HomeMy WebLinkAbout03-10-15 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
N0. CD 020320
MATEYA MARK A
55 WEST CHURCH AVE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- ,old
---------- --------
101 $148.13
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-1011
DECEDENT NAME: RICHWINE KENNETH W
DATE OF PAYMENT: 03/10/2015
POSTMARK DATE: 03/10/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 08/25/2013
TOTAL AMOUNT PAID: $148.13
REMARKS:
CHECK# 119
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
FB 2 0 2015
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1 A I
NOTICE OF INHERITANCE TAX D,7 innsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE P
DE+RTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14)
PO BOX 280601 R E C!"-1 '7'
HARRISBURG PA 17128-0601
02-16-2015
_15 nFIR DATE
10 EP JE� 0111 RICHWINE kENNETH W
DATE EW ;�IATH 08-25-2013
FILE NUMBER 21 13-1011
CLE.'
MATEYA MARK A ORPE,"k�,,PQVNTY -
-ACN ' ' 101
55 W CHURCH AVE APPEAL DATE: 04-17-2015
CARLISLE PA 17013-3202 (Sie reverse side under Objections)
Amount Remittedl i I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO;
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4-
Rii:is4i-EX-AFP-ill:iZ)-NOTICE-OF-INHERITANCE-TAX-APPiAIiiMENi-,-ALLOWANCE-Oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: RICHWINE KENNETH WFILE NO. :21 13-1011 ACN: 101 DATE: 02-16-2015
TAX RETURN WAS; C X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 146,000.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 29,841 .8 5
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 169,521 .41
8. Total Assets (8) 345,363.26
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 47,994.54 1
10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) .00
11. Total Deductions (11) 47,994.54
12. Net Value of Tax Return (12) 297,368.72
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00
14. Net Value of Estate Subject to Tax (14) 297,368.72
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: 1,
15. Amount of Line 14 at spousal rate (15) .00 X 00 = I GG
16. Amount of Line 14 taxable at lineal'rate (16) 297,368-72 x 045 = 13,381 .59
17. Amount of Line 14 at sibling rate 1 (17) nO x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Ta i x Due (19)= ,13,381 .59
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-07-2014 CDO19761 .00 13,381.59
BALANCE OF UNPAID INTEREST/PENALTY !AS OF 10-08-2014 TOTAL TAX PAYMENT 13,381.59
BALANCE OF TAX DUE .00
INTEREST AND PEN. 148.13
TOTAL DUE 148. 13
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.
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