HomeMy WebLinkAbout03-09-15 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
N0. CD 020316
LIBERTY LAND TRANSFER
4660 TRINDLE RD
SUITE 103
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ --------
101 $266.65
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0948
DECEDENT NAME: MATTER SHARON M
DATE OF PAYMENT: 03/09/2015
POSTMARK DATE: 03/06/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2012
TOTAL AMOUNT PAID: $266.65
REMARKS:
CHECK# 2401
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
Frorn:The Ups Store Hanover 717 646 1119 03/02/2015 12,07 #706 P.002/002
NOTICE OF INHERITANCE TAX pennsyLvania
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
IWNERIIANCE TAX UIVISION REV-1847 EX AFP ()1-14)
Pp gux 240601
HARRISOURC PA 17126-0601
DATE 02-24-2015
ESTATE OF MATTER SHARON M
DATE OF DEATH 06-12-2012
FILE NUMBER 21 14-0946
COUNTY CUMBERLAND
TRAUBE DON T ACH 101
5011 CRECKVIEW RD APPEAL DATE: 04-25-2015
MECHANICSBURG PA 17050-2013 (,Vee rot-erse side under Objections)
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT PAYMM.T TOt
REGISTER OF WILLS n= _-0
I
I COURTHOUSE SQUARE = rri,
CARLISLE PA 17013 M
COT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1547 EX AFP-fii-14)-NOTICE-QF -72
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
-X3 -TI
ESTATE OF: MATTER SHARON MFILE NO- :21 14-0948 ACN: 101 > DAT?: Ca 2420"175
TAX RETURN WAS: ( X) ACCEPTED AS FILED CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN r\) cf) <D
1. Real Estate (Scha4ula A) (1) .00 NOTE: To-AsureQ
P .l
2. Stocks and bonds (Schedule 0) (2) 100 credit to your account,
00 submit thf upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (S)
of this form with your
4. Mortgages/Notes kecelvsblc (Schedule D) tax payment.
5. Cash/Bank Daposits/hise. Personal ProportV (Scheoule E) (5) 00
6. Jointly Owned Pr000rty (Schqdwlg F) (6) 38,100,00
7, Transfers (Schedule G) (7) .00
8. Total Assets ta> 38,M-00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Funeral EwotAIRz/Adm, Costa/"Isc, Expenses (Schtdulo 4) (9 .00
10. Debts/Mortgage Liabillties/Lions (Srmodvlo 1) (10) 00
11, Total Deductions (11) .00
12. Not Value of Tax Return (12) 38,100.00
IS. Chbritablo/Oovornmental Bequests; Non-cl6ctod 9113 Trusts (Schedule J) (13) .0Q
IA- Net Value of Estata Subject to Tax 581100.00
NOTE., If an assessment was issued Previously, Lines 144, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASsFsskcNT OF TAX:
L5. Amount of Line 14 at apa4zal rate (15) .00 X 00 = 00
16. Amount of Lino 14 taxable at ljn6&j tat* (16) Of'I X 045 - .00
17. Amount of Line 14 at sibling rate (17) or) x 12 = -00
16. Amount of Line 14 taxable at collat-kaj, rate (16) 38,100.00 X 15 = 5.715-00
19. principal Tax Dua 5,715. 00
TAX CREDITS-.
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
T-0-02.2014 CDO19744 .00 5,715.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-03-2014 TOTAL TAX PAYMENT M 5.715.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. 266-65
TOTAL DUE '266 .65
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OP ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR XNSTRUCTIONS,
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