HomeMy WebLinkAbout01-28-13COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MCDERMOTT KENNETH J
3425 SIMPSON FERRY ROAD
CAMP HILL, PA 1701 1
fold
REMARKS:
CHECK# 2814
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 017105
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
INITIALS: HMW
$111.37
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
TAXPAYER
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX ~ ~± Penns~Jlvanl
BUREAU of INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE J a
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX __ ~ DEPARTMENT OF REVENUE
PO BOX 280601
HARRISBURG PA 17128-0601 REV-1547 EX AFP (12-12)
,.~_<~ .>, ,__ .;,.,PATE 12-17-2012
_ - ESTATE OF CHIOVARO MARIE C
~. ~ § ~ ~ °`` ~ ~'~ DATE OF DEATH 03-20-2011
-? i ,,`; „~ ,_, : FILE NUMBER 21 11 - 0467
KENNETH J MCDERMOTT iV J~ ~(~j ~ ~ ~ ` ` °~ u ~-COUNTY CUMBERLAND
3425 SIMPSON FERRY RD ACN 101
CAMP HILL ~ ~ APPEAL DATE: 02-15-2013
P A 17 01 ~; 6~+ 0~, _, , (See peverse side under Objections )
~:ii kIi"ns`t~1 ,
~~~~~p ~, * r - z,,~}Amount Remitted ~. ~i• ~~ `~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE - --~ --RETAIN LOWER PORTION FOR YOUR RECORDS E-~
REV-1547 EX AFP C12-12) NOTICE OF INHERITANCE TAX_---------"---"""'------------------------
DISALLOWANCE OF DEDUCTIONS ANDRASSESSMENTAOFOTAXCE OR
ESTATE OF: CHIOVARO MARIE (FILE NO.:
21 11-0467 ACN: 101 DATE: 12-17-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED { ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) {1) 129, 900.00 NOTE: To ensure proper
3. Closely Held Stock/Partnership Interest (Schedule C) {2) •0 0 credit to your account,
C3) .~ 0 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with
C4) , 00 Your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) {5) tax payment.
6. Jointly Owned Property {Schedule F) •0 0
7. Transfers {Schedule G) {~) 4, 770.80
{7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: {$) 134,670 80
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) {9)_
10. Debts/Mortgage Liabilities/Liens (Schedule I) X0,9 4 3 n n
{lo) 13, I75 55
11. Total Deductions
12. Net Value of Tax Return {11) 24, 118.55
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) {12) 110,5 5 2.2 5
14. Net Value of Estate Subject to Tax {13) .0 0
NOTE: If an assessment was issued previously, lines 14, 15 and/or 161417 110,552 25
reflect figures that include the total of ALL returns assessed to dat .and 19 will
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
15. Amount of Line 14 taxable a# Line? {15) •0 0 X 0 0 = .0 0
1/Class A rate {16) ) ~ n ~~,
17. Amount of Line 14 at Sibling rate _ X 045 = 4 , 974.85
c17) _ nn x 12 =
18. Amount of Line 14 taxable at Collateral/Class B rate f18) .0 0
19. Principal Tax Due ' ~~ X 15 . 00
TAX CREDITS: {19)= 4,974.85
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID {-) AMOUNT PAID
09-18-2012 CD016519
.00 4,974.85
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-19-2012 TOTAL TAX PAYMENT
4,974.85
BALANCE OF TAX DUE
.00
INTEREST AND PEN. 111.37
TOTAL DUE 111.37
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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