HomeMy WebLinkAbout01-18-11REV-1162 EX111-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
PORTER MIRIAM R
1001 ALISON AVENUE
MECHANICSBURG, PA 17055
-------- fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 208-42-6678
2110-0727
PORTER MELODY A
01/18/2011
01 / 18/2011
CUMBERLAND
06/28/2010
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#1013
SEAL
INITIALS: CJ
RECEIVED BY:
NO. CD 013906
S 13.51
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
0 CE OF INHERITANCE TAX
r!'+ "~~~ T, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES~{'~~'t~tr~'rk~~PR1~~'~
INHERITANCE TAX DIVISION " _:OF D,E'R~'CTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
1 ~1~+.~~ 1 U ~ ( ~• 41.E
CLERK n~ ,
QRP~~y~~'~ v~}t)~~
~,
ANDREW C SHEEL~~`~~ ~~ ~'~ ` ~ `''~' ~ ' ~~'
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1547 IX AFP (12-09)
DATE 11-29-2010
ESTATE OF PORTER MELODY A
DATE OF DEATH 06-28-2010
FILE NUMBER 21 10-0727
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 01-28-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
THIS LINE --~ RETAIN LOWER PORTION FOR
CUT ALONG YOUR RECORDS ~ _ _______________
OR
_
REV-1547 EX AFP C12-09~
RDEDUCTIONS ANDR
N ASSES SMENTAOFOTAXCE
OF
DISALLOWANCE
MELODY AFILE N0.:21 10-0727 ACN: 101 DATE: 11-29-2010
ESTATE OF: PORTER
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
120,000.00
NOTE: To ensure proper
1. Real Estate (Schedule A) C1) 8,8 $5.64 credit to Your account,
2. Stocks and Bonds (Schedule B) (2)
00 submit the upper portion
Closely Held Stock/Partnership Interest (Schedule C)
3 C3) .
00 of this form with your
t
.
4. Mortgages/Notes Receivable (Schedule D) (4) .
136,371.53 .
tax paymen
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) C6)
302, 140.13
7. Transfers (Schedule G) C7)
30
397
567
ca) _
.
,
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11.
12.
13.
14.
tll) 12, 155.94
c12) 555,241.36
c13) 62.816.65
c14) 492,424.71
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Sub]ect to Tax
NOTE: If an assessment was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
c9) 9 , 041.30
clo) 3, 114.64
C15) .00 X
C16) 4 9 .424. Z1 X
c17) _ 00 x
c15) .00 X
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
09-23-2010 CD013397 1,107.28
PAYMENT MUST BE MADE BY 03-28-2011*.
AMOUNT PAID
00 = .00
045 = 22,159.11
12 = .00
15 = .00
c19)= 22, 159.11
TOTAL TAX PAYMENT 22,145.60
BALANCE OF TAX DUE 13.51
INTEREST AND PEN. .00
TOTAL DUE 13.51
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.