Loading...
HomeMy WebLinkAbout01-31-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX)11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 1]128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018717 GREEN VALERIE M 1926 PRINCETON AVENUE CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER __________ 101 $533.42 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-0387 DECEDENT NAME: MELVIN GERALDINE M DATE OF PAYMENT: 01/31 /2014 POSTMARK DATE: 01/30/2014 COUNTY: CUMBERLAND DATE OF DEATH: 01/08/2013 TOTAL AMOUNT PAID: $533.42 REMARKS: CHECK# 4315 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS Fax sent bg 7177311468 HOLLAS AND HEMMEDY 81-29-14 11:32a Pg: Z/S IN NOTICE OF INHERITANCE"TAX.. . APPRAiSEMENT, ALLOWANCE OR DTSALEOWANC BUREAU OF INDIVIDUAL TAXES :. • ' pB¢: 1 >a1EVERUE.' INNERITANrc TAX Dlvt&um OF DEDUCTIONS AND ASSESSMENT.OF" TAX. - PO Amt 226601 .' . •.' .(d:+[gtdg7; 4'Afp°R;edab)', NARRISIMO PA 17126-odic RECO"OED OFFICE r :!' DATE 01=26-: 1- WILL ., ESTATEGF r.:.. NE �. DATE,;QF:.DkAtN 01'-O'8r'2g13' y'' .•t''9'.,�..t :'.:zl:::': t: . 31 r Rf'111 �;� FILE'NGMae* •£• 21''43'1,938!7,;'.,'.l.t_� a COUNTY PsUB$Rl At4Di,•y ::; b ;Fe„r I,: ': ?r:•...: .., KOLLAS JAMES Wt LERK OF AcN log,;'+ ,::: ',:: ; •_.: er:.:' ,.,,.,.:'; :,, ,,. .. STE .104 APPEAL:.jYT`E'e-'.:': 4�^2,•::20.kQry'� 1104' FERNWOOD AVE ORP.IANS' COURT Psee?690stsids'z 451 a).�..'�:r.'....:...`:... �• '"; CAF10 HILL P/G 't KfWsAR'D CO., � `+ Ameunt Remitted .. MAKE CRECK'IPAYABLE AMP REM EN IT' PAYMT T8t " REGIS? R :OF 'WILL$ )/ �� . 1 COURTl16DSE ,SOUARf� .. 7 'CARLISLE ' fA 170'13 t CUT ALONG THIS LINE' -1 RETAIN LOWER PORTION-FOR YOUR. RECOROS 4 I'll REV.-1547 EX AF ---------- _ - _-- - _ ........ ___ ESTATE OFt MELVIN . GERALDINE MFILE NO.t2le 13-0387 ACNs - 101 'DATEdr'0 ,=2D-2Oi�:: TAX RETURN,WAS: ( 1 ACCEPTED AS FILED C }(} 'CNANOED SEE ATTACHMi N() ., APPRAISED VALUE OF RETURN BASED 6", ORIGINAL RETURN - - I- R041 Estate (Seh+dula A) Cl) NOTE t,.TO..;eAaeM+..PrdDIM;' . 2. Stocks and Sonde (Schedule B) 'oredlt'ae;,ybiit �(jcBountr. S. Closely Hold Stack/P+rtMrshiP Interest CSohedule C) f6) {00 aMbeit ,Lkg�,Yfpdgf�~' tl+dn;;, 4. NoFtgae+s/Maiaa.ReaalYeble tYehedule D} t67 k 4t :Nh16 `fn*,e4ir3A; +bdr ` 011.,...tsd6•My ioOt•..:. :. S. Cash/Rank Dtbesits/Misor Perddnal P'rbperty CSobedule E} (B) ?.: 6. Jointly ONned Probcrty (Schedule F) (d) .DO'.� ' T. Transfers tacKeddl: 91 . (7) : .,48,426.13 6. Total Aeatta APPROVED DEVOCTIOft..AND;:EXENPTI.MISe rt;. 1. Funeral Expeniba/!(phi'. Cpdti%ntse. 'ES(nandee CSahedltlo R7�. 14. Debts/NantgO<rge..Lia11111t1ea/tianf CSahodula I} CIO) •4'sllti:53,. 11. Total Deductions ,. (11) . 19rA`+1$.14 12. Net Va1us,bf:T,ax•Return',• 13. Ch'eriteDla%fbVarneedtal 3ebuestsi Rost-tlooteA 4113 Trusts (Schaduls J) (IS) =ND 14. Met Yalu+ of -Esteto Sub act to Tax . . , CSR) ;. NOTE/ Ii' mn'aas'e'aSment'4 a4' 19sued' pi,441ausl'y's, Linea I,4, .Ib;ir li4': ._I,7,`,''• 1l. en4/, O •'18.+ti113' �tr reflect figures tAat include the total of all Petur"ftAV94NS1se4' tu'.di►ti. :. 12. Aaodnt vf �Llne;.14":a€spbdrbi}rdtd.' .•.. .. � :. .. C18Y.''^~ '''a. .. ':kt0'�g'.DD.��';i:3°r„r`i. q,-4 _ le. Aaoun$,of";LiM 14 takab'ic aRaineal .rate C10 is:a}.Y'k7"x„{D4b' a';;;.;;n4:79."••' 17. Amount of Line 14 at sibling rate (17)-- .CID X•12 16. Aaeunt.ef Line 14 taxable at collateral rate ,(26} ._001:X 15, I7. Prinoloal Tax Due ' '774)6' ':1: 14:7:9'..: TAX CREDITSi ' ' • . . . ,. ,. " . A XEN C'+') AMOUNT PAID” DATE NUMBER IMTEREST/PEN PAID C-)' ' ' iY INTEREST IS 'CHARGED THROUGH 02-04-2014 TOTAL TAX PAYMENT I .'�• ° AT THE RATES APPLICABLE AS 0UTLINFO ON THE BALANCE OF TAX DUE ,1,584..74 REVERSE SIDE OF TRIS. FORM INTEREST AMD .PEN: • )F PAID AFTER DATE INDICATED, S££°REVERSE IF TOTAL DUE IS REFLECTED AS A-CREDIT CCR)','YOW MAY�-S .:DifE:: ano rA,pit'arrnu.no AnnrTTnuu TuTeoetT A eeetwn tee ocueo¢r ¢rxc r,w •re¢rmu•Tras¢ PACE 9IS"RCVD AT 11291201410:17 S AMFWa m S andard Time]I SMEAFAX10118100:88301 CSID:71773114001 DURATION fmmas],0243., / � \\ \ \ � � • ^ ~ ^^ ` ^ ^ � ' � �\\ � of ! mR 5 of 1 \ \\ �@qA . iJaS 3 \ k \ ©LF coAi OR? ^ \ A�® & \ 999 L§o CO : . \ : . �. . . . . - « � � > ; s