HomeMy WebLinkAbout08-19-14 COMMONWEALTH OF PENNSYLVAN,A REV�1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG,PA 171280601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0, CD 019563
HASTINGS PAUL F
1631 BRIDGE STREET
NEW CUMBERLAND, PA 17070
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $687.62
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0629
DECEDENT NAME: HASTINGS JOAN L
DATE OF PAYMENT: 08/19/2014
POSTMARK DATE: 08/15/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 04/18/2013
TOTAL AMOUNT PAID: $687.62
REMARKS:
CHECK# 7668
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE �,.1 DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 IX AFP (OB-13)
PO BOX 250601
HARRISBURG PA 17125.0601
DATE 08-04-2014
ESTATE OF HASTINGS JOAN L
DATE OF DEATH 04-18-2013
FILE NUMBER 21 13-0629
COUNTY CUMBERLAND
MULLAUGH ELIZABETHP ACH 101
100 PINE STREET APPEAL DATE: 10-03-2014
PO BOX 1166 (See reverse side under Objections)
HARRISBURG PA 17108-1166 Amount Remitted
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 DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFI HASTINGS JOAN LFILE N0. :21 13-0629 ACH: 101 DATE: 08-04-2014
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 622,336.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
.DO submit the upper portion
S. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 91,492.00 tax Payment.
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) . DO
6. Jointly Owned Property (Schedule F) (6) 46,525.00
7. Transfers (Schedule G) (7) 1,229,808.00
8. Total Assets (5) 1,990.161.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 51.783.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1.795.00
11. Total Deductions (11) 53,578.00
12. Net Value of Tax Return (12) 1,936,583.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 1,936,583.00
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) 12,127.00 X 00 = .00
16. Amount of Lino 14 taxable at lineal rate (16) ) .9n?-IR6_nn X 045 = 85,598.00
17. Amount of Line 14 at sibling rate (17) -n0 X 12
18. Amount of Line 14 taxable at collateral rate (18) 22,271.00 X 15 mr-i 3,340165
19. Principal Tax Due (19)-,-d 88,93$.65 70;x
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TAX CREDITS: M ue t 1 C
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PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) y' '� (l-
01-16-2014 CDO1 66 .00 85,000.0 0 L C_ _
02-18-2014 CDO18784 .00 3,271.00
CD _ T
�DO : n
n(Z)
INTEREST IS CHARGED THROUGH 08-19-2014 TOTAL TAX PAYMENT 88,27Q°00 T
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 667.65
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 19.97
TOTAL DUE 687.62
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. [\\NYC-/\
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