HomeMy WebLinkAbout03-04-13
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017262
WILEY JAN M
THE WILEY GROUP
130 W CHURCH ST STE 100
DILLSBURG, PA 17019
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
101 $56.54
ESTATE INFORMATION: SSN: 193-24-1204
FILE NUMBER: 2111-1021
DECEDENT NAME: HINER MARY JANE
DATE OF PAYMENT: 03/04/2013
POSTMARK DATE: 02/20/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 09/15/2011
TOTAL AMOUNT PAID: $56.54
REMARKS:
CHECK#11284
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX a pennsyLvarna
_HU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
REv DATE 01-21-2013
ra i i_' ESTATE OF HINER MARY J
DATE OF DEATH 09-15-2011
L'i3 FIB 12 FILE NUMBER 21 11-1021 09 COUNTY CUMBERLAND
DAVID J LENOX ACN 101
3 N BALTIMORE S-CLERK APPEAL DATE: 03-22-2013
DILLSBURG QR HRIW7(9-~9~°•-F~i787 (See reverse side under Objections)
CUMBERLAND C0,, A Amount Remitted 1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN-LOWER-PORTION-FOR-YOUR-RECORDS
REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HINER MARY JFILE N0.:21 11-1021 ACN: 101 DATE: 01-21-2013
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) Cl) 119,809.27 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) 16,736.30 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 43,091 .40
6. Jointly Owned Property CSchedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 179,636.97
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 90,422.12
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 290.28
11. Total Deductions (11) 90,712.40
12. Net Value of Tax Return (12) 88,924.57
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13) 55,127.21
14. Net Value of Estate Subject to Tax C14) _ 33,797.36
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 C15) 00 X 00 = .00
1.6. Amount of Line 14 taxable at Lineal/Class A rate C16) -00 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) _00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) 33, 797.36 X 15 = 5,069.60
19. Principal Tax Due C19)= 5,069.60
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-29-2012 CDO16718 .00 5,069.60
BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-30-2012 TOTAL TAX PAYMENT 5,069.60
BALANCE OF TAX DUE .00
INTEREST AND PEN. 56.54
TOTAL DUE 56.54
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
x
oW
_z o
~U
D~ w^~
o~ w~
I.3
i't t
e ..t
_ C
tr' oc rJ p'
rJ
~ T
dd -00" ONVIUIESNnO o Z
`310 • N
(1,01,111M AO
CO
.1h. ° m
co D
C) Ao