HomeMy WebLinkAbout05-06-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019116
DIEHL CRAIG A
3464 TRINDLE ROAD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-----•-- Iola -- —
101 ( $49.26
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0345
DECEDENT NAME: WILLS PATRICIA A
DATE OF PAYMENT: 05/06/2014
POSTMARK DATE: 05/05/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 02/01/2013
TOTAL AMOUNT PAID: $49.26
REMARKS:
CHECK# 523
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ,
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX , pennsylvaniz
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP COB-13)
' PO BOX 280601
HARRISBURG PA 17128-0601
5 DATE 04-28-2014
ESTATE OF WILLS PATRICIA A
DATE OF DEATH 02-01-2013
FILE NUMBER 21 13-0345
COUNTY CUMBERLAND
DIEHL ESQ CPA CRAIG A ACN 101
3464 TRINDLE RD APPEAL DATE: 06-27-2014
CAMP HILL PA 17011-4436 (See reverse side under Objections)
Amount Remitted ,c'�- &
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1547 EX AFP (OB-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTI ONS.-AND-ASSESSMENT---(IF-TAX ____-- ---- --
ESTATE OF: WILLS PATRICIA AFILE NO. :21 13-0345 ACN: 101 DATE: 04-28-2014
( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 293,484.04 credit to your account
.00 submit the upper porti•
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) 133,074.91
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00 ry
8. Total Assets C7 (8) -&M558.95
rrl APPROVED DEDUCTIONS AND EXEMPTIONS: O 3 n
O
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (g) 45=94.74
30. Debts/Mortgage Liabilities/Liens (Schedule I) (10). m (OT1
11. Total Deductions D� rn.'317 C7) t04Q,391 .23
r57�
12. Net Value of Tax Return 2 167.72
O '(I2) ,�
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) O (3) 12°-'3253 7
14. Not Value of Estate Subiect to Tax p C (14) I ...-2.5, 45.15
NOTE: If an assessment was issued previously, Lines 14, 15, 16,p T71, 18 (9�t9'will
reflect figures that include the total of all returns as"ssed tootbate.
ASSESSMENT OF TAX:
1 00 5._Amount of Line 14 at spousal rate (15) . X 00 = .00
16 Amount of Line 14 taxable at lineal rate (16) -nn X 045 = .00
17. Amount of Line 14 at sibling rate (17) on X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) 251,445.15 X 15 = 37,716.77
19. Principal Tax Due - (19)= 37,716.77
TAX CREDITS:
PAYMENT RECEIPT - DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-26-2013 CDO18447 28.06- 37,744.83
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-27-2013 TOTAL TAX PAYMENT 37,716.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. 49.26
TOTAL DUE 49.26
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.
r
°
j
O
r '
.P
W
1
U) Qj 49. Q rs s
aiz
Ail o o �.o
I qq
A\
IA.)
r r
o5
on rn
a
. i
w°nd��
� Q �
Q O
,o m