HomeMy WebLinkAbout02-08-13COMMONWEAITM OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 71 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EXIt t-96)
NO. CD 017157
STEVEN W FAHNESTOCK_& ASSOC
1513 CEDAR CLIFF DRIVE
CAMP HILL, PA 17011
- ------ IoIJ
ESTATE INFORMATION:
FILE NUMBER: 211 1-0243
DECEDENT NAME: ADRAGNA LUCREZIA
DATE OF PAYMENT: 02/08/2013
POSTMARK DATE: 02/07/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 12/27/2010
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 534.97
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 5020
SEAL
534.97
INITIALS: HEA
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
auREAU DF INDIVIDUAL rnxss APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION RECDRDED°~f'~B~~~DNS AND ASSESSMENT OF TAX
PO BOX 286661 ~+
HARRISBURG PA 17128-0661 ~ DC ~" ~j-LS
(1) 144,931.82
(2) .00
c3> .00
(4) .00
(5) 1.,333.98
(by 21L935..00
(7) 181,823.60
REGIST cR
413 FEB 8 F~1 1 18
CLERK OF
STEVEN W FAHNESTOQRF~WJINS, COURT
1513 CEDAR CLIFE~gERLAND CO•. ?A
CAMP HILL PA 17011-7721
DATE 12-31-2012
ESTATE OF ADRAGNA LUCREZIA
DATE OF DEATH 12-27-2010
FILE NUMBER 21 11-0243
COUNTY CUMBERLAND
ACN LO1
APPEAL DATE: 03-01-2013
(See reverse side under Objections)
Aaount ReAitted
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 ~
REV-1547 EX AFP C12-12) NOTICE OF IN HERITANCE TAX APPRAISEMENT. ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ADRAGNA LUCREZIA FILE N0.:21 11-0243 ACN: 101 DATE: 12-31-2012
TAX RETURN WAS:. C)O ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE DF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (SChetlule A)
2. Stooks antl Bonds (SChetlule B)
3. Closely Held Stock/Pa rt ne rshlp Interest (Schedule C)
4. Mort BaBes/Notes Receivable (SChetlule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: -
9. Funeral Expanses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilitiesliiens (SCha JUle i)
Pennsylvania
DEPARTMENT OF REVEN UE
REV•1547 IX AFP C12.12)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with Your
ta% payment.
(B) 540.024.40
fig) 46.201.61
(lo) .OD
s
d
ti
D (11) 46,201.61
11. e
uc
on
Total (12) 493,822.79
12.
13. Net Value of Tax Return
Charitable/Governmental Bequests; Non-eleetetl 9113 Trusts (Schedule J) (13] .OD
14. Nat Value of Estate Subject to Tax (14) 493,822.79
NOTE: If an assesssent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect fiDures that include the total of ALL returns assessed to date.
ASSESSMENY OF TAX:
15. Amount of Lf na 14 at Spousal rate (15Y •00 -X- DO ~ - .00
16. Amount of Line 14 taxable at Lineal/Glass A rate (1A) 49~.R22.79 X 045 ° 22,222.03
17. Amount of Lino 14 at Sibling rate (17) -DO X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 .00
19. Principal Tax Due (19) 22.222.03
TAY rDG'BtTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
03-26-2011 (6014201 1,052.63 20,000.00
09-26-2012 CD016594 .03- 1,169.43
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-27-2012
TOTAL TAX PAYMENT 22,222.03
BALANCE OF TAX DUE .00
INTEREST AND PEN. 34.97
TOTAL DUE 34.97
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE
FOR CALCULATION OF ADBITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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