HomeMy WebLinkAbout12-27-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 ]1280601
REECEIVED FROM:
SHADE WAYNE FULTON
53 WEST POMFRET STREET
CARLISLE, PA 17013
1o~d
ESTATE INFORMATION:
FILE NUMBER: 2112-0010
DECEDENT NAME: EPPLEY RUTH K
DATE OF PAYMENT: 12/27/2012
POSTMARK DATE: 12/27/2012
couNTY: CUMBERLAND
DATE OF DEATH: 12/28/2011
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-961
NO. CD 016970
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 5151.24
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK# 4701
5151.24
INITIALS: HEA
sEa~ RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX ~ Pennsylvania
BUREAU OF INDIVSDUAL TAxes APPRAISEMENTr ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
trmmlTAxcE rAx Drv1siDN OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
Po BDX 280401
xARRISBURC PA 17128.0601 R E C O R D E Q r~ C"E^~ ry G
REGIS?~~ nP ~',~.'l -_~...5 DATE 12-24-2012
9 ~7 p m ESTATE OF EPPLEY RUTH K
~ulL GEC 2 I f I ~ iC l~~ DATE OF DEATH 12-28-2011
FILE NUMBER 21 12-0010
WAYNE F SHADE ESO CLERX G' COUNTY CUMBERLAND
o~-,r ACN 101
53 W POMFRET ST O.pRPHANS CQvP,o APPEAL DATE: 02-22-2013
CARLISLE CiUle9E~eA~d'~23O„ ?~~ (SeefrvefsesldeumderObjeeBoas)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT-ALONG THIS LINE 1 RETAIN LOMER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-12) NOTICE OF INHERITANCE TAX APPRAIBEMENT, ALLOWANCE OR
- - ~ - -.DISALLOWANCE_OE DEDUCTIONS. AND. ASSESSMENT OF TAX_ .______ .. ___.
ESTATE OFs EPPLEY RUTH KFILE N0.:21 12-0010 ACNs 101 DATE: 12-24-2012
TAX RETURN HAS: C )ACCEPTED AS FILED C X) (HANDED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ONs ORIGINAL RETURN
1. Real Estat• (Schedule A) (1) .00 NOTE: Te ensure proper
2. Stooks antl Bonds (Schedule i) (2) .00 credit to your account,
3. Closely Neld Sleek/Partnership Interest (Sehetlule C) (S) .00 submit the upper portion
of this form Nith Your
6. Mortpges/NOHS Reoeiveble (Sehetlule D) (q) .00 tax payment.
5. Cash/Bank Deposits/Nlso. Personal Property (Schedule E) (5) 11.097.28
6. faintly Ounad Property (Schedule F) (6) .DO
7. Transfers (Schedule C) (7] 49.491.81
e. Total Assets (g) 60.589.09
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funs ral Expenssa/Adm. Coats/Misc. Expenses (Sehadula H) (y) 7.96 3.96
30. Debts/Nert gage Liabilities/Liens (Schedule I) (10) 26 5.86
11. Total Deductions ()1) 8.209.80
12. Net Vaiu• of Tax Return (12) 52.379.29
li. Charitable/6ovarnmantal Requests) Non-elaetad 9115 Trusts CSchedulo J) (L3) .00
l4. Net Vaiua of Eatat• SuDiect to Tax (14) 52.379.29
NOTE: If an asaassment was issued previously, linos 14. 15 and/or 16, 17 , 18 and 19 will
reflect fi0ures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of LSne 14 at Spousal rat• (1S) .00 X 00 ° ~~ - .00
16. Amount of Line 14 taxsbla at Lineal/Class A raU C16J _nD x 045 ° .00
17. Amount of Line 14 at Sibling rats (17) -08 X 12 ° .00
la. Amount of Ltne 14 taxable at Collateral/Class B rata (18) 52.379.29 7( 15 ° 7.856.89
19. PrinclDal Tax Due (19)° 7.856.89
TAX CREDITS:
A N NT
DATE RECEIPT
NUMBER DISCOUNT Cr)
INTEREST/PEN PAID (-) ANDUNT PAID
-19- 0 CDO1 22 368.42 7.000.00
09-28-2012 CD016566 .00 338.48
INTEREST IS CHARGED THROUGH 01-08-2013
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT 7,706.90
BALANCE OF TAX DUE 149.99
INTEREST AND PEN. 1.25
TOTAL DUE 151.24
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A °CREDIT° (CR>, YOU MAY BE OUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF TXIS FORK FOR INSTRUCTIONS.