HomeMy WebLinkAbout04-29-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
ZEIGLER DIANA F
1212 CLAREMONT ROAD
CARLISLE, PA 17015
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REMARKS:
CHECK#118
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE
OFFICIAL RECEIPT
REV-1162 EX(11-96)
ACN
,SSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNt PAID:
TAX
NO. CD 014376
5284.01
INITIALS: CJ
RECEIVED BY:
REGISTER OF
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE. ~}F_ INHERIT NCE TAX
~~,PRAISEME~l7~rC_~~LOWANCE R DISALLOWANCE
~-;-QF pEDUCTX~ON~ AND ASS SSMENT OF TAX
.::E Ct'~ t' _ ~ ~ ~
CLEr~ ; c~~
,~r,,~'~ "~'~i ' T
DIANA F ZEIGLER Cll~~ ~~` }~~ nom.' ,~A
1212 CLAREMONT RD
CARLISLE PA 17015
FOR YOUR RECORDS ~ ______________
APPRAISEMENT, ALLOWANCE OR
AND ASSESSMENT OF TAX DATE: 04-25-2011
70-1102 ACN: 101
CUT ALONG_ THIS LINE - -~ __RETAIN-LOWER PORTIO
REV-1547 EX AFP C12-lO~DISALLOWANCENOFRDEDUCTION~
~..r~TC nr. MecKFY-VOLD GRACE FILE N0.:2
TAX RETURN WAS: C
DA E 04-25-2011
MACKEY-VOLD GRACE
ES ATE OF
DA E OF DEATH 10-30-2010
FI E NUMBER 21 10-1102
CO NTY CUMBERLAND
A N 101
APPEAL DATE: 06-24-2011
(See reverse side under Objections )
A ount Remitted
M KE REG STER OFB WILALSD REMIT PAYMENT T0:
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ACCEPTED AS FILED
ORIGINAL RE URN
APPRAISED VALUE OF RETURN BASED ON:
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property CSchedul<
6. Jointly Owned Property (Schedule F)
7, Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedul
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return Non-elected 9113
13. Charitable/Governmental Bequests;
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issuedPreviously,
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
lg. Amount of Line 14 taxable at Collateral/Class B r
19. Principal Tax Due
TAX CREDITS: DISCOUNT (+)
E)
C X) CHANGED SEE ATTACHED NOTIC
C1? 113, 663.79 NOTE: To ensure proper
.00 credit to your account,
C2) submit the upper portion
.00 of this form with your
C3)
C4) .00 tax payment.
C5) 48,660.11
.00
C6) , 00
(7)
C8) 162,323.90
Pennsylvania ~ ~ i .
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-10)
e H) C9) ' ~ - 5S6 . 48
285.10
Clo)
12,841.58
cll) 149,482.32
c12) .00
Trusts (Schedule c13)
J) 149,482.32
C14)
15
14 and/or 16, 17, 18 and 19 will
,
lines
of ALL returns assessed to date.
.00 x 00 = .00
C15)
' ~ 9
;? x 045 =
48~ 6,726.70
C16) •
= 00
x 12
00 .
C17)~ _
.
-
.00 x 15 = .00
ite C18) C19)= 6,726.70
AMOUNT PAID
PAYMENT RECEIPT
NUMBER INTEREST/PEN PAI C-)
DATE . 0 0
01-31-2011 CD013967
PAYMENT MUST BE MADE BY 07-30-2011*.
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
.._....~ „~ nnnrTIDNAL INTEREST.
,442.69
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
6,442.69
2 48 O1
.00
284.01
IF 70TAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A EFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV~ia~o EX (o~-~o)
~ pennsylvania INHERITANCE T~
DEPARTMENT OF REVENUE EXPLANATION
OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRI B R PA 171 - 6 1
DECEDENT'S NAME Mackey-Vold, Grace
REVIEWED BY Justin R. Gilmore
ITEM EXPLANAT
SCHEDULE NO.
The value of the estate has been adjusted
arithmetic.
ORIGINAL
LE NUMBER
2110-1102
101
OF CHANGES
s the result of the correction of an error In
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