HomeMy WebLinkAbout03-30-11COMMONWEALTH 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
NO. CD 014217
SHELLEY MALLORY K
9 SALT ROAD
ENOLA, PA 17025
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ESTATE INFORMATION: SSN: 210-58-2302
FILE NUMBER: 2108-1 158
DECEDENT NAME: SHELLEY NANCY LOUISE
DATE OF PAYMENT: 03/30/201 1
POSTMARK DATE: 03/29/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 1 7/2008
REMARKS:
CHECK# 1637
SEAL
101 ~ $32.53
ACN
ASSESSMENT AI~/IOUNT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
RE.V-1162 EX(11-96)
$32.53
INITIALS: DB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDU TA {I : AP~~'
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ANCE OR DISALLOWANCE DEPAI~TMENT OF REVENUE
INHERITANCE TAX DIVISI I~
0~'~- •DEDLUCTION'~ ;,,~ND ASSESSMENT OF TAX RE\/-1547 EX AFP (12-10)
PO BOX 280601
HARRISBURG PA 17128-06
l ~ ~ T4 ~ ss ~~ jj
DATE 03-14-2011
ESTATE OF SHELLEY NANCY L
G~.~~~.~~ DATE OF DEATH 11-17-2008
d~~~,~+~`v~~i ~~.,~jT FILE NUMBER 21 08-1158
U~~P~I~~~~-"I. f~:~`.'~ .' '~''~ + ~~a COUNTY CUMBERLAND
.' 1...Fi
DIANE M ILS 1=~~ ACN 101
1400 N 2 D S~f APPEAL DATE: 05-13-2011
H A R R I S B U R G N. \ 1710 2 (See reverse side under Ob~iections
Amount Remitted
MAKE CHECK PAYABLE AND REM]:T PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT-ALONG-THIS .INE--- _~-~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~
REV-1547 EX AFF (12-](~~ NOTICE OF INHERITANCE TAX APP
RAISEME _
NT, ALLOWANCE _____________
OR
DISALLOWANCE OF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE 0F: SHEI_EY _-`___ NANCY LFILE N0.:21 08-1158 ACN: 101 DATE: 03-14-2011
TAK RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estat (Sch~ c~ le ~) (1) 125, 000.00
NOTE: To ensure proper
2. Stocks and Bonds ~Scfecule B) (2) .0 0 credit to your account,
3. Closely He i St~~~cNiPartnership Interest (Schedule C) (3) .0 0 submit the upper portion
of this form with your
4. Mortgages/ ~~tes F'ECeivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank ~1posii siMisc . Personal Property (Schedule E) (5) 22,248.34
6. Jointly Ow +~d Prc pE rty (Schedule F) (6) . 00
7. Transfers Sched~]e C') (7) .0 0
s. Total Asse s (8) _ 147,248.34
APPROV ED DEDUCI °I:ONS ACID EXEMPTIONS
9. Funeral Ex ~enses.'Ac m.. Costs/Misc. Expenses (Schedule H) (q) 19 .740.42
10. Debts/Mort i,age L:i~~kil.iiies/Liens (Schedule I) C10)__ 115,279.70
11 . Total Dedu tions C11) _ 135, 020.12
12. Net Value f Tax k'.E t~ rr (12) _ 12, 228.22
13. Charitable Goverr~mEnta~] Bequests; Non-elected 9113 Trusts (Schedule J) (13) _ .0 0
14. Net Value ~f Est.~t:E Suitject to Tax (14) _ 12,228.22
NOTE: If an a:~,sessmen- was issued previously, lines 14, 15 and/or 16, 1T , 18 and 19 will
reflect figures that include the total of A_LL
___._ return s assessed to date.
ASSESSMENT OF T~'~4X:
15. Amount of ine 1~ at Spousal rate (15) .00 X 00 =
.00
16. Amount of I ine lei taxable at Lineal/Class A rate (16) 12 , 8. X 045 _
550.27
17. Amount of I ine lei at Sibling rate (17) .00 X 12 _
.00
18. Amount of line lei taxable at Collateral/Class B rate (18) .0 0 X 15 _
.0 0
19. Principal '1 ax Duey _
{19) 550 .27
TAX CREDITS:
PAYMENT
DATE RECEIPT
NU~1BW::R
~ DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
01-04-2011 CDO]_3135EC .00 550.27
1SALAIVI.t ur uNF'Ai,lll 1F~iE:R~ST/PENALTY AS OF 01-05-2011
TOTAL TAX PAYMENT _ 550.27
BALANCE OF TAX DUE _ .00
INTEREST AND PEN. 32.53
TOTAL DUE 32.53
* IF PAID AFTER DA'I"E IND:I:C~i,TE[I1, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION i;IF ADD]I:T]:OPIAt INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM F'OR INSTRUCTIONS.
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