HomeMy WebLinkAbout01-11-11COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. j,~D 013886
IRWIN ROGER 6 ESQ
60 W POMFRET ST
CARLISLE, PA 17013
,~,
ESTATE INFORMATION: SSN: ~ 83-54-8739
FILE NUMBER: 2110-0048
DECEDENT NAME: KELLER CHRISTINA A
DATE OF PAYMENT: 01 / 1 1 /201 1
POSTMARK DATE: 01 / 11 /2011
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /02/2010
REMARKS:
CHECK# 29813
SEAL
TOTAL AMOUNT
INITIALS: SAP
RECEIVED BY:
REGISTER OF WILLS
~~
II
III
ACN
ASSESSMENT ~'I ~~~
CONTROL
NUMBER ~~
MOUNT
101 ~ I 57.26
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REGISTER OF WILL j
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NOTICE OF INHERITANCE TAX pennsy~Van~a ^~ _;
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INNERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 REV-1547 EX AfP C12-10)
HARRISBURG PA 17128-0601 ~~~~~~~~ ,
/a/ DATE 12-20-',20,10
~~~ ~ ~ ~~~~ ESTATE OF KELLER' ', CHRISTINA A
DATE OF DEATH 01-02-~0~.0
CI~~+IiN&iNC~GH~ FILE NUMBER 21 10- 0 8
ROGER B IRWIN ESQ ~_AWQFf(CES COUNTY CUMBER~A~ID
ACN 101
60 W POMFRET ST APPEAL DATE: 0 -18-2011
CA R L I S L E PA 17 013 (See reverse side una~er Ibjeetions )
Aaount Reaitted
MAKE CHECK PAYABLE A D REMIT PAYMENT T0:
REGISTER OF WILL
1 COURTHOUSE SQU R
CARLISLE PA 17 1
CUT ALONG THIS LINE ---- ~-- RETAIN LOWER PORTION_ FOR YOUR REC_O_RDS
-------------------- ---------------------- --I
REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT A-- -II.------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OFOT X E OR
ESTATE OF: KELLER CHRISTINA AFILE N0.:21 10-0048 ACN: O1 DATE: 12-20-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED ~I
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 269,81b. 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) Q credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) 0 submit the upper portion
4. Mortgages/Notes Receivable~CSehedule D) of this form with your .
• [4) .0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 33,517. 1 •
6. Jointly Owned Property (Schedule F) C6) 0
7. Transfers (Schedule 6) C7) 0
8. Total Assets
~, ca) 303.333.71
APPROVED DEDUCTIONS AND EXEMPTIONS: !, ~i
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) ~~
10. Debts/Mortgage LiabYlities/Liens (Schedule I) C10) 0
11. Total Deductions ~-11 170,008.24
12. Net Value of Tax Return d12 133,325.47
13. Charitable/Governmental Bequests •' Non-elected 9113 Trusts (Schedule J) ~'13~ .00
14. Net Value of Estate Subject to Tax 14 .133,325.47
NOTE: If an assessaent was issued previously, lines 14, 15 and/or 16 ~7, l8 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 0 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16)__ 1~3,39~.G•7 X 0 5 = 5,999.65
17. Amount of Line 14 at Sibling rate (17) - n0 X ~,1 = . 00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X i15 = .00
19. Principal Tax Due ' C 9)= 5,999.65
TAX CREDITS:
PAYMENT RECEIPT DISCO ,
DATE
10-13-2010 NUMBER
CD013491 UNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID i
.00 5,999.6
i
i
i
-^~.-..~.-~ yr u~~r,ati, trv~tKtJl/YtNALTY AS OF 10-14-2010 TOTAL TAX PAYME!
BALANCE OF TAX D
INTEREST AND PEI
TOTAL DUE
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CR
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS
5,999.65
.00
7.26
7.26
CCR), YOU MAY BE DUE
FOR INSTRUCTIONS.