .;-; ,•
INHERITANCE TAX DIVISION ''v ~ ~-~~, ,_ OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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STEPHANIE ~" CHEF2t~K~`
61 W LOUTHER ST
CARLISLE PA 17013-2936
pennsylvania ~
DEPARTMENT OF REVENUE
RE\I-1547 EX AFP C12-09)
DATE 07-13-2010
ESTATE OF PEACH HELEN M
DATE OF DEATH 02-19-2010
FILE NUMBER 21 10-0445
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-].1-2010
(See reverse side under Obi%ections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEM ENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF: PEACH HELEN MFILE N0.:21 10-0445 ACN: 101 DATE: 07-13-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) •0 0 NDTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) •0 Q credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,6 01.4 5
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) 372, 281.91
8. Total Assets C8) _ 37b,883.36
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 5,5 5 0.16
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4 8 2.5 7
11. Total Deductions C11) _ 6, 032.73
12. Net Value of Tax Return C12) _ 370,850.b3
13. Charitable/Governmental Bequests; Non-elected 4113 Trusts (Schedu le J) t13) _ .0 0
14. Net Value of Estate Subject to Tax C14) _ 370,850.63
NOTE: If an assessment was issued previously, lines 14, 15 and/or lb, 17., 18 and 19 will
reflect figures that include the total of ALL returns assessed to date .
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 )( 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 370 .850 _ 63 x 045 = 16, 688 .28
17. Amount of Line 14 at Sibling rate C17) _0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 = .0 0
19. Principal Tax Due (19)= 16,688.28
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
04-27-2010 CD012665 832.10 15,809.98
PAYMENT MUST BE MADE BY 11-19-2010*.
TOTAL TAX PAYMENT 16,642.08
BALANCE OF TAX DUE 46.20
INTEREST AND PEN. .00
TOTAL DUE 46.20
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR): YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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