HomeMy WebLinkAbout03-19-13 COMMONWEALTH OF PENNSYLVANIA REV 1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 J128�0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 017340
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $38.29 I
ESTATE INFORMATION: SSN:
FILE NUMBER: 2111 -1294
DECEDENT NAME: STONER SHIRLEY C
DATE OF PAYMENT: 03/19/2013
POSTMARK DATE: 03/18/2013
COUNTY: CUMBERLAND
DATE OF DEATH:
11/12/2011
TOTAL AMOUNT PAID: $38.29
REMARKS:
` I
CHECK# 4060
INITIALS: HEA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
1
NOTICE OF INHERITANCE TAXI pennsytvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE # \s DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 Ex AFP (a9-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORn ED OFF 101 6F- DATE 03-11-2013
n TER°) D E=s?I I fiJ ESTATE OF STONER SHIRLEY C
REG
i7 , =`` " 'E' DATE OF DEATH 11-12-2011
p 1 FILE NUMBER 21 11-1294
l)'J MR 19 i � 1 J�' COUNTY CUMBERLAND
R MARK THOMAS ESQ ACN 101
101 S MARKET ST !`,�� �u -: APPEAL DATE: 05-10-2013 j
CLERK ,
MECHANICSBURG P,A„17.OSS,b3aA,� -� (See reverse side under Objections)
U KYti AtV tltT Amount Remitted
I1P (AM���yBERLAND CO., PA MAKE CHECK PAYABLE AND REMIT T TO-
< i REGISTER OF WILLS
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CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS N
REV-1547 EX AFP (12-110 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: STONER SHIRLEY CFILE NO. :21 11-1294 ACN. 101 DATE: 03-11-20131
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) . 00 NOTE: To ensure prope
2. Stocks and Bonds (Schedule B) (2) .00 credit to your accoun
00 submit the upper port on
3. Closely Held Stock/Partnership Interest (Schedule C1 (3) of this form with you
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 87.257.77
6. Jointly Owned Property (Schedule F) (6) 108,476.52
7. Transfers (Schedule G) (7) 228,498.41
8, Total Assets (8) 424,,232.70
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Casts/Misc. Expenses (Schedule H) (9) 13,582.47
10. Debts/Mortgage Liabilities/liens (Schedule I) (10) •00
11. Total Deductions (11) 13,582.47
12. Net Value of Tax Return (32) 410,650.23
13. Charitable/Governmental Bequests; Nan-elected 9113 Trusts (Schedule J) (is) .DO
14. Net Value of Estate Subject to Tax (14) 410,650.23
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 (15) 326,975.27 x 00 - .00
16. Amount of Line 14 taxable at lineal rate (16) R3-A74-96 x 045 = 3,765.37
17. Amount of Line 14 at sibling rate (17) . 00 x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = •DO
19. Principal Tax Due (19)= 3,765.37
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-14-2012 CDO16920 .00 3,765.37
i
i
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-15-2012 TOTAL TAX PAYMENT 3,765.37
BALANCE OF TAX DUE .00
�INTEREST AND PEN. 38.29
i TOTAL DUE 'i 38.2
+ 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 FOR INSTRUCTIONS.
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