HomeMy WebLinkAbout04-11-11COMMONWEALTH 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
REV-1162 E~:~11-96)
NO. CD 014278
IRWIN HAROLD S III
64 SOUTH PITT STREET
CARLISLE, PA 17013
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 172-34-5461
FILE NUMBER: 2110-0294
DECEDENT NAME: DALTON JUDITH A
DATE OF PAYMENT: 04/ 1 1 /201 1
POSTMARK DATE: 04/09/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 20/ 201 0
REMARKS:
101 ~ $44.27
TOTAL AMOUNT PAID:
$44.27
CHECK#13998
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~E..~ , _,.- , , ---;~-NOf•T3CE OF INHERITANCE TAX
~,_~_'• ApPRAtSEML~IVT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION W~~' OF- D'~~~~TIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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CARLISLE PA 17013
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DEPARTMENT OF REVENUE
REV-l.ri47 EX AFP C12-10)
DATE 04-04-2011
ESTATE OF DALTON JUDITH A
DATE OF DEATH 03-20-2010
FILE NUMBER 21 10-0294
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-03-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---) RETAIN LOWER PORTION FOR YOUR RECORDS ~--
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DALTON JUDITH AFILE N0.:21 10-0294 ACN: 101 DATE: U4-04-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 177,600.00
2. Stocks and Bonds (Schedule B) (2) .0 0
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 59, 933.16
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) 183, 711.83
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
8. Total Assets (8) 421 , 244.99
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 54.2 2 7.11
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 72,644.74
11 . Total Deductions C 11) 126 , 871.85
12. Net Value of Tax Return ( 12) 294, 373.14
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 294,373.14
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 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
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(15) .00 x 00 = .00
C16) ?94.373.14 x 045 = 13,246.79
cln _ oo x 12 = . 00
(18) .00 x 15 = .00
(19)= 13, 246.79
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
01-26-2011 CD013946 .00 13,246.79
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-27-2011
TOTAL TAX PAYMENT 13,246.79
BALANCE OF TAX DUE .00
INTEREST AND PEN. 44.27
TOTAL DUE 44.27
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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