HomeMy WebLinkAbout11-24-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 013701
ZYGMUNT CHERYL L
1104 HEATHER DRIVE
CHAMBERSBURG, PA 17202
-------- role
ESTATE INFORMATION: SSN: 193-14-5475
FILE NUMBER: 2109-0384
DECEDENT NAME: FERGUSON JANET M
DATE OF PAYMENT: 1 1 /24/2010
POSTMARK DATE: 1 1 /23/2010
COUNTY: CUMBERLAND
DATE OF DEATH: O''3/O2/2009
REMARKS: RECEIPT TO ATTY
CHECK#10
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 564.89
TOTAL AMOUNT PAID:
INITIALS: WZ
REV-1762 EXIt i-96)
564.89
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX Pennsylvania ~
Ap~P~PA '~t£NT;i'~I LgWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~. ~"P-(IF
INHERITANCE TA% DIVISION ;~,a~`~1c~I~;~S ''AND ASSESSMENT DF TAX REV-1547 IX AFP Q2-09)
PO OOX 280601 ':~-t.7i ~%~L~I iJi ~~~~~i'„.i.
HARRISBURG PA 17128-0601
JERRY A WEIQLE ESQ
126 E KING ST
2Q10 NOV 24 AM I I ~ 16
CLERK Of
QRPHAN'S COURT'
CUMBERL'~!D C0 . PA
SHIPPENSBURG PA 17257
DATE 11-15-2010
ESTATE OF FERGUSON JANET M
DATE OF DEATH. 03-02-2009
FILE NUMBER 21 09-0384
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-14-2011
(See reverse side under Objections)
A~ount Re~itted ,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LIN€--_-- -- RETAIN LOWER PORTION
------------------ ----------------------- FOR YOUR RECORDS
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REV-1547 EX AFP (12-09) NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE ------
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FERGUSON JANET MFILE N0.:21 09-0364 ACN: 101 DATE: 11-15-2D1D
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OFIRETURN BASED ONs ORIGINAL RETURN
1. Real Estate CSghedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3.
Closely Held Shock/Partnorship Interest (Schedule C)
C3) .00 submit the upper portior
of this form with your
4. Mort gapes/Notes) Receivable (Schedule D) (4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E ) CS) 56,667.12
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers CSchadule G) (7) .00
e. Total Assets (e) 56.667.12
APPRDVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExpensOS/Adm. Costs/Misc. Expenses (Schedule H) (g) 8.485.81
10. Debts/MortgageLiabilities/Liens (Schedule I) (10) ~ 2.679.80
11. Totai Deductions ~ (11) 11x165.61
12. Net Value of Tax Return (12) 45,501.51
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchadule J) C13) .00
14. Net Value of Estate Subject to Taz C14) 45.501.51
NOTE: If an assess~ent was issued previously, lines 14, 15 and/ar 16, 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 (15) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 4~+.F01 _F1 X 045 = 2,047.57
17. Amount of Line 14 at Sibling rate - (17) .OD X 12 .00
18. Amount of Line 34 taxable at Collateral/Class B ra te (18) .00 X 15 - .OD
19. Principal Tax Due C19)= 2, D47.57
TAX CREDITS:
PAYMENT
DATE ECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-09-2010 CD013333 .00 2,047.57
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-1.0-2010
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF A1bDITIONAL INTEREST.
TOTAL TAX PAYMENT 2,047.57
BALANCE OF TAX DUE .00
INTEREST AND PEN. 64.89
TOTAL DUE 64.89
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR~INSTRUCTIONS.
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