HomeMy WebLinkAbout05-02-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
IRWIN ROGER B ESQ
60 W POMFRET ST
CARLISLE, PA 17013
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 014396
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: Ssiv: 201-0~-5297
FILE NUMBER: 2110-0630
DECEDENT NAME: MURTOFF BERTHA W
DATE OF PAYMENT: 05/02/201 1
POSTMARK DATE: 05/02/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 06/04/2010
101 ~ $1,584.82
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 30240
INITIALS: DB
RECEIVED BY:
>1,584.82
GLENDA EARNER STRA,SBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
enns lvania ~u~=~~ =,
NOTICE OF INHERITANCE TAX _
P
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTD~ENT OF REVENUE t`
BUREAU OF INDIVIDUAL TAXES DUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (lz-lo)
INHERITANCE TAX DIVISION ~ ~`~`""' ,_~i_
PO BOX 280601 "``~ ~ ~ / -r-F-~ i~
~ " ` ' ~~
HARRISBURG PA 17128-0601 rr''"~ ~ _. ~ i~
fl~~"~,. `~__,~` .: 'r~~_i.'J 04-25-2011
DATE
r~ ~ ,. ~'~ 2 ~ ~Q1~ ESTATE OF MURTOFF BERTHA W
a-;~x ~ Y "L~ ~~'` ,,5~ ~ (J DATE OF DEATH 06-04-2010
~K1iVlN~IV1CK~11GH~ FILE NUMBER 21 10-0630
(~~.E~~ (JF t-~~~ Q~~~~~~ COUNTY CUMBERLAND
ROGER B IRW~P}'-E~;r~`~ CC}IJRT ACN APPEAL DATE: 06-24-2011
6 0 W P 0 M F ~~~~~~,~_ ~.i'~d~,1 d~,;~ , PA (See reverse side under Objections )
CARLISLE PA 17013 -
Amount Remitted _
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG_ THIS LINE _ ~ _RETAIN-LOWER-POR_TION_FOR_YOUR-RECORDS_ f~ _,__________________
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX ANDRASSESSMENTAOFOTAXCE OR
DISALLOWANCE OF DEDUCTIONS
ESTATE OF: MURTOFF BERTHA- WFILE-N0.:21 i0-0`630 ACN: -101 DATE: 04-25-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
SUPPLEMENTAL RETURN N0. O1
APPRAISED VALUE OF RETURN BASED ON: (1) .00 NOTE• To ensure proper
1. Real Estate (Schedule A) 36, 655.87 credit to your account,
(2) submit the upper portion
2. Stocks and Bonds (Schedule B) .00
of this form with your
3. Closely Held Stock/Partnership Interest (Schedule C) (3) ,0 0 t:ax payment.
(4)
4. Mortgages/Notes Receivable (Schedule D) ,0 0
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) ,0 0
C6)
6. Jointly Owned Property (Schedule F) .0 0
C7)
7. Transfers (Schedule G) 36 , 655.87
(8) _
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 1,630.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) ,0 0
C10) -
10. Debts/Mortgage Liabilities/Liens (Schedule I) 1,6 30.0 0
(11)
11 . Total Deductions C12) _ 35, 025.87
12. Net Value of Tax Return (13), _ .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C14,I 10 6,6 2 0.10
14. Net Value of Estate Subject to Tax
lines 14, 15 and/or 16, ]L7, 18 and 19 will
NOTE: If an assessment was issued previously,
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: C15) ,00 X 00 = .00
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 1 06 .6?0 _ 10 x Oc;S = 4, 797.90
c17) _ nn x 12 = . 00
17. Amount of Line 14 at Sibling rate .0 ~
. 0 0 x 1'_5 =
18. Amount of Line 14 taxable at Collateral/Class B rate (18) (19)= 4,7 9 7.9 0
19. Principal Tax Due
TAX CREDITS: -"
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) _
08-30-2010 CD013276 161.09 3,060.65
INTEREST IS CHARGED THROUGH 05-10-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 3,221.74
BALANCE OF TAX DUE 1,576.16
INTEREST AND PEN. 8.66
TOTAL DUE 1,584.82
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE FEVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.