HomeMy WebLinkAbout06-13-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(l 1-86j
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019300
BLANK ALFRED B
7 MCCOY LANE
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
----- lad --------- —
101 k $116.10
ESTATE INFORMATION: SSN: 146-16-0320
FILE NUMBER: 2111 -1283
DECEDENT NAME: BLANK NORMA L
DATE OF PAYMENT: 06/13/2014
POSTMARK DATE: 06/13/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 03/06/2010 j
TOTAL AMOUNT PAID: $116.10
REMARKS:
CHECK# 10$
INITIALS: D61
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX --
INHfRITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-26-2014
ESTATE OF BLANK NORMA
DATE OF DEATH 03-06-2030
FILE NUMBER 21 11-1283
COUNTY CUMBERLAND
GODFREY DONNA L ACN 101
1122 FLEETWOOD DR APPEAL DATE: 07-25-2014
CARLISLE PA 17013-3512 (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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS 4--
___ ______ _____ _______"_-_-_-__--_-"_-_-__-_-_-__----_-__----___--.-_____-_-..______-
REV-1547 EX AFP COS-137 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
_ _ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX "
ESTATE OF; BLANK NORMA FILE NO. :21 11-1283 ACN: 101 DATE: 05-26-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 67,000.00 _ NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 11,193.00 credit to your account,
00 submit the upper portion
S. Closely Neltl Stock/Partnership Interest (Schedule C) (3} of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 500.00
6. Jointly owned Property (Schedule F) (6) - 2,013.21
7- Transfers (Schedule G) (7) 923.46
8. Total Assets (8) 81 ,629.67
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 27,915.38.
10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) .00
11. Total Deductions (11) 27,915.38
12. Net Value of Tax Return (12) 53,714.29
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 53,714.29
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, IS 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 .00 x 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) cif-714.79 x 045 = 2,417.14
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = . 00
19. Principal Tax Due C19)= 2,417. 14
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) LPAID DATE NUMBER INTEREST/PEN PAID (-)
01-15-2 14 CDO18660 110.75-BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-16-2014 TO 2,417.14
BALANCE OF TAX DUE M250 INTEREST AND PEN. 1i TOTAL DUE 11
• 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.