HomeMy WebLinkAbout11-07-12COMMONWEALTH Of~ PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1)1280601
RECEIVED FROM:
THOMAS KEVIN R
179 LONGSTREET DRIVE
GETTYSBURG,PA 17325
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
N0. CD 016744
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,oIJ
ESTATE INFORMATION: ssN: zoa-za-oaa7
FILE NUMBER: 21!,1 1 -0988
DECEDENT NAME: THOMAS SAUNDRA L
DATE OF PAYMENT: 1 1',/07/201 2
POSTMARK DATE: 11!x/06/2012
COUNTY: CWMBERLAND
DATE OF DEATH: 0/17/2011
101 ~ 556.53
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 8184
INITIALS: CJ
RECEIVED BY:
556.53
GLENDA EARNER STRASBAUGH
REGISTER C1F WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 1712E-0601
CE OF INHERITANCE TAX
TAXES P.ECO!`.Ap~a~~L ALLOWANCE OR DISALLOWAMCE
~,~-.`,p F'.D~b~j TIONS AND ASSESSMENT OF TAX
~=~~;~~~IG ..C
^t~12 NOV -l PPS 1104
ORNt-iA~~'~ v~L~+r
JERRY A WEIGLE ~-@ABFRLAI\D CO.. PA
126 E KING ST
SHIPPENSBURG PA 17257-1326
CU7 ALON_6 THIS LINE ~ _ ~'-
REV-1547 EX AFP (12-r 1) NOT'
DISAI
ESTATE OF: THOMAS '
pennsylvania ~
DEPARTMENT OF REVENUE
REV-154] EX AFP (12-ill
DATE Oi9-24-2012
ESTATE OF i~HOMAS SAUNDRA L
DATE OF DEATH Oi3-17-2011
FILE NUMBER `e!1 11-0988
COUNTY C:U MBERLAND
ACN 1.01
APPEAL DATE: 11-23-2012
(See reverse side under Objections
Amount Renitted S(e. S3
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF~ WILLS
1 COURTHOUSE SQUARE
CARLISLE F'A 17013
AIN LOWER PORTION FOR YOUR RECORDS ~
rINHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
CE OF DEDUCTIONS AND ASSESSMENT OF TAX
to LFILE N0.:21 11-0988 ACN: 101 DATE: 09-24-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Sch4tlule A) (1) 113,000.00 NOTE: To ensure proper
2 Stocks and Bonds l(SChedule B) (2) ,00 cre dlt to your account,
.
'
00 submit the upper po rtio
3. k/Partnership Interest (SChetlule C)
Closely Heltl Staq I3) ' of this Form with your
4. Mortgages/Notes gece1va61a (SChetlule D) (4) •00 Yax payment.
5. Cash/Bank Deposits/MSSC. Personal Property (SChetlule E) (5) 7,925.48
6 Jointly Owned Prgpe rty (SChetlule F) (4) .00
.
7. Transfers CSChetl~le G) (7) .
e. Total Assets (8) 120.925.48
APPROVED DEDUCTIONS !,AND EXEMPTIONS:
9. Funeral ExpensesKAtlm. Costs/Misc. Expenses (Schedule H) (g) ?1.485.47
10. Debts/MorYgaga LQabilities/Liens (Schedule D
~ (10) ll4.326.70
' (11) 35,812.17
11. Total Daductlons
(12) 85.113.31
12. Net Value of Taxi Return
13. Charitable/GOVer~hmental Bequests; Non-elected 9113 Trusts (SChetlule JJ I13) .00
14. Net Value of Est#te Subject to Tax (14) 85,113.31
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
res that include the total of ALL
reflect fig ul
returns
assessed to date. 00
-
l
ASSESSMENT OF TAX:
15. Amount of Line 1~ at Spousal rate (15) _00 X 00 = .00
16. Amount of Line 1G taxable at Lineal/Class' A rate (16) SS.113.3] X 045 3,830.10
17. Amount of Line I
lp at Sibling rate (17) .nn X 12 .00
18. Amount of Line lp taxable at Collateral/Class B rate C18) .00 X 15 = .00
19. Principal Tax Du¢ C19)= 3.$30.10
TAX CREDITS: '.
PAYMENT
DATE RE EIPT
N MBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
06-14-2012 CD016124 .00 3,830.10
BALANCE OP UNPAID IINTEREST/PENALTY AS OF 06-15-2012
~ IF PAID AFTER DATE INgICAT ED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TA:K PAYMENT 3,830.10
BALANCE CIF TAX DUE .DO
INTEREST AND PEN. 56.53
TOTAL. DUE 56.53
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.
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