HomeMy WebLinkAbout12-09-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 018503
WILEY JAN M
THE WILEY GROUP
3 N BALTIMORE AVENUE
DILLSBURG, PA 17019
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
""_'__ fold '_'_______
101 � 558.87
ESTATE INFORMATION: ssN: 2�5-�8-9s32 �
FILE NUMBER: 2112-0862 �
DECEDENT NAME: VANCE HOMER R I
DATE OF PAYMENT: 12/09/2013 I
POSTMARK DATE: 1 2/09/201 3 �
CoU►vTY: CUMBERLAND �
DATE OF DEATH: 07/26/2012 I
�
TOTAL AMOUNT PAID: $58.87
REMARKS: RECEIPT TO ATTY
CHECK# 11564
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
��� :
NUTICE OF INHERITANCE TAX �; � �: pennsylvani�
APPRAISEMENT, ALLOWANCE OR DISALL�WANCE t
BUREAU OF INDIVIDUAL TAXES O� DEDUC7IONS AND ASSESSMENT OF TAX � � DEPARTMENTOFREVENUE
INHERITANCE TAX �IVISION -���-�-- REV-1547 EX AFP (08-13)
PD BOX 280601
HARRISBURG PA 17128-0601 ������ �-�,� (���
���f� � ;�.� (j�- ',; - `,.;; DATE 11-25-2013
ESTATE OF VANCt HOMER R
J��� �-}; �r"� L ���DA7E OF DEATH 47-26-201?_
`_�,1� � � ' FILF NUMBER 21 12-�J862
r� ��:_ COIJNTY CUMBEi2LAP��
WILEY JAN M ��-�r�� "�" AC� l0i
3 N BALTIMORE ST ��;'�{��,��,� G'�.''`��� � APPEAL DATE: 01-24-20Y4
D I L L S B U R G P A 17 ``'�, (See reverse side trnder Objections)
,pp�g y rY •
tr�MtiL�L1?a=�� '�`. >
Amount Remitted� --�
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOJSE SQUARE
CARLISL.E PA 17QI3
CUT ALON6 THIS LINE -� RETAIN LDWER PORTION FDR YOUR RECORDS �-
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REV-1547 EX AFP (08-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: VANCE HOMER RFILE N0. :21 12-0862 ACN: 101 DATE: 11-25-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORI6INAL RETURN
1. Real Estate (Schedule A) C1� 141 ,OOO.DO NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) �Z? .00 credit to your account.
. 00 submit the upper portio
3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) •�� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 32,881 .6 2
6. Jointly Dwned Property CSchedule F) �6� .00
7. Transfers CSchedule G) ��� .00
8. Total Assets cs) 173.881 .62
APPRDVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) �9� 20 ,94 2.29
10. Debts/Mortgage Liabilities/Liens (Schedule I) �lp� 2 2.170.2 6
11. Total Deductions (11) 43, 112.55
12. Net Value of Tax Return �12� 130,769. 07
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) �13� .00
14. Net Value of Estate Subject to Tax �ly� 130,769.07
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 C15) .00 X 00 - .0 0
16. Amount of Line 14 taxable at lineal rate (16) �3����9-�� x 045 = 5,884.61
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .��
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = . 00
19. Principal Tax Due (19)= �j,884.61
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
08-26-2013 CD018066 .00 5,884.61
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-27-2013 TOTAL TAX PAYMENT 5,884.61
BALANCE OF TAX DUE , 00
INTEREST AND PEN. 58.87
TOTAL DUE 58.87
+ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE ���
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. .J
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