HomeMy WebLinkAbout04-22-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EXIT 1.96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019049
HARVEY LONNY L
503 LUTHER STREET
HARRISBURG, PA 17112
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $593.46
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0675
DECEDENT NAME: HARVEY LARRY E SR.
DATE OF PAYMENT: 04/22/2014
POSTMARK DATE: 04/22/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 04/07/2013
E
TOTAL AMOUNT PAID: $593.46
REMARKS: RCPT TO ATTY
CHECK# 126
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvanii
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 a AFP (06-13)
PO BOX 28 06 01
HARRISBURG PA 17128-0601
DATE 03-24-2014
ESTATE OF HARVEY SR LARRY E
DATE OF DEATH 04-07-2013
FILE NUMBER 21 13-0675
CONFAIR SUSAN H COUNTY CUMBERLAND
' - 2331 MARKET ST ACN APPEAL DATE: 05-23-2014
CAMP HILL PA 17011-4642 (See reverse side under 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 PORTION FOR YOUR RECORDS 4--
_______________
REV-1547 EX AFP (OB-13) NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: HARVEY SR - LARRY EFILE NO. :21 13-0675 ACN: 101 DATE: 03-24-2014
TAX RETURN WAS: f ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 173,500.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 crp�y''.t to yypir account,
00 suV F t t� Koper portion
S. Closely Held Stock/Partnership Interest (Schedule C) (3) of is 2rowith your
4. Mortgagas/Notes Receivable (Schedule D) (4)�� ta.Caymaut�
S. Cash/Bank Deposits/Misc, Personal Property (schedule E) (5) 384'4 9 C)
6. Jointly Owned Property (Schedule F) (6). D U4 r-
7, Transfers (Schedule G) (7) 511'524a
B. Total Assets L) W I '1t7074':15 .52
APPROVED DEDUCTIONS AND EXEMPTIONS: c) OCC--r1 [j
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule H) (9) 9,58 L.4– + 1V rr- M
10, Debts/Mortgage Liabilities/Lions (Schedule I) CIO) 119.911'Aa4 (}"1 0 -77
11. Total Deductions 1P(11) 29,493.03
12. Net Value of Tax Return (12) 945,024.49
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 945,024.49
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 (15) 541,888.99 X 00 .00
16. Amount of Line 14 taxable at lineal rate (16) 4n�.1-T'C'-r'n X 045 = 18,141 .10
17. Amount of Line 14 at sibling rate (17) -DO X 12 .DO
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= 18,141 .10
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-25-2013 CDC181 .00 17,552.04
INTEREST IS CHARGED THROUGH 04-08-2014 TOTAL TAX PAYMENT 17,552.04
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 589.06
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.40
TOTAL DUE 593.46
e IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE �tl
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTm,rTTnWl r