HomeMy WebLinkAbout01-14-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
ADAMS H ANTHONY
49WEST ORANGE ST
SUITE 3
SHIPPENSBURG, PA 17257
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PENNSYLVANIA
INHERITANCE AND ESTAI
OFFICIAL RECEIPT
ESTATE INFORMATION: ssrv: ooo-oo-oooo
FILE NUMBER: 2110-1083
DECEDENT NAME: YOUNG JAMES HAROLD
DATE OF PAYMENT: 01 / 14/201 1
POSTMARK DATE: 01 / 13/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 05/ 1 8/2009
REMARKS:
SEAL
CHECK# 13705
TOTAL AMOUNT
INITIALS: DB
RECEIVED BY:
REGISTER OF WILLS
~I
ii
"E TAX
ACN
4SSESSMENT
CONTROL
NUMBER REV-1162 EX~11-96)
NO. CD 013896
AMOUNT
101 ~ $76.03
SAID:
GLENDA FA
REGISTER $76.03
NER STRASBAUGH
F WILLS
NOTICE OF INHERITANCE TAX
' '~ `--AtI~'ISEMENT, ALLOWANCE OR DISALLOWAN E
BUREAU OF INDIVIDUA~~'tax~~
INHERITANCE TAX DIVISIOrI "' ~ ~~! ~ DEDUCTIONS AND ASSESSMENT OF TA
PO BOX 280601 ~ ~ ~ ``
HARRISBURG PA 17128-0601 "
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H ANTHONY
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STE 3
49 W ORANGE ST
SHIPPENSBURG PA 17257
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
APPEAL
(See revers
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1547 IX AFP C12-10)
0 -10-2011
Y UNG JAMES
0 -18-2009
2 10-1083
C MBERLAND
1 1
D TE: 03-11-2011
s de under Objections
e
Amount Remitted ~'-'~
MAKE CHECK PAYA LE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUS SAU~ARE
CARLISLE P 17013
H
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR REC
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT,
DISALLOWANCE OF DEDUCTIONS AND ASSESSMEN
ESTATE OF: YOUNG JAMES HFILE N0.:21 10-1083 A RDS ~
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ALLOWANCE
OF TAX
N: 101
-----------------
OR
DATE: 01-10-2011
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHA GED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2)
.0 0
credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 6 ,0 0 0.0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 60,000.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) .0 0
12. Net Value of Tax Return C12) b0, 000.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 60,000.00
NOTE: If an assessment was issuedpreviouslY, lines 14, 15 and~or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns a sessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .0 0
16. Amount of. Line 14 taxable at Lineal/Class A rate C16) X 045 = 2, 700.00
17. Amount of Line 14 at Sibling rate C17) X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 2,700.00
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID t-)
AMOUNT
AID
11-01-2010 CD013576 .00 ,700.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-02-2010 TOTAL TAX PAYMENT 2,700.00
BALANCE 0 TAX DUE .00
INTEREST ND PEN. 76.03
TOTAL DUE 7b.03
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED S A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.