HomeMy WebLinkAbout05-29-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(i i-96)
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARFISBURG,PA 1]128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 017672
FIDLER MATTHEW
411 PAWNER DRIVE
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
_____ ioie """"_
101 � 5732.78
ESTATE INFORMATION: SsN: �
FILE NUMBER: 2112-0758 I
�ECEDENT rvAnnE: GREEN JAMES F III �
DATEOFPAYMENT: 05/29/2013 I
POSTMARK DATE: 05/28/2013 I
COUNTY: CUMBERLAND �
DATE OF DEATH: 06/18/2012 I
�
TOTAL AMOUNT PAID: 5732.78
REMARKS:
CHECK# 1031
INITIALS: HEA
SEA� RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
N07ICE OF INHERI7ANCE TAX a ������` �en��y�V�I�Ta
APPRAiSEMENT, ALLOWANCE OR DISALI.OWpNCE oeaaarMenTOFaEVeNUe
BUREAU a� INOiv[oun�, inxES QF OEDUC7I4NS AND ASSESSNENT OF TAX
iNHtiRkTANCE TAX O7YfSIDN RFV-1S4] EX pFP (03-13)
PO 9qX 280fi01
HARRISBUftG PA 3]t?8-�601
yrf1�'y -, n °�- � �^[' OATE D5-20-2013
311.11f1 i�::��.iJ ::(� : �i'f.v..' �j(
W�i„, ESTA7E OF GREEN III JAMES F
P, �� a��.°..: `��`.: t'!� -`;E"�`� pATE OF OEATH 06-18-2012
�}(1 �1 (1 FILE NUMHER 21 12-0758
�'.��„� ('Ii�Y L.3 �3�7 .'_i ��7 GOUNTY CUMBERLAND
JORDAN b Cl1NNINGHAM ESQ p�N 102
2320 N 2ND ST ���ji�� (,!;' APPEA! DATE: D7-24-ZQ13
HARRISBURG PA 17�'Dy.��f�Q��• ������ (SeereversesldeunderObfecNonsJ
CUh4EiERL�'�Ci"� vi�., F;a Amount Remitted(�---�
MAKE CNECK PAVABLE AND REMIT PAYMENT TD:
RE6ZSTER OF WILLS
1 C6URTHOUSE 54UARE
CARLISLE PA Y7�13
CUT ALONG THIS LINE __ �-Y RETAIN LOWER PORTION FOR VOUR RECOR�S E�
"--'--'-'-""-_-'-" "-'---'-'------"-'-^"""---'--"-----"-'-'-_-""-'-'""'"'
REY-2947 EX AFP t02-13) NOTICE OF INNERITANCE TAX APPRAISEMENT, pLLOWANCE OR
DZSA�LOWANCE OF DEDUCTIONS ANB ASSESSNENT OF 7AX
ESTATE OF: GREEM IIf JAMES PFILE N0. :22 12-0?58 ACN: IUl DATE: �5-20-2013
TdX RE7URN WAS: t ) ACCEPTED A5 FILED t X) CHANGED SEE ATTACNED NOTICE
APPRAISED VA�UE OF RETURN BASED ON: ORT62NAl RETURN
2. ReaY Estate {Schedo2e A} t�� 225�Od0.OD NOTE: Tp ansure proper
2. Stocks antl BonCS (StAadule &} {Z) .00 cretlit to Your aceount,
. 00 su6mit the 4pPer portian
3. Closely Held Stock/Partnership Lntsrest (Schetlule C} t3) of this form with your
4. Mortgages/NOtes Raceivable (SChetlule D) �q� 18�0��. 00 tax paymant.
5. Cash/Bank Deposits/Mixc. Personal Proparty CSchedule E) (y) 86.931 .58
6. Jaintly Owned Property C5chedule F) (6) i9�.64
7. Transfers <schetlule G) ��� 4.656.4$
a. Totai Assets c8) 234.785.�0
APPROVED DEDUGTZONS AND EXEMPTSONS:
4. funsra2 EzpensesfAtlm. Casts/Misc. Exaansss CSchaduie H7 tq} 2b.104.00
70. Do6ts/MOrt9aga liabi23tieslLiens tSChadule Z> t10} „ 2fT4,349.77
ii. rota't �eauctio�,s �iy� 235,503.77
12. Net Yalue of Tax Rsturn �22} 718.07-
13. Charitable/Gpvernmantal Bepuests; Non-electptl 4213 Trusts (SthedUla J} (23} '�a
14. Net Value qf Estate Subjact to Tex �iG� 718.0�-
NOTE: If an assessment was issued Previously> Lines 14, 15. 16, 17: 1$ andlar 19 xi22
reflect figures that include the total of all returns assessed to date.
ASSES5MEN7 OF TAX:
15. Amaunt ot Line 14 aY saousal rate ti57 •�� x fl4 •��
16. Amount of Li�e 14 taxable at lineal rate t2b} .. . (10 x {}45 = .00
17. Amount af 4i�e 14 af 5iblirtg fatp {17> -Ofl S Lt" .QO
18. Amount oF Lina 14 taxable at collateral rate (187 4,854. 12 X 1$ 7Z8. 12
19. Grincipal Tax Due �19>° 728. 12
TAX CREDITS:
PAYt1EN7 RELEIpT � DISCOUN7 C+} qMOUNT PAlD
DATE NUMHER INTERESTlPEN PATD t-) � � � � � + t� r �y
! G U
}uaY z o zo1�
s
INTEREST IS CHARGE� THROUGN 06-04-2013 TqTAL TAX PAYMEN7 -"
AT THE RATES APPLICABLE AS OUTLINE❑ OM TNE BALANCE OF TAX D@E iJ728. 12
REVERSE SIDE OF THI5 FORM INTEREST AND PEN. 4.66
TOTAL DUE � 732.78
« If PALO AFFEB DATE INDICA7E0, SEE REYERSE IF T�TAL DUE [S REFLECTED AS A CRED2T LCR}, ypU MAV BE DUE
FOR CALCULA'fION UF AODITIONAL INTEREST. A REF11N➢. SEE ftEVERSE SIO£ FOR TkSTRUCTIpN4.
. . _. . . . _ . . . _ .
RESERVATION: Estetes ot decedents dyi❑g on or before Dec. 12, 1982-it any future interest in the estate is translerred in possession or
enjoyment to collateral beneficiaries o#the decedent after ihe expiration o(any esiate for iife or years,the Commonwealth
he�eby expressly reserves the right to appraise and assess transfer inheritance taxes af the iawtul collateral rate on any such
tuNre interest.
PAYMENT: Oetach!he top partion of ihis notice and submit with your paYment to the Register of Wilts indicated on the front ot the notice.
�Aake check or money o�der payable to:HEGtSTER OF WILL,AGENT,
REFUND{CR): A retund of a tax credit noi reqoested on the fax reNrn may be requested by compieting an Application tor Refund ot
Pennsylva�ia lnheritanca and Estate Tax(REV-1313}. Appiications are avaiiable from the departmenYS web sike at
www,ceven�a.sU3ie�ka u5,any Fegister of Wiiis or Revenue 6istdct Office,or trom the departmenPs 24-hour forms ardering
service: t-800-�62-2050;services tor iaxpayers wifh speaiai hearing and/or speaking needs: 1-800�4473020(TT only).
P7ease albw 4-6 weeks from the data a refund was granied to arrive.
OBJEC7lONS: Any party in inierest not satisiied with the appraisement,a�lowence or disallowanqe of deductions,or essessmeni of t�
(inciudmg discount or mierest}as shown on this nofice may object within 60 days of the dafe ot receipt of this nptkce by:
A} Fiiing an appeai online at ww_�.✓.kQar�OpiaRpea15,5tat5..R�.us on or before the appea!daEe identitied on the Jroat at this rwtice.
Or sending a written protest to:PA Department of flevenue,8oard of Appe8ls,PO BOX 28t207,Harrisburg PA 17129-t021;
B} Naving t�e metter determined at audit of the account of the personal representative;or
C) C)Appeaiing to the Orphans'Cpurt.
ApM�NfSTRATiVE Errors discovered on tfiis assessment should be addressed in writing to:PA Department of Reve�ve,8ureau of irrc3ividuai
COf�RECTIONS: 'fazes,ATTN:Pnst AssessmeM Review Unit, PO BOX 2846Q1,Harrisburg PA, 1 11 28-1 42t,Phone{717)7II7�8505. See page�
instructions for inheritance 7ax Return tnr a Resident Decedenk(flEV-1541)for an explanation ot administr�iively correciabie
errors.
6iSCOUNT� it any tax due is paid within three calendar months after the decedenYs deatb,a five percent d+scount af the tax paid is aiiowable.
INTEREST: inte,rest is charged begfnoing with First day of delinqueney,or nine mqnths arni one date fram date of death,to ihe date e�t
payment Annual interest rate5 are available on Form REY-161 t,availabte at www._r@vg„nU��t�t�LUS,n�upon rquest by
r.alling 1-A89-72&2937.
tnterest ts calculated 8s follows:
INTERES"f=BAIANCE OF TAX UNPAIR X NUMBER O�DAYS DEltNC1UENT X DAILY INTEREST PAGTOR
Any Notice iSSUed atter the tax beCOmes delinquent wiii retieci an interest catcuiafion to 15 days beyond the dake ot the
assessmenG If Rayment is made after the interest caiculation date show on the Notice,additionai interest must be aalculated.
�iFV�1�10 E%(�II-101
�� pennsylvania lNNERITANCE TAX
k pEPAFTMENT OF REVENUE EXPLANATlON
BUREAU OFINDNI�UALTA%E$ OF CHANGES
PO eoz 2866Ci
DECEDENT'S NAME FILE NUMBER
James Green III 2112-0758
REVIEVV86 BY ACN
Yvpnne Bricker �Q�
ITEM
SCHEDULE Np, EXPLANA7t4N OP CHANGES
F ,� Probate estate is insolvent. Jointly held assets are taxable to the survivors. No
deductions can be ciaimed against join# praperty as it was not the responsibility of the
survivars to pay Yhe debts.
G 1 Non-probate assets are taxabCe ta the beneficiaries. No deductions can be ciaimed
against non-prabate property as it was not the responsibility of the beneficiary to pay
the debts of the estate.
I
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ORIGINAL patl8 1
_. _ .. .. _ . . .. .. _ . ..
JORDAN P.CUNNINGHAM CUNNINGHAM R CHERNICOFF�F.C. HF'sRSHEY TF,LEFHpNE
ROBERTF�.CHERN1C70FF (717�534-28$3
M�RC w.wrrztc ATTORNF,YS AT LAW
BRUCE 7.W�RSNAWSxY p.0.BOX bads? IRS NO.23-2274135
TRACY L.UP42KE HARRISSURG,PA I71O6-OQS?
GFNA L�LAUFFEiR S'7"REIiT ADDRESS:
TEt.EPHONF.; {717}23$-6570 23�0 NORTH SEC(}N6 S7REET
FAx: ���7}2ss-�aos xn�z�s�uac,en r���a
May 28, 2013
Office of the Register of Wills
Curnbertand County Caurt of Camman Pleas
One Courthouse Square
Czrlisie, PA 17013
Re: Estate af James F. Green, III
Cumbertand County Court af Cammon Pleas
Estate No. 21-12-0758
Innoice No. 4276
dar File No. 4095I2
Dear Sir ar Madam:
Enclpsed is a check payable to the Register of Wills—Agent in the amount of$732.78. T
am remitting this amount in accordance with the directive I received from the Department of
Revenue, a copy of which is attached hereto.
If you have any questions,please do not hesitate to contact me.
Very truly po s,
CU�IN THAM& C GQFF, P.C.
Jr,
. unninghatn
JDClalh
enclosures
cc: Matthew Fidler, Executor
F:�}iomeWHEW1T7VJ005\G-1\GRF.EN.Jarnes Estate of409512\CORRESPONDENCEII,OS2Ri3 regsrerafwills.wpd
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