HomeMy WebLinkAbout05-09-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX{71-g6)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019136
GUTSHALL KENNETH W
4724 E TRINDLE RD
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- Wd
101 $165.62
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0611
DECEDENT NAME: GUTSHALL SANDRA K
DATE OF PAYMENT: 05/09/2014
POSTMARK DATE: 05/0$/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 05/13/2013
TOTAL AMOUNT PAID: $165.62
REMARKS:
CHECK# 2013
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE Pennsylvania
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX 1p
PO BOX 280601 DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 .. ry2�LC��C
REV-1547 EX AFP (08-13)
7EC i4 DATE �R 00--sr,,g
EZ T11EE++('�OILF GUTSHAL% SANDRA K
D^ uR`$EIJrH -13-2013
'21
FILE NUMBER is-y' q I
GUTSHALL KENNETH W COUNTY Q L nCUMBERLAND
4724 E TRINDLE RD ACNORP��'PAL f)IF01
MECHANICSBURG PA 17050-3615 C'U ,Q C�'t/T 07-04-2014
_S'ee revers 'dunder Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE y RETAIN LOWER PnRTTnu rnn
REV-1547 EX AFP 008-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR ..��
-- - - - - -- -DISALLOWANCE OF DEDUCTIONS-AND ASSESSMENT OF--TAX- -- — - ""'"'"---- -
ESTATE OF: GUTSHALL SANDRA KFILE NO. :21 13-0611 ACN: 101 DATE: 05-05-2014
TAX RETURN WAS: C ) ACCEPTED AS FILED C X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01
L Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
Z. Stocks and Bonds (Schedule B) (2)
.00 credit to your account,
00 submit the upper portion
S- Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with Your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) - (5) 3,844.00
X7
6. Jointly owned Property (Schedule F) (6) '� � 7.7 (•(•(
7. Transfers (Schedule G) - (7) m G'7
G7 p
8. Total Assess M8 Z ��, 3.8
APPROVED DEDUCTIONS AND EXEMPTIONS: ';0 a (- m M
9. Funeral Expenses/Adm. Costs%Mist. Expenses (Schedule H) (9) -E0 = Fl;
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