HomeMy WebLinkAbout05-15-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPAFTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019163
MILLER DOUGLAS G
60 WEST POMFRET STREET
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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""""_' """"
101 � 5712.08
ESTATE INFORMATION: sS►v: i88-32-4406 I
FILE NUMBER: 2113-0570 �
DECEDENT NAME: FRY GLENN E I
DATE OF PAYMENT: 05/1 5/201 4 I
POSTMARK DATE: 05/15/2014 I
CoUrvTY: CUMBERLAND �
DATE OF DEATH: 01/06/2008 I
�
TOTAL AMOUNT PAID: $712.08
REMARKS: RECEIPT TO ATTY
CHECK# 35707
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX � pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION °Mi;-=�:aOFfl�DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ��i`�`�^�'``����,�' REV-1547 DC AFP COB-13)
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HARRISBURG PA 17128-0601
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C+ cn � ���j`r� _; '�: .���;;=; DATE 05-12-2014
� w' � ti.. � ESTATE OF FRY GLENN E
� - �"�{a� • �;f� �- DATE OF DEATH 01-06-2008
tw_ . � c-,�
ta_ , E �`' c-� �'� �c C:` :. FILE NUMBER 21 13-0570
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� �="� COUNTY CUMBERLAND
�� ��� M I�.ER `:' , DOUGLAS G ACN 101
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c:� f._.. IR�N &'ht(FKh,$GHT PC APPEAL DATE: 07-11-2014
� �'� 6 C��-W P�Qi�I��`f S T (See reverse side under Objections)
� iu� C�gLISLE� � PA 17013-3243 Amount Remitted
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� �" � � MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
�°, � REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS !-
REV-1547 EX AFP C08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: FRY GLENN EFILE N0. :21 13-0570 ACN: 101 DATE: 05-12-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORI6INAL RETURN
1. Real Estate CSchedule A) �1� .00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) �2� .00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest CSchedule C) (3) of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) (5) 29,066.61
6. Jointly Owned Property CSchedule F) C6� .00
7. Transfers (Sehedule G) ��� .0 0
8. Total Assets c8) 29,066.61
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) �q� 4+8 31.91
10. Debts/Mortgage Liabilities/Liens CSchedule I) �ip� .00
11. Total Deductions �11� 4,831.91
12. Net Value of Tax Return �12� 24,234.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) �lg� .00
14. Net Value of Estate Subject to Tax �ly� 24,234.70
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 - .00
16. Amount of Line 14 taxable at lineal rate (16) -�� x 045 = .00
17. Amount of Line 14 at sibling rate C17) _00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) 24,234.70 X 15 = 3,635.21
19. Principal Tax Due C19)= 3,635.21
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-23-2013 CD018564 .00 3,635.21
BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-24-2013 TOTAL TAX PAYMENT 3,635.21
BALANCE OF TAX DUE .00
INTERfST AND PEN. 712.08
TOTAL DUE 712.08
� 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.