HomeMy WebLinkAbout06-28-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
RE.V-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CC) 014636
WHITE MARIANNE
1049 NORTH FAIRVILLE AVENUE
HARRISBURG, PA 17112
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ ;5.67
ESTATE INFORMATION: SSN: 162-22-5371
FILE NUMBER: 2110-0093
DECEDENT NAME: GRANT FLORA R
DATE OF PAYMENT: 06/28/201 1
POSTMARK DATE: 06/27/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 1 2/ 24/ 2009
REMARKS:
TOTAL AMOUNT PAID:
~~5.67
CHECK#1026
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX Pennsylvania ~ ~
r f,~.~.AP-R.RA,IS ALLOWANCE OR DISALLOWANCE ~ ~'
BUREAU OF INDIVIDUAL TAXES „~'~. DEP/\RTMENTOFREVENUE
INHERITANCE TAX DIVISION ' '`-`~'~'- ~~--~y~-b~ ~~DIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~{ _ . ~~cl ~ ~ REV-1547 EX AFP (12-10)
HARRISBURG PA 17128-0601 ' '~~-'+'•' -. ~,;+ ~~'~ ~,.~,/
~'~ ~ ,~~,~~ ~~ Ei~~ ~~~ ;,r4 DATE 05-23-2011
ESTATE OF GRANT FLORA R
DATE OF DEATH 12-24-2009
CLERK Q~ FILE NUMBER 21 10-0093
4RPMAN'S COURT COUNTY CUMBERLAND
TERRENCE J KER{~~~~{~~ r~~~ ~~ PA ACN 101
27 N FRONT ST APPEAL DATE: 07-22-2011
H B G P A 17101 ( See reverse side under Objec°tic-ns
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OIR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GRANT FLORA RFILE N0.:21 10-0093 ACN: 101 DATE: 05-23-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) .0 0 NOTE=: To ensure
- proper
2. Stocks and Bonds (Schedule B) C2) ,p Q credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .0 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) o'f t:his form with your
C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 42,559.85
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) C7) 177, 643.89
8. Total Assets
Cs) _ 220.203.74
APPROVED DEDUCTIONS AND EXEMPTIONS: _
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 7,6 3 ~ 0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) __ 7,633.00
12. Net Value of Tax Return C12) __ 212,570.74
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) ___ 212,570.74
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 C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _ 709 . 70.74 x 045 _~
9,_430.68
17. Amount of Line 14 at Sibling rate C17) _f10 X 12 _^_ .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 3, 000.00 X 15 __ 450.00
19. Principal Tax Due (19) 9,880.68
TAX CREDITS: --
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
**~ SUMMARY 0 ALL 05 PAYMENTS *~*
03-23-2011 167.28- 10,047.96
BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-24-2011 TOTAL TAX PAYMENT __ 9,gg0,68
BALANCE OF TAX DUE _ .00
INTEREST AND PEN. 5.b7
TOTAL DUE ~ 5.67
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CI~),~ YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ]INSTRUCTIONS.
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