HomeMy WebLinkAbout06-06-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LEHMAN LINDA
9 KINGS ARMS
MECHANICSBURG, PA 17050
--- fold
ESTATE INFORMATION: ssN: is9-o~-~a~a
FILE NUMBER: 21 1 1 -1017
DECEDENT NAME: LEHMAN CLAIR W
DATE OF PAYMENT: 06/06/201 2
POSTMARK DATE: 06/03/2012
couNTY: CUMBERLAND
DATE OF DEATH: 09/20/201 1
ACN
ASSESSMENT
CONTROL
NUMBER
REV-1162 EX111-96)
N0. CD 016066
AMOUNT
101 ~ 599.48
I
I
TOTAL AMOUNT PAID:
REMARKS:
599.48
CHECK# 6134
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX Pennsylvania T. i ~~
~~~~,~~ LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES R[ ` ~~~~ lr~ AND ASSESSMENT OF TAX REV-1547 IX AFP (12-11)
INHERITANCE TAX DIVISION flC~' ~!
PD BOX 280601 - e'!..~.J
HARRISBINtG PA 17126-0601
L"OI2,j(jN -6 p~ 12~ DATE o5-z1-2012
4 5 ESTATE OF LEHMAN (LAIR w
DATE OF DEATH 09-20'2011
`~' FILE NUMBER 21 11-1017
~~ ~ "~~~++n~}Rt COUNTY CUMBERLAND
LINDA E LEHMAN ~ W., Pq ACN 101
9 KINGS ARMS APPEAL DATE: 07-20-2012
MECHANICSBURG PA 17050-2349 (See reversesldeunderObjectlons)
Awount Rewitted ,~
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~'~- RETAIN LOWER PORTION FOR
----------------- YOUR RECORDS
-------------- 4~
------ _ ______________
- -
-------------------------------------
REV-1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO WANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
_._
_
_._ _ESTATE_-DF: LEffMAA - - - CL1~CIf~- -WF-IrE"-N6~-~21~1-1~- --- ACA: 101--- _ -
~TEa ~05-21-2012
TAX RETURN wAS: C X) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1 Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
. 00 credit to your account,
2. Stocks and Bonds (Schedule B) (2) . subwit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 61,24 3.87
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
CS) 61,243.87
s. Total Assets
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 1.4 8 7.90
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 115.73
C11) 1,603.63
11. Total Deductions 640.24
59
12. Net Value of Tax Return (12) ,
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .
14. Net Value of Estate Subject to Tax (14) 59,640.24
NOTE: If an assesswent 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) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) S9. 40.24 X 045 = 2,661.31
17. Amount of Line 14 at Sibling rate C17) _00 X 1 2 = .00
18. Amount of Line 14 taxable at Collateral/Glass B rate C18) 500 • 00 X 15 = 75.00
19. Principal Tax Due (19 )= 2.736.31
TAY CRFIITTS,
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-) AMOUNT PAID
12-06-2011 CD015293 131.84 2,504.99
PAYMENT MUST BE MADE. BY 06-20-2012*.
TOTAL TAX PAYMENT 2,636.83
BALANCE OF TAX DUE 99.48
INTEREST AND PEN. .00
TOTAL DUE 99.48
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
N;- ~~- ~ r,: ~
il! ~.S
,..~.
2(~I2 JUf~y -6 ~~ ~~
F' IZ: 4 g ~ ' "~ ~'
~~~-
wmD~ ~ ~~ ~ ~ ~ ~ ~
~U~l'v'~ ~~~ ~~ ~~~
~ ;-
c -~ XT.
`! l`
~, v.
l~" ~.
~~
~ ~=
~`^ ~~
r ~ rc,
~_
~_
~ ~,
~~}`~(~ r
~~
W
F~
=.;
~: , ..
}~ ~ y ,.~
p f
s"~ ~+
~~~~ ~ ,~
~~~~.~~
.~ s
_~, ~~ ~.