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HomeMy WebLinkAbout06-23-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019332 PATTILLO STACY J 235 WHITLEY DR CHAMBERSBURG, PA 17201 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold --------- 101 $34.14 ESTATE INFORMATION: SSN: FILE NUMBER: 2112-0945 DECEDENT NAME: HOCKENBERRY TYLER D DATE OF PAYMENT: 06/23/2014 POSTMARK DATE: 06/20/2014 COUNTY: CUMBERLAND DATE OF DEATH: 07/25/2012 TOTAL AMOUNT PAID: $34.14 REMARKS: CHECK# 124 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS ' REGISTER OF WILLS NOTICE OF INHERITANCE TAX pennsylvania APPRAISEMEHT, ALLOWANCE OR DISALLOWANCE - DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX INHERITANCE TAX DIVISION PO SOX 250602 RLN-1547 EX AFP COS-I3) HARRISBURG PA 17128-0607 DATE 05-19-2014 ESTATE OF HOCKENBERRY TYLER D DATE OF DEATH 07-25-2012 FILE NUMBER 21 12-0945 COUNTY CUMBERLAND GLEASON ESQ THOMAS P ACN 101 49 W ORANGE ST APPEAL DATE: 07-18-2014 SHIPPENSBURG PA 17257-1813 (See reverse side under Objections) Amount Remitted E�l-1• l� -� MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE -► RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-2547 EX AFP (08-I3) NOTICE OF INNERITANCE FAX APPRAISEMENT: ALLOWANCE 4R DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: HOCKENBERRY TYLER DFILE NO. :21 12-0945 ACN: 101 DATE: 05-19-2014 TAX RETURN WAS: I X) ACCEPTED AS FILED C 7 CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate CSchedule A) (1) .DO NOTE: To ensure propery 2. Stocks and Bonds CSchedule B) (2) .00 credit to your account, 3. Closely Held StaCkfPa K .00 submit the upper Portion nership Interest CSchedule C} {3) of this form with your 4. Mortgages/Notes Receivable CSchedule D) (4) •QO tax payment. 5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (57 64,249.32 6. Jointly Owned Property CSchedule F) (6) .00 7. Transfers (Schedule G) (7) .00 S. Total Assets (B) r-64.24 9.3? APPROVED DEDUCTIONS AND EXEMPTIDNS: <� 4. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) (q). 14.9R? .$ C 10. Debts/Mortgage Liabilities/Liens (Schedule I) (1 O) 14 712.TT!' (-� 7� 11. Total Deductions (1',y)'^_. [`" r2a,5g� 1'119 12. Net Value of Tax Return {123 C. _ ""jO54*-1 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) - ( 13)�-� 14. Net Value of Estate Subiect to Tax C14] t 34,65 •'YB NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, i'iS d/or,'19 wsl�g reflect figures that include the total of all returns assessed-,,to date. G7 C7 ASSESSMENT OF TAX: �> r i 15. Amount of Line 14 at spousal rate (15) .0D X 00 = ,00 16. Amount of Line 14 taxable at lineal rate (16) 34,454. 13 X 045 = 1,559.44 17. Amount of Line 14 at sibling rate (17) .nn X 12 = .00 18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= 1,559.44 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) D1-17-2014 CDO18666 .0D 1>559.44 BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-18-2014 TOTAL TAX PAYMENT 1 ,559.44 BALANCE OF TAX DUE , 00 INTEREST AND PEN. 34.14 TOTAL DUE 34.14 x IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CRT, YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. d - \ k �}/ \\�\ 2tm 3 © 3 \\ a "P w # � ® k ° CDC ® 2 > » 0 4 3 « o � \ 7 \ t m0 \ / 3 . � d