HomeMy WebLinkAbout03-16-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KELLER SUZANNE G
201 N BELFIELD AVE
HA VERTOWN, PA 19083
-------- fold
ESTATE INFORMATION: SSN: 172-01-5255
FILE NUMBER: 2105-0008
DECEDENT NAME: GRUBB RUTH L
DATE OF PAYMENT: 03/15/2006
POSTMARK DATE: 03/15/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 12/22/2004
NO. CD 006439
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6.90
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 112
SEAL
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
$6.90
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
02-28-2006
GRUBB
12-22-2004
21 05-0008
CUMBERLAND
101
APPEAL DATE: 04-29-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
~~!_~~9~~_!~~~_~~~~______~___~~!~!~_~g~~~_~~~!!9~_~9~_!9Y~_~~99~~~__~____________________
REV-1547EX AFP( 03- OS) NG'f-ICE OF I-NHE-R-l-TANCE TAX-A-PPRAlSEMENT-,H-AL..LOWAHCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RUTH L FILE NO. 21 05-0008 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOT:I.C~.,_DF-. INHERITANCE TAX
APPRAIseHE"T"ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
, .. .
I ) DATE
; '- ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
JOHN A ROE ESQ
2520 DOEHNE RD
HBG
PA 17110
ESTATE OF GRUBB
...
REV-1547 EX AFP (06-05)
RUTH
L
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 02-28-2006
-NOTE :------Iof dd .an--assessment--wasissued__previously..__~ines___lli_,___l5.._ancLf-Dr_l6.~.J. 7.,--ll_ and-_lg_wll1_
re-Flect 'figures that include the total o'f ALL returns assessed to date.
ASSESSMENT OF TAX:
lS. Amount of Line 14 at Spousal rat. (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. ADount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
CR D
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Hortgages/Notes Receivable (Schedule D) (4)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned P~operty (Schedule f) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
NO. 01
.00
11,692.28
.00
.00
.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule Il
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern.ental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
818.46
.00
(11)
(12)
(13)
(14)
.00 X 00 =
2051370.92 X 045=
.00 X 12 =
.00 X 15 =
+
INTEREST/PEN PAID (-)
315.79
.00
.00
.00
AMOUNT PAID
6,,000.00
2~452.37
15.79-
489.32
DATE
03-18-2005
07-15-2005
10-31-2005
01-03-2006
NUHBER
CD005099
CD005576
REFUND
CD006172
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-04-2006 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AfTER DATE INDICATED~ SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure proper
credit to your account
SUbDi t the upper porti.
of this forD with your
tax pay..ent.
11,,692.28
BIB 46
10~873.82
.00
205~370.92
(19)=
.00
9~241.69
.00
.00
9~241.69
9~241.69
.00
6.90
6.90
IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU HAY BE D
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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