HomeMy WebLinkAbout01-03-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXER
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
ADAMS H ANTHONN
49 WEST ORANGE STREET
SUITE 3
SHIPPENSBURG, PA', 17257
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI11-96)
N0. CD 013850
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- eels
ESTATE INFORMATION: sSN: is7-as-osss
FILE NUMBER: X109-0137
DECEDENT NAME: STONER WILLIAM R
DATE OF PAYMENT: (~1 /03/201 1
POSTMARK DATE: ~ 2/30/2010
COUNTY: CUMBERLAND
DATE OF DEATH: ~ 1 /24/2008
101 ~ 558.12
TOTAL AMOUNT PAID:
REMARKS: RECEIPT PTO ATTY
SEAL
CHECK#1368
INITIALS: WZ
RECEIVED BY:
558.12
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
R~r,^~,'c~< < ~'NOTlV~~ INHERITANCE TAX peI~I~ISy~Val~~a~
BUREAU OF INDIVIDUAL TAXES IU~(i~F',~~$El~I,IO~LLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DED)UCT1~f~S AND ASSESSMENT OF TAX REV-1547 EX AFP Ilz-lo)
PO BOX 280601
HARRISBURG PA 17128-0601 .. ru _ 3 A'k.~ tr)~ ~1:
J t9 L DATE 12-20-2010
CLERi~ ~~ ESTATE OF STONER WILLIAM R
O~~'~ -,~~R~ DATE OF DEATH 11-24-2008
~M~~R~N~ ~ ~A FILE. NUMBER 21 09-0137
COUNTY CUMBERLAND
H ANTHONY ADAMS ACN 101
SUITE 3 APPEAL DATE: 02-18-2011
49 W ORANGE ST (See reverse side under Objections)
SHIPPENSBURG PA 17257 A~ount Re~itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6_ THIS LINE' ~- RETAIN LOWER PDRTION FOR .YOUR RECORDS ~
REV-1547 EX AFP (12-~----------------------------~------------------------------------------
10) NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STONER WILLIAM RFILE N0.:21 09-0137 ACM: 101 DATE: 12-20-201D
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF i}ETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Sch~Odule A) (1) •D D NOTE: To ensure proper
2. Stooks and Bonds'~.CSchedule 8) I2). .00 credit to your account,
.00 submit the upper portion
3. Closely Held Stokk/PartnershSD Interest (Schedule C) C3) of this fora with your
4. MortBapes/Notes Receivable (Schedule D) C4) •0 0 tax Payment.
5. Cash/Bank Deposi,ks/Misc. Personal Property (Schedule E) (5) .00
6. Jointly Owned Prpperty CSehodula F) (6) .00
7. Transfers CSched~le 6] (7) .00
8. Total Assets ~ C8) .00
APPROVED DEDUCTIONS', AND EXEMPTIONS:
9. Funoral Exponsssi~Ada. Costs/Misc. Expenses (Schedule H) Ig) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 46,372.22
11. Total Deductions I11) 46,372.22
12. Net Value of Tax Return I12) 46 r 372. 22-
13. Charitable/6overnnental Bequests; Non-elected 9113 Trusts (Sehadule J) I13) .00
14. Net Valw of Es~'ats Subject to Tax C14) 60.631.83
NOTE: If an asses#~ent was issuadpreviously. lines 14 ,15 and/or 16, 17, la and 19 will
reflect fiy~res that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 1,4 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 114 taxable at Lineal/Class A rata C16) 6 0.637 _R3 x 045 2,728.43
17. Amount of Line li4 at Sibling rata C17) . nn X 12 ' . DO
1.8. Amount of Lina L,'4 taxable at Collateral/Class B rata C18) .00 X 15 .OD
19. Principal Tax Dye I19)= 2,728.43
TAX CREDITS:
PAYMENT
DATE R CEIPT
N MBER .DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
02-02-2010 CD 12326 .00 2,728.43
BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-03-2010
TOTAL TAX PAYMENT 2,728.43
BALANCE OF TAX DUE .00
INTEREST AND PEN. 58.12
TOTAL DUE 58.12
~ IF PAID AFTER DATE IN~ICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF AD ITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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