HomeMy WebLinkAbout09-18-14 REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT N�. CD 019692
BUCKLEY JOSEPH D
1237 HOLLY PIKE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
---------- --------
101 � 56,728.84
ESTATE INFORMATION: SSN: �65-36-42�3 �
FILE NUMBER: 21 12-1 1 82 �
oECE�Ervr rvannE: GEORGE DARRYL E I
DATE OF PAYMENT: 09/18/2014 �
POSTMARK DATE: 09/18/2014 �
couNTY: CUMBERLAND I
DATE OF DEATH: 1 1/05/201 2 �
�
TOTAL AMOUNT PAID: 56,728.84
REMARKS:
CHECK# 5680
INITIALS: CJ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX , pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOFREVENUE
BUREAU oF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION � � -��� REV-1547 IX AFP <08-13)
PO BOX 280601
HARRISBURG PA 17128-0601 p�..�A���� ������ O�
�l l!
REG,�?rr, ,�;� ��St� �s DATE 09-09-2014
� ESTATE OF GEORGE DARRYL E
�DIy �EP I$ Q� � OS FILE NUMBERTH 21_12-1182
.[� COUNTY CUMBERLAND
BUCKLEY JOSEPH 19'�-� � . . ACN 101
1237 HOLLY PIKE ORPl�N�; �'`"� , ° APPEAL DATE: 11-08-2014
CARLISLE PA�(�����35. _ (SeereversesideunderObjections)
Amount Remitted (� '7 2- ,� �
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 F-
----------------------------------------------------------------------------°------°-------
REV-1547 EX AFP C08-13� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: 6EORGE DARRYL EFILE N0. :21 12-1182 ACN: 101 DATE: 09-09-2014
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORI6INAL RETURN
1. Real Estate CSchedule A) �1� 75,000.00 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 (Schedule E) (5) 116,976. 12
6. Jointly Owned Property (Schedule F) C6� .00
7. Transfers (Schedule G) ��� 156,000.00
8. Total Assets Cs) 347,976. 12
APPROVED DEDUCTIUNS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) C9� 25,88 2.00
10. Debts/Mortgage Liabilities/Liens CSchedule I) (10) 2.04 6.74
11. Total Deductions cll� 27,928.74
12. Net Value of Tax Return �lz� 320,047.38
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) �13� .0 0
14. Net Value of Estate Subject to Tax �lq� 320,047.38
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 = . 0 0
16. Amount of Line 14 taxable at lineal rate t16) ;�� .�47_�R X 045 = 14,402. 13
17. Amount of Line 14 at sibling rate (17) - �� X 12 = .0 0
18. Amount of Line 14 taxable at collateral rate C18) .0 0 X 15 = .0 0
19. Principal Tax Due C19�° 14,402. 13
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-04-2012 CD016874 394.74 7,500.00
INTEREST IS CHARGED THROUGH 09-24-2014 TOTAL TAX PAYMENT 7,894.74
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 6,507.39
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 221.45
TOTAL DUE 6,728.84
� 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.