HomeMy WebLinkAbout03-01-13COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MATEYA MARK A
55 WEST CHURCH AVE
CARLISLE, PA 17013
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ESTATE INFORMATION: SSN:
FILE NUMBER: 2108-0979
DECEDENT NAME: EVANS WILLIAM I
DATE OF PAYMENT: 03/01 /2013
POSTMARK DATE: 03/01 /2013
COUNTY: CUMBERLAND
DATE OF DEATH: 09/26/2008
REV-1162 EX(11-96)
NO. CD 017256
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $1 17.91
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#1006
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
INITIALS: HMW
S 1 17.91
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
MARK A MATEYA
55 W CHURCH AVE
CARLISLE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
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C1) 411,000.00
c2) .00
C3) . 00
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--
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REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: EVANS WILLIAM IFILE N0.:21 08-0979 ACN: 101 DATE: 02-18-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule 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 Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
C4) .00
C5) 31, 18b.1b
c6) .00
C7) b8, 330 .83
~~~~ Pennsylvania
DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
Cs) 510,51b.99
C9) 97 , 274.13
Clo) 48,979.32
11. Total Deductions C11) 14b,253.45
12. Net Value of Tax Return C12) 3b4,2b3.54
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) 5 0 0.0 0
14. Net Value of Estate Subject to Tax C14) 3b3, 7b3.54
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at lineal rate (16) -~ 0 x 0 4 5 = .0 0
17. Amount of Line 14 at sibling rate C17) 363. 763.54 x 12 = 43, b51 . b2
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19)= 43, b51 . b2
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
12-Ob-2012 CDOlb883 5,28b.07- 48,937.b9
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-07-2012 TOTAL TAX PAYMENT 43,b51.b2
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
BALANCE OF TAX DUE .00
INTEREST AND PEN. 117.91
TOTAL DUE 117.91
IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE ~"
A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
DATE 02-18-2013
ESTATE OF EVANS WILLIAM I
DATE OF DEATH 09-2b-2008
FILE NUMBER 21 08-0979
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 04-19-2013
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013