HomeMy WebLinkAbout01-06-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ROHRBACH BOBBIE JEAN A/K/A
7407 WERTZVILLE ROAD
CARLISLE, PA 17013
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ESTATE INFORMATION: SSN: 186-34-2591
FILE NUMBER: 2105-0531
DECEDENT NAME: ROHRBACH MARY C
DATE OF PAYMENT: 01/06/2006
POSTMARK DATE: 01/05/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 05/31/2005
NO. CD 006182
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $5,765.31
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$5,765.31
REMARKS: B CRONE
CHECK# 2128
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REV-1547 EX AFP (03-C~1 .~I .we. OF IruiERI I i\I'U.;t. lA^ "PPRi\.L~EMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ROHRBACH MARY C FILE NO. 21 05-0531 ACN 101 DATE 11-28-2005
TAX RETURN WAS: ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 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)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS.
1I)
(2)
(3)
(4)
(5)
(6)
(7)
.00
4.909.32
.00
.00
1.902.00
5.632.80
131,580.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8)
144,024.12
(9)
lID)
13,930.00
1.976.00
1I1)
1I2)
1I3)
1I4)
15.906 00
128,118.12
.00
128,118.12
.00 X 00 = .00
128,118.12 X 045 = 5,765.31
.00 X 12 = .00
.00 X 15 = .00
1I9)= 5,765.31
.
RECEiPt I+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 02-28-2006*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 5,765.31
INTEREST AND PEN. .00
TOTAL DUE 5,765.31
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
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