HomeMy WebLinkAbout04-22-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(l 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD 017479
CLINESCHMIDT COLEEN M
2860 YOST RD
PERKIOMENVILLE, PA 18074
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
----- Nid ----------
101 $14.69
ESTATE INFORMATION:
FILE NUMBER: 21 12-1 301
DECEDENT NAME: MCGUFFIN REGINA R
DATE OF PAYMENT: 04/22/2013
POSTMARK DATE: 04/18/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 11/29/2012
TOTAL AMOUNT PAID: $14.69
REMARKS: COLEEN CLINESCHMIDT
CHECK# 1831
INITIALS: WZ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX p►enn$ylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVSSSON REV-1547 EX AFP (04-12)
PO BOX 280601
NARRISBORG PA 17128-0601
DATE 04-15-2013
RECORDED OFFICE OF ESTATE OF MCGUFFIN REGINA R
REGISTER OF WILLS DATE OF DEATH 11-29-2012
FILE NUMBER 21 12-1301
(�f� �{�p COUNTY CUMBERLAND
COLEEN M CLINE$CHf1ID1'� 22 PM 12 30 ACN 101
2860 YOST RD APPEAL DATE: 06-14-2013
PERKIOMENVILLE PA 1 &f M(Af. (See reverse sid underObjecSons)
ORPHANS- COURT Amount Remitte
PA CHECK PAYABLE AND REMIT PAYMENT TO:
CUMBERLAND CO..
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALDNB 7NIS LINE
'-'-- -i RETAIN LOWER PORTION- -
FOR YOUR RECORDS #—
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REV-1547 EX AFP C12-113 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DEDUCTIONS--AND ASSESSMENT OF TAX
ESTATE OF:. .MCGUFFIN REGINA . RFILE NO,. :21 12-1301 ACN: 101 DATE: 04-15-2013
TAX RETURN WAS: CX) ACCEPTED AS FILED { ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchadule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
.DO submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with Your
4. Mortgages/Notes Receivable (Schedule D) C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedulo E) (5) 14,999.94
6. Jointly Owned Property (Schedule F) - {6) 108,112.26
7. Transfers (Schedule G) (7) .00
S. Total Assets (8) 123,112,211
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Adm. Costs/Misc. Expenses (Schedule H) (9) 3,109.94
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) ,_2.107.36
11. Total Deductions (11) 5,217.30
12. Net Value of Tax Return (12) 117,894.90
13. Charitable/Governmontal Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (L4) 117,894.90
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:
._-.._ i5_. -Amount._of Line 14 at spousal rate. ..__..._. _{15)--- -..__ ....:....00 X 00-
16. Amount of Line 14 taxable at lineal rata (16) 117.R94.9n x 045 - 5,305.27
17. Amount of Line 14 at sibling rate C17) .00 x 12 - .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 . .00
19. Principal Tax Due C19)= 5,305.27
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-22-2013 CDC17217 264.55 ,026.05
PAYMENT MUST BE MADE BY 08-29-2013*. TOTAL TAX PAYMENT 5,290.58
BALANCE OF TAX DUE 14.69
INTEREST AND PEN.
TOTAL DUE 14.69
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU M BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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