HomeMy WebLinkAbout06-27-12REV-1162 EX111-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 280801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
-------- fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 206-10-8291
2111-0173
FREYSINGER SYLVAN K
06/ 28/ 2012
06/27/2012
CUMBERLAND
01/30/2011
TOTAL AMOUNT PAID:
REMARKS:
NO. CD 016187
56.82
CHECK# 3247 INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
SEAL
REGISTER OF WILLS
REGISTER OF WILLS
ACN AMOUNT
ASSESSMENT
CONTROL
NUMBER
BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO EOX 280601
HARRISBURG PA 17128-06D1
NOTICE OF INHERITANCE TAX
~ T ALLOWANCE OR DISALLOWANCE
~i1~~i'~NS AND ASSESSMENT OF TAX
~V f I~.1 ' ~lrf1 1 +~~«L'J
2p12 JUN 28 P~9 I ~ 3
..rLt-• "~ . ' ~-
R MARK THOMAS ESQ R~~ CQ„
i01 S MARKET ST
MECHANICSBURG PA 17055-6328
penn~ylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-11)
DATE Ob-05-2012
ESTATE OF FREYSINGER SYLVAN K
DATE OF DEATH 01-30-2011
FILE NUMBER 21 11-0173
COUNTY CUMBERLAND
ACN 101
APPEAL.DATE: 08-04-2012
``(See reverse side under Objections)
Aaount Reeitted~~j ,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE.
CARLISLE PA 17013
~ .RETAIN LOWER PORTION FOR YOUR
---------------
LINE RECORDS ~
--------"--'--- _________________
----------
CUT ALON_6 THIS
R
R
N . ALLOWANCE OR
ASSES
REV-1547 EX AFP C12-11~DISALLOWANCE
DEDUCTIONS AND
OF SMENT OF-TAX
-
-SYLVAbf KFILE ND.:21 11-0173 -ACN: 101 DATE: 06-05-2012
ESTATE OF: FREYSINGER
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
(1)
•00
NOTE: To ensure proper
Real Estate CSehedule A)
1 5,1 69.1b credit to your account,
.
C2)
2. Stocks and Bonds CSehedule B) .0 0 submit the upper portion
f this form with Your
Closely Held Stock/Partnership Interest (Schedule C) C4)
3 .00 o
tax payment.
.
Mortgages/Notes Receivable CSehedule D]
4 273,283.80
. .
Cash/Bank Deposits/Misc. Personal Property (Schedule E) C6j
5 .00
.
Jointly Owned Property (Schedule F] C
6
, .00
.
7)
7. Transfers CSehedule G] C8] 27$,452.96
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: - ~ 14,04D.86
Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
1oj
9 - 32 3.91
.
C
10. Debts/Mortgage Liabilities/Liens (Schedule I] 14,364.77
C1I)
264, 088.19
11. Total Deductions C12]
12. Nst Value of Tax Return C13)
ble/Governmental Bequests; Non-elected 9113 Trusts CSehedule J)
it
4) .00
264,088_.19
a
13. Char C1
14. Net Value of Estats Sub3ect to Tax
14
~
15 and/or 16, 1 18 .and 19 will
7,
,
NOTE: If an assesseent was issued previously, lines
ALL retu assessed to date.
rns
.
reflect figures that include the total of
ASSESSMENT OF TAX:
C15) .00 X 00 = .00
15. Amount of Line 14 at Spousal rate C16] ?64.088.19 x 04 5 11,883 97
Amount of Line 14 taxable at Lineal/Class ra e
--
-------------__..-_---------
16 -
- - -- -_[I'0 X 12 -- ------ -~-- 00
.
C17)
----_----------__-. _._.____...---
17, Amount of Line 14 at Sibling rate , 00 X 15 = . 00
18. Amount of Line I4 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS: DISCOUNT C+]
PAYMENT RECEIPT
DATE NUMBER INTEREST/PEN PAID C-)
,~_an-~n71 CD015399 52.62
X187 C19)= 11,883.97
AMOUNT PAID
_ 11,936.59 G~G
~~~ ~~ i
~~~.7
TOTAL TAX PAYMENT 11,883.97
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-31-2011 BALANCE OF TAX DUE .00
INTEREST AND PEN.
TOTAL. DUE 6.82
~ 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.
__
. .. ...__....... __~l
g
~t
3~ ~I
$'.
i
M
l ()
lA
O
W N ~
pd,
~ N ~
F ~
~ ~ ~
~fN~
~ ~
a, ° '~
cn ~ ~
do
W .-+
ooa
Ham
~ooac
U
~ ~ V
m
i~')
~•_
da sr ~?~ .~r'
- a
~, L ~]
~~ ~ i~~r f1"1r `r~ 1,1!
i~
;~