HomeMy WebLinkAbout05-03-06
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
ANDES SAMUEL L
525 NORTH 12TH STREET
LEMOYNE, PA 17043
____nn fold
ESTATE INFORMATION: SSN: 177-16-1343
FILE NUMBER: 2105-0265
DECEDENT NAME: HAAS DRUSILLA W
DATE OF PAYMENT: 05/03/2006
POSTMARK DATE: 05/03/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 01/27/2005
NO. CD 006649
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $147.01
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: SAMUEL LANDES
CHECK# 6093
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
$147.01
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
.fAU OF INDIVIDUAL TAXES
~RITANCE TAX DIVISION
) BOX 280601
IARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT3 ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP (06-05)
04-10-2006
HAAS
01-27-2005
21 05-0265
CUMBERLAND
101
APPEAL DATE: 06-09-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
~1 CARLISLE3 PA 17013
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REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DRUSILLA E FILE NO. 21 05-0265 ACN 101 DATE 04-10-2006
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
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SAMUEL LANDES
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
DRUSILLA
E
PA 17043
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ESTATE OF
HAAS
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
350.00
6,302.11
.00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
6,652.11
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
(9)
(10)
23496.77
.00
(11)
(12)
(13)
(14)
2.496 77
4,155.34
.00
4,155.34
NOTE:
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
If an assessment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
.00 X 00 =
43155.34 X 045 =
.00 X 12 =
.00 X 15 =
(19)=
.00
186.99
.00
.00
186.99
(15)
(16)
(17)
(18)
~. .-., IU:'\..~.I."'I (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-22-2006 CD006354 .00 45.24
INTEREST IS CHARGED THROUGH 04-25-2006 TOTAL TAX CREDIT 45.24
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 141.75
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.26
TOTAL DUE 147.01
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUElS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDITn (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TN~T~J~TTnN~_l