HomeMy WebLinkAbout05-22-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIV IDUAL TA%ES
DEPT. 280601
HARRISBURG, PA 1]128-0601
RECEIVED FROM:
GILROY HUBERT XAVIER
TEN EAST HIGH STREET
CARLISLE, PA 17013
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
-------- IoN
ESTATE INFORMATION: SSN: tss-ta-3897
FILE NUMBER: 211 1-0653
DECEDENT NAME: GREGOR J IRENE
DATE OF PAYMENT: 05/22/2012
POSTMARK DATE: 05/22/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 05/08/2011
REV-1162 EX(i 1-96)
NO. CD 016007
AMOUNT
101 ~ .526.55
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 25615
INITIALS: HMW
RECEIVED BY:
526.55
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
N,{}i~~b~)OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRAISE .-+h~;LQN~~ R DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX 07V IS ION QF DED ~p~QI'~S' AND,+,~~la$SMENT OF TAX REV-1547 EX AFP (12-ill
PO BOX 280681 "' ~~-...'J
HARRISBURG PA 17128-0681
Z[+I2 MAY 22 pp9 3a~~ 05-14-2012
E ATE OF GREGOR JULIA I
~r~ DATE OF DEATH 05-OS-2011
VRP~Ta~~ ~J ~%~~~~pF~OUNTYUMBER CUMBERLAND
HUBERT X GILRDY ESQ CUMBERLA~j~ (''~, '91CW 101
10 E HIGH ST APPEAL DATE: 07-13-2012
CARLISLE PA 17013-3015 (See reverse side under Objections)
Amount Remitted L (,S'S
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 ~
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: GREGOR JULIA IFILE N0.:21 11-0653 ACN: -101 DATE: 05-14-2012
TAX RETURN WAS: (J() ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estake (Schedule A) (1) •00 NOTE: To ensure proper
.00 credit to your account.
2. Stocks and Bands (Schedule B) (2)
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) I3) of this Form with your
4. Mgrt9ages/Notes Receivable (SChetlule D) (4) •00 tax payment.
5. Lash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 115,362.15
6. Jointly Owned Property (SChetlule F) (67 52,292.18
7. Transfers (S<hetlule G) (77 .00
E. Total Assets (9) 167,654.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (97 22.707.98
30. Debts/Mortgage Liabilities/Liens (Schedule I) (30) 5.724.80
11. Total Deductions (11) 28,432.78
12. Net Value of Tax Return (127 139.221.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (SChetlule J) (13) .00
14. Net Value of Eskate Subject to Tax (147 139,221.55
NOTE: If an assessment was issued previously,
ref leet figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rake
16. Amount of Lina 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assessed to date.
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(157 .00 X
C16) 138.227 -ri3 X
(17] .DO X
(1B7 1,000.00 X
00 - .00
045 = 6,219.97
12 = .00
15 = 150.00
(19)= 6,369.97
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+7
INTEREST/PEN PAID (-) AMOUNT PAID
07-25-2011 CD014764 289.47 5,500.00
09-27-2011 CD015005 .00 554.19
INTEREST IS CHARGED THROUGH 05-29-2012
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 6.343.66
BALANCE OF TAX DUE 26.31
INTEREST AND PEN. .24
TOTAL DUE 26.55
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRT, YOU MAV BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.