HomeMy WebLinkAbout10-17-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF�NDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX '
OFFICIAL RECEIPT '
NO. CD 018270
MATEYA MARK A
� 55 WEST CHURCH AVE
CARLISLE, PA 17013 ��
� :ACN ����
ASSESSM�NT AMOUNT
- - CONTROL
NUMBER
-------- fold
101 � $6.38
ESTATE INFORMATION: Sstv: I
FILE NUMBER: 21 1 1 -0980 �
DECEDENT NAME: THOMA KARL H �
DATE OF PAYMENT: 10/17/2013 �
POSTMARK DATE: 10/17/2013 �
COUNTY: CUMBERLAND �
DATE OF DEATH: 08/06/201 1 �
. �
TOTAL AMOUNT PAID: 56.38
REMARKS: RECEIPT TO ATTY '
CHECK# 133
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
RECEIVED OCT 10 2013
NOTICE OF INHERITANCE TAX , pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION , REV-1547 IX AFP CO3-13)
PO BOX 280601
HARRISBURG PA 17128-0601
R�vG���� ��'�'���' ��'
DATE 10-07-2013
�������� �� ���'`'�`�'� ESTATE OF THOMA KARL H
.,-,.� -�.,T �7 DATE OF DEATH 08-06-2011
'��1� f'� � � f �� �� �i FIIE NUMBER 21 11-0980
COUNTY CUMBERLAND
MATEYA MA(�t�C��:, jY�°
ACN 101
55 W CHURCH A��;=.r,�, _;�► • ,�_ _-�- APPEAL DATEs ' I,2-06-2013
C A R L I S L E c���,�.J?.� 17 Q l.�,=,��1� (See reverse side under Objections)
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Ia.+L�R~i ,��_s t `f:•.� f i't
A�ount Re�itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SqUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS �
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REV-1547 EX AFP CO_2-13� NOTICE OF INHERITANCE TAX APPRAISEM�NT,_ALLOWANCE OR _ _ _ _- __.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: THOMA KARL HFILE N0. :21 11-0980� ACN: 101 DATE: 10-07-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHAN6ED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1
1. Roal Estate (Schedule A) C1) •0 0 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) �2� 3,7 3 1.8 2 credit to your account,
�Q 0 submit tha upper portion
3. Closely Held Stock/Partnership Interest CSchedula C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) ��� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) '�fl
6. .lointly Owned Property CSchedule F) C6) .0 0
'�, Transfers CSchedule 6) C7) •00
8. Tota1 Assets cs) , 3^.73_1.82
APPR0I�ED DEDUCTIQNS ;�ND EXEMPTIOi�S:
9. �'unQral Expenses/AdM. CostsfMisc. Expenses CSchedule H) C9� ' .0 0
10. Dobts/Mortgage Liabilities/Liens CSchedule I) C10) , •0 0
11. Total Deductions C11) .0 0
12. Nat. VaTuQ of Tax Return C12� 3 s 731.82
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� �0 0
14. Net Value of Estate Subje;�t to Tax C14� 83,507.72
NOTE: If an assess�ent was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 wiil
reflect fi0ures that include the total of all returns assessed to date.
-._____����lEEIT__�..S.�K;._--------�.-�___._____-----____- ---------- -__ _ , _ ; . --- -- --- ' ---_ __
15. Amo'unt of Line 14 at spousal rate C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at lineal rate C16) R3.�n�_7� X 045 = 3,757.85
17. Amount of Line 14 at sibling rate C17) -�0 X 12 = .00
18. Amounf of Line 14 taxable at collateral rate C18) .0 0 X 1 5 � .0 0
19. Principal Tax Due C19�= 3,757.85
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-04- O11 CD015165 147.37 2,800.00
04-23-2012 CD015882 .00 642.55
08-12-2013 CD018011 .00 167.93
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-13-2013 TOTAL TAX PAYMENT 3,757.85
BALANCE OF TAX DUE .00
INTEREST AND PEN. 6.38
TOTAL DUE 6.38
* 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.