HomeMy WebLinkAbout10-03-13 COMMONWEALTH OF PENNSYLVANIA REV-1102 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018200
KISER JUDY L
208 HEARTH RD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- fold
101 $26.47
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0294
DECEDENT NAME: MEHARGUE JANE A
DATE OF PAYMENT: 10/03/2013
POSTMARK DATE: 10/02/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 02/28/2013
TOTAL AMOUNT PAID: $26.47
REMARKS:
CHECK# 1451
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
i
NOTICE OF INHERITANCE TAX I (03-
pennsytva
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVEI
INHERITANCE TAX DIVISION REV-1547 EX AFP (OS-
PO sox 260601 RECORDED OFFICE OF
HARRISBURG PA 17128-0601 REGISTER OF ,PILLS
DATE 08-05-2013
6113 LICT 3 R� l� 02 ESTATE OF MEHARGUE JANE
DATE OF DEATH 02-28-2013
CLERK OF FILE NUMBER 21 13-0294
KISER AbifY1'IANS'LCOURT COUNTY CUMBERLAND
ACN 101
208 HEARTH RDCUMBERLAND CO., PA APPEAL DATE: 10-04-2013
CAMP HILL PA 17011-8454 (See reverse side underObjecdons)
Amount Remitted 1 !2 -7
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -__- 1 RETAIN LOWER PORTION FOR YOUR RECORDS 4—
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REV-1547 EX AFP 6102-13� NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
- . - .DISALLJOWANCE, OF,,DEDUCTI OHS fAND.ASSESSMENT OF.TAX-
ESTATE OF. MEHARGUE JANE AFILE NO. :21 13-0294 ACM: 101 DATE: 08-05-201
TAX RETURN WAS: C ) ACCEPTED AS FILED C )() CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ONt ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure pro
2. Stocks and Bonds (Schedule B) (2) 28,710.00 credit to your aced
S. Closely Hold Stock/Partna rship Interest .00 submit the upper Do
s[ (Sehodulo C) (3) of this form with y
4. Mortgages/Notes Receivable (Schadulo D) (4) •00 tax payment.
S. Cash/Bank Deposlts/Mist. Personal Property (Schedule E) (5) 17,180.00
6. Jointly Owned Property (Schedule F) (6) 28,149.00
7. Transfers (Schedule 6) (7) 14,927.00
S. Total Assets (8) 88,966.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Ads: Coats/Mist. Expanses (Schedule H) (9) 2,097.00
10. Debts/Mortgogo Liabilities/Lions (Sehodulo I) C103 503.00
11. Total Deductions (11) 2,600.00
12. Not Value of Tax Return (12) 86,366.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Sehodulo J) (13) .00
14. Not Value of Estate Subject to Tax (14) 86,366.00
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 Lino 14 at spousal rate (15) 000 X 00 .00
16. Amount of Line 14 taxable at lineal rate (16) R6-3A[-a0 X 045 a 3,886.47
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 .00
19. Principal Tax Due (19)8 3,886.47
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
193.00 ,
PAYMENT MUST BE MADE BY 11-28-2013*. TOTAL TAX PAYMENT 3,860.00
BALANCE OF TAX DUE 26.47
INTEREST AND PEN. .00
TOTAL DUE 26.47
a TF PATO AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
„ 4
penn$ylvanla INHERITANCE TAX
' DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
' DEPT.280801
HARRISBURG,PA 17128-0801
I
� DECEDENTS NAME
Jane A Mehargue FILE NUMBER
REVIEWED BY 2113.029
Tamika Washington ACN
ITEM 101
SCHEDULE NO.
EXPLANATION OF CHANGES
JII B1-2 The value of the charitable bequest has been disallowed. The decedent's Will did not
contain a speck bequest to the charity.
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