HomeMy WebLinkAbout01-30-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 020188
IRWIN & MCKNIGHT
60 W POMFRET ST
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------ fold
101 � 5535.98
ESTATE INFORMATION: ssrv: � �
FILE NUMBER: 21 1 3- 1 21 9 �
�ECE�ENT NAnnE: ORNDORFF NORMAN J �
DATE OF PAYMENT: 01/30/201 5 �
POSTMARK DATE: 01/30/201 5 �
CourvTY: CUMBERLAND �
DATE OF DEATH: 1 O/07/2013 �
�
TOTAL AMOUNT PAID: 5535.98
REMARKS: RECEIPT TO ATTY
CHECK# 36549
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX � pennsylvania
BUREAU oF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX ' DEPARTMENTOFREVENUE
PO BOX 280601 ��A'�8����� REV.-1547 DC AFP (11-14)
HARRISBURG PA 17128-0601 �,p
�p�� � ,�y ���� DATE 01-27-2015
�� ESTATE OF ORNDORFF
NORMAN J:
����������j�� DATE OF DEATH 10-07-2013
��a������ FILE NUMBER 21 13-1219
MILLER DOUGLAS G COUNTY CUMBERLAND
60 W POMFRET ST ACN 101 � �
CARLISLE APPEAL DATE: C �_28_�5 :;� �
PA 17013-3243 (Seereversesideu�eltzpbjecti�) c� �
Amount Remitted "_'� .� c'� �- �:�� :�
MAKE CHECK PAYABLE �►FU� �RBMIT YME1d�"�rTO:
REGISTER OF WILLS.-� " � '�:a
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REV-1547 EX AFP C11-14� NOTICE. OF INHERITANCE TAX_ APPR:4ISEM5NT, ALLdWAiVCE 0� � �~ �
-7�7'�------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX �'�
ESTATE OF: ORNDORFF NORMAN JFILE N0. :21 13-1219 ACN: 101 DATE: 01-27-2015
TAX RETURN WAS: CX) ACCEPTED AS FILED O CHAN6ED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) C1� 170,000.00
2. Stocks and Bonds CSchedule B) NOTE: To ensure proper
�2� 226,618.38 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) �3) .00 submit the upper portion
4. Mortgages/Notes Receivable CSchedule D) �� of this form with your
C4� taz payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) �5� 44 5,696.58
6• Jointly Owned Property CSchedule F) �6� 9,911.98
7. Transfers CSchedule G) 172,677.22
(7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: C8� 1 .024.904 16
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) �y� 6 3.394 17
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)-- 4+2 4
11. Total Deductions
12. Net Value of Tax Return C11) 67,619.31
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) �12� 95 7,284.85
14. Net Value of Estate Subject to Tax C13J .00
c14� 957,284.85
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 wiii
refiect fi9ures 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 = .00
16. Amount of Line 14 taxable at lineal rate �16�_ 9�7.9RL• R�
17. Amount of Line 14 at sibliny rate X 045 = 43,077.82
C17) _00 X 12 = .00
18• Amount of Line 14 taxable at collateral rate �lg� _
.00 x 15 .00
19. Principal Tax Due
TAX CREDITS:
c19�= 43,077.82
PAYMENT RECEIPT
DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
12-27-2013 CD018581 22.30
01-07-2014 CD018617 423.74
2,105.26 40,000.00
INTEREST IS CHAR6ED THROUGH 02-11-2015 TOTAL TAX PAYMENT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 42,551.30
REVERSE SIDE OF THIS FORM 526.52
INTEREST AND PEN. 9.46
TOTAL DUE 535.98
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.