HomeMy WebLinkAbout12-30-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
IRWIN ROGER B
60 W POMFRET STREET
CARLISLE, PA 17013
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REV-1162 EX(11-96)
NO. CD 013843
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: SSN: 170-24-2006
FILE NUMBER: 2109-1055
DECEDENT NAME: BARNHART VALDA
DATE OF PAYMENT: 1 2/30/2010
POSTMARK DATE: 1 2/30/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 10/2009
REMARKS: RECEIPT TO ATTY
CHECK# 29768
SEAL
101 ~ S 18.63
TOTAL AMOUNT PAID:
S 18.63
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsy van~a ~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
PO BOX 280601
HARRISBURG PA 17128-0601 ~- ^'"_ "~~
~~r~~~
DATE 12-27-2010
®~~ ~ ~ 2010 ESTATE OF BARNHART VALD C
t~ DATE OF DEATH 10-10-2009
iRWIIV &NiCKI~I~GE~ FILE NUMBER 21 09-1055
ROGER B IRWIN LAWQFFICES COUNTY CUMBERLAND
ACN 101
b0 W POMFRET ST APPEAL DATE: 02-25-2011
CA R L I S L E PA 17 013 (See reverse side under Objections )
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 RECORDS ~
-------------------------------------------- ----- - -
-------------------------------- --- - ----
REV-1547 EX _AFP C12-10~ NOTICE OF INHERITANCE TAX APPRALSEMENT_, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BARNHART VALD (FILE N0.:21 09-1055 ACN: 101 DATE: 12-27-2010
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate [Schedule A) C1) 92, 000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B] C2) .0 0 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion
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) C5) 13,10 9.12
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
s. 7:ota1 Assets
~ C8} __ 105,109.12
P
i'ROVE17 DEDUCT~NS AND EXEMPTIONS
~
~
' 9
~ineral ~
enses/Ad
C
t
/Mi
E
„
.
p
m.
os
s
sc.
xpenses (Schedule H)
-~ C9)
,
R.L ~,., .
,~„~ ; .- 10. ebts~ a Liabilities/Liens (schedule I)
C1o) 50,344.45
~4~, ~ ~.- l l . ~tal ~~~ions ~ I I ) 67, 846.69
t.~.~~ ;..t.:~
12.C'1'~et V ~ Tax Return
C12)
37,262
43
.
ter? 13.(.phari€3r~rpvernmental Bequests; Non-elected 9113 Trusts
C (Schedule J) C13) .0 0
,) ~ 14.~et Val
~ Estate Sub3ect to Tax C14} 37, 262.43
O
NOTE: ~
If an messment was iss
d
i
l
li
,
ue
prev
ous
y,
nes 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 X 00 - .00
16. Amount of Line I4 taxable at Lineal/Class A rate C 16) 37 . 2b7 . 4~ X 045 = 1 , 676.81
17. Amount of Line 14 at Sibling rate C17) .00 X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 1 , 676.81
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-19-2010 CDD13516 .00 1,676.81
DALAnI.t ur uNrAlU 1NIEKEST/PENALTY AS OF 10-20-2010
TOTAL TAX PAYMENT 1,676.81
BALANCE OF TAX DUE .00
INTEREST AND PEN. 18.63
TOTAL DUE 18.63
* 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.