HomeMy WebLinkAbout12-26-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 016962
FREY ROBERT G
5 S HANOVER STREET
CARLISLE, PA 17013-3385
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $7.50
ESTATE INFORMATION: ssrv: 202-09-505
FILE NUMBER: 2105-0272
DECEDENT NAME: HARDING JUVENELIA
DATE OF PAYMENT: 1 2/26/201 2
POSTMARK DATE: 1 2/26/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 03/06/2005
REMARKS: RECEIPT TO ATTY
SEAL
TOTAL AMOUNT PAID:
INITIALS: HMW
REV-1162 EX111-96)
$7.50
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TaxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE rax DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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DEPARTMENT OF REVENUE
~~~~~~~ REV-1547 EX AFP (12-12)
DATE 12-17-2012
ESTATE OF HARDING JUVENELIA S
DATE OF DEATH 05-06-2005
FILE NUMBER 21 05-0272
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 02-15-2013
(See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS-LINE----_ --~ R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ _
REV-1547 EX AFP C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HARDING JUVENELIA SFILE N0.:21 05-0272 ACN: 101 _________
OR
DATE: 12-17-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) f1) .0 0 NOTE• To ensure proper
2. Stocks and Bonds (Schedule B) (2) 1,3 0 2.0 0 credit to your account,
3.
Closely Held Stock/Partnership Interest (Schedule C)
(3) .0 0 submit the upper portion
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) {5) .0 0
6. Jointly Owned Property (Schedule F) (b) .0 0
7. Transfers (Schedule G) C7) .0 0
8. Total Assets (8) 1 , 302.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) {g) 8 2 0.0 0
10. Debts/Mortgage Liabilities/Liens {Schedule I) (10) .0 0
11. Total Deductions C11) 820.00
12. Net Value of Tax Return C12) 482.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 137,782.00
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 (15) .00 ~{ 00 = .00
lb. Amount of Line 14 taxable at Lineal/Class A rate Clb) l 36 , 78? . 00 X 045 = 6 , 1_55 , 69
17. Amount of Line 14 at Sibling rate (17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te {18) 1 , 000.00 x 15 = 150.00
19. Principal Tax Due (19)= 6 , 305.69
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
09-09-2005 CD005787 .00 6,284.00
05-29-2012 CD016034 .00 21.69
BALANCE OF UNPAID INTEREST/PENALTY AS OF 05-30-2012
TOTAL TAX PAYMENT 6,305.69
BALANCE OF TAX DUE .00
INTEREST AND PEN. 7.50
TOTAL DUE 7.50
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.