HomeMy WebLinkAbout01-23-13COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SEEBER EDWARD PETER
555 GETTYSBURG ROAD
SUITE C 400
MECHANICSBURG, PA 17055
REV-1162 EX~11-96)
NO. CD 017081
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION:
FILE NUMBER: 2108-0819
DECEDENT NAME: RUDBERG THEODORE
DATE OF PAYMENT: 01 / 23/ 2013
POSTMARK DATE: 01 /23/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 07/ 28/ 2008
101 ~ 514.95
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 14987
INITIALS: HMW
RECEIVED BY:
514.95
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
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EDWARD P SEEBER -
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555 GETTYSBURG PIKE 4`" _'''
MECHANICSBURG P~i~.~.~~~~~~•07
`~~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-12)
DATE 01-14-2013
ESTATE OF RUDBERG THEODORE
DATE OF DEATH 07-28-2008
FILE NUMBER 21 08-0819
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 03-15-2013
(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----- -)--RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS-~E- -
REV-1547 EX AFP C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RUDBERG THEODORE FILE N0.:21 08-0819 ACN: 101 ------------------
OR
DATE: 01-14-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Real Estate (Schedule A) C1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2)
.00
credit to your account,
0 0 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) 25,828.67
8. Total Assets C8) 25,828.67
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedu le H) C9) 1 5.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions C11) 15.00
12. Net Value of Tax Return C12) 25,813.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Value of Estate Subject to Tax C14) 631 , 409.17
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 d ate.
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 C16) .D 0 X 04 5 = .0 0
17. Amount of Line 14 at Sibling rate C17) .0 Q X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 631 , 409.17 X 15 = 94 , 711.38
19. Principal Tax Due C19)= 94, 711.38
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
10-28-2008 CD010467 4,315.79 82,000.00
04-28-2009 CD011175 .00 4,523.54
07-05-2012 CD016220 446.80- 4,318.85
BALANCE OF UNPAID INTEREST/PENALTY AS OF 07-06-2012
TOTAL TAX PAYMENT 94,711.38
BALANCE OF TAX DUE .00
INTEREST AND PEN. 14.95
TOTAL DUE 14.95
* 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.