HomeMy WebLinkAbout07-20-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DAVENPORT SHERRY L
22 CHERISH DRIVE
CAMP HILL, PA 1701 1
-------- fold
REV-1162 EX111-96)
NO. CD 014743
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 180-34-2438
FILE NUMBER: 2110-0549
DECEDENT NAME: DAVENPORT DALE ALLEN
DATE OF PAYMENT: 07/ 20/ 201 1
POSTMARK DATE: 07/ 1 9/201 1
CouNTY: CUMBERLAND
DATE OF DEATH: 05/ 1 9/2010
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 1362
101 ~ 590.46
TOTAL AMOUNT PAID:
INITIALS: DB
RECEIVED BY:
590.46
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXE;i APPRAIS,,EME , LLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~'"~~ ~,~'~,_ '-~IJ~'_D~~1..1!U _ S AND ASSESSMENT OF TAX
PO BOX 280601 - +- -•.;; - 4.:i{ ~ (~
HARRISBURG PA 17128-0601 ~~t.,~.~: , ;_. ~ _ '_ ~.1J
CLERK ~J~
L U T H E R E M I L S P AW J ~RPNAN'S CURT
130 STATE ST G~~M~Fr-~' "~~~`~~ ~'~ - PQ
HBG PA 17101
Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-10)
DATE 07-12-2011
ESTATE OF DAVENPORT DALE A
DATE OF DEATH 05-19-2010
FILE NUMBER 21 10-0549
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-10-2011
(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 F-
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REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE 0F: DAVENPORT DALE AFILE N0.:21 10-0549 ACN: 101 ,
------------------
OR
DATE: 07-12-2011
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
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) 167,609.96 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) ,0 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tai; payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 17, 925.10
6. Jointly Owned Property (Schedule F) C6) 1 , 984 .55
7. Transfers (Schedule G) (7) .0 0
s. Total Assets C8) 187,519.61
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 11,0 8 7.14
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 6,6 39.16
11 . Total Deductions C11) 17, 726.30
12. Net Yalue of Tax Return C12) 169, 793.31
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 169,793.31
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) 167,808.76 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 1 , 984 . ~S x 045 = 89.30
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 ~ .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)=
89.30
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 07-27-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 89.30
INTEREST AND PEN. 1.16
TOTAL DUE 90.46
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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