HomeMy WebLinkAbout09-26-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 1 7 1 26-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 016557
IRWIN ROGER B
60 WEST POMFRET STREET
CARLISLE, PA 17013
fold
ESTATE INFORMATION: sSN: is3-36-3756
FILE NUMBER: 2112-0672
DECEDENT NAME: SHEAFFER RALPH L JR
DATE OF PAYMENT: 09/26/201 2
POSTMARK DATE: 09/26/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 02/28/2012
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 51 1.45
TOTAL AMOUNT PAID:
511.45
CHECK# 032485
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsyLvania ~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-11)
PO BOX 280601
HARRISBURG PA 17128-0601 ~~~~~~~
DATE 09-24-2012
SEf 2 4 ZO12 ESTATE OF SHEAFFER JR RALPH L
DATE OF DEATH 02-28-2012
{RWIIV&PNCKNIGIi~ FILE NUMBER 21 12-0672
A1N OFFICES
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Q~ ACN 101
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W POMFI~,T ST APPEAL DATE: 11-23-2012
OBj1R L I SL ~ $~. PA 17 013 - 324 3 (See reverse side under Objections )
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REV-15~ EX AFP C12-11) --
NOTICE OF INHERITAN CE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE-OF--DEDUCTIONS-AND ASSESSNENT OF TAX
ESTATE OF: SHEAFFER JR RALPH LFILE N0.:21 12-0672 ACN: 101 DATE: 09-24-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5] 8,214.07
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 8,214.07
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 3.727.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ .00
11. Total Deductions C11) 3,127.00
12. Net Value of Tax Return (12) 5,087.07
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 5,087.07
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) .00 X 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) F: .OA7.07 x 045 = 228,92
17. Amount of Line 14 at Sibling rate C17) _00 X 12 = .00
18. Amount of Lfne 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Due (19)= 228.92
TAX CREDITS:
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
nL-1Z-9nt9 rnni~ini .. .. ___ _-
PAYMENT MUST BE MADE BY 11-28-2012*. TOTAL TAX PAYMENT 217.47
BALANCE OF TAX DUE 11.45
INTEREST AND PEN. .00
TOTAL DUE 11.45
+~ 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.