HomeMy WebLinkAbout10-19-11 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015083
FULLMER PATRICIA A
187 NEWVILLE ROAD
NEWBURG, PA 17240
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
101 ~ 513.54
ESTATE INFORMATION: ssN: 778-54-6939
FILE NUMBER: 2110-0755 ~
DECEDENT NAME: BYERS LESLIE JO
DATE OF PAYMENT: 10/19/2011
POSTMARK DATE: 10/19/201 1
COUNTY: CUMBERLAND ~
DATE OF DEATH: 07/03/2010
TOTAL AMOUNT PAID: 513.54
REMARKS: RECEIPT TO ATTY
CHECK#119
INITIALS: HMW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvania ~y:„~''.-
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-10)
PO BOX 280601
HARRISBURG PA 17128-0601 ~ 0
DATE 10-03-2011
ESTATE OF BYERS LESLIE J
4~~` 111 DATE OF DEATH 07-03-2010
FILE NUMBER 21 10-0755
COUNTY CUMBERLAND
KARL E ROMINGER ACN 101
155 S HANOVER ST APPEAL DATE: 12-02-2011
CARL ISLE PA 17013 (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 -1 RETAIN LOWER PORTION FOR YOUR RECORDS F-
REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BYERS LESLIE JFILE N0.:21 10-0755 ACN: 101 DATE: 10-03-2011
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 35,000.00 NOTE: To ensure proper
4,437.16 credit to your account,
2. Stocks and Bonds (Schedule B) C2)
.0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 21,2 64.26
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 60 , 701.42
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 9.9 61.8 7
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,59 3.20
11. Total Deductions C11) 13,555.07
12. Net Value of Tax Return (12) 47, 146.35
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 100.00
14. Net Value of Estate Subject to Tax (14) 47,046.35
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 re#urns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 47 . 046. 3~i X 045 - 2, 117. U9
17. Amount of Line 14 at Sibling rate C17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X ~ _ •OA-
19. Principal Tax Due 11
TAX CREDITS: ~ --t
PAYMENT RECEIPT DISCOUNT C+) 17 m
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID - ' x
06-20-2011 CD014609 . 00 2, 117.09 -O ,1
'fi-i r'-
`J
D O
(.Ft
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-21-2011 TOTAL TAX PAYMENT 2,117.09
BALANCE OF TAX DUE .00
INTEREST AND PEN. 13.54
TOTAL DUE 13.54
¦ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY B.
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS