HomeMy WebLinkAbout04-30-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 71 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD 017521
ALLISON WILLIAM B
238 PERRY VALLEY ROAD
MILLERSTOWN, PA 17062
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $6.06
ESTATE INFORMATION: SSN:
FILE NUMBER: 2111 - 1290
DECEDENT NAME: ALLISON ROSE MARIE
DATE OF PAYMENT: 04/30/2013
POSTMARK DATE: 04/29/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 11/26/2011
TOTAL AMOUNT PAID: $6.06
REMARKS:
CHECK# 160
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsyLvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION - - REV-1547 EX AFP (09-12)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-08-2013
REC0RDE-_9 0 F QE ESTATE OF ALLISON ROSE MARI
RECD" ;, U °_ ' s._ DATE OF DEATH 11-26-2011
C FILE NUMBER 21 11-1290
M�3 APR 30 t i 1 i� COUNTY CUMBERLAND
JOHN E SLIKEN ES ACN 101
STE 400 APPEAL DATE: 06-07-2013
635 N 12TH ST .p r'1�A'E R ��` (See reverse side under Objections)
LEMOYNE PQRF)JAt951�A� U1",1 Amount Remitted
CUMBERLAND (;I, SPA 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 E--
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR,
.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ALLISON ROSE MARI FILE NO. :21 11-1290 ACN: 101 DATE: 04-08-2013
TAX RETURN WAS: C ) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) (1)_ 137,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B:) (2)_ 7,523.79 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3)_ Oa submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4)_ . 01) tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5)- 5,012.63
6. Jointly Owned Property CSchedule F) C6)- 8 ,641.59
7. Transfers CSchedule G) (7)_ 454.31
8. Total Assets (8) 158,632.32
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 49,625.57
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10)_ 5,712.51
11. Total Deductions (11) 55,338. 08
12. Net Value of Tax Return (12) 103,294.24
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13) . (10
14. Net Value of Estate Subject 'to Tax
(14) 103,294.24
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 115) . 00 X 00 - . 00
16. Amount of Line 14 taxable at lineal rate (16) 1 (15.794 .74 X 045 4,648.24
_
17. Amount of Line 14 at sibling rate (17) 00 X 12 . 00
18. Amount of Line 14 taxable at collateral rate C18) . 00 X 15 = .00
19. Principal Tax Due C19)= 4,648.24
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
02-24-2012 CDO15630 210.53 4,000. 00
02-11-2013 CDO17166 . 01- 437.72
BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-12-2013 TOTAL TAX PAYMENT 4,648.24
BALANCE OF TAX DUE . 00
INTEREST AND PEN. 6.06
TOTAL DUE 6.06
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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