HomeMy WebLinkAbout06-02-06
CCMMONWEAL TH OF PENNSYL V ANII'
DEPARTMENT OF REVENUE
BUREAU OF II'JDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PI'. 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FREY ROBERT M
5 S HANOVER STREET
CARLISLE, PA 17013
ESTATE INFORMATION: SSN: 201-18-2239
FILE NUMBER: 2105-0039
DECEDENT NAME: DITZEL B JANE
DATE OF PAYMENT: 06/02/2006
POSTMARK DATE: 06/02/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 12/14/2004
NO. CD 006777
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1.72
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$1.72
REMARI<S:
CHECK# 6784
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
, 'j ~t ~ - ,-
'I, RECORD ADJUSTMENT
!U'J -2
..J .t
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-08-2006
DITZEL
12-14-2004
21 05-0039
CUMBERLAND
101
8: 49
ROBERT M FREY
FREY 8 TILEY
5 S HANOVER ST
CARLISLE
REV-1593 EX AFP (03-05)
B
J
Amount Remitted
PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
REV-1593 EX AFP (03-05)
.. INHERITANCE TAX RECORD ADJUSTMENT ..
---------------------------------------------------------------------------------------------------------------------------------------
ESTATE OF DITZEL
B
J FILE NO. 21 05- 0039
ACN 1 0 1
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
PROTEST BOARD DECISION
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
28,461.00
48,482.00
63,129.00
(8)
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses [Schedule H)
Debts/Mortgage Liabilities/Liens [Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected
Net Value of Estate Subject to Tax
(9) 15,045.00
no) 22.00
(11)
(12)
9113 Trusts [Schedule J) (13)
(14)
10.
11.
12.
13.
14.
TAX:
15. Amount of
16. Amount of
17. Amount of
18. Amount of
19. Principal
TAX CREDITS:
Line 14 at Spousal rate (15) .00 X 00 =
Line 14 taxable at Lineal/Class A rate (16) .00 X 045=
Line 14 at Sibling rate (17) 125,005.00X 12 =
Line 14 taxable at Collateral/Class B rate (8) .00 X 15 =
Tax Due (19)
DATE
05-08-2006
140,072.00
15,067.00
125,005.00
.00
125,005.00
.00
.00
15,000.60
.00
15,000.60
t'ATnt:NI .n.........' I .} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID [-)
03-10-2005 CD005042 564.00 10,716.00
08-24-2005 CD005724 .00 3,301.00
12-22-2005 CD006137 3.97- 423.57
ANCE OF UNPAID INTEREST/PENALTY AS OF 12-23-2005 TOTAL TAX CREDIT 15,000.60
BALANCE OF TAX DUE .00
INTEREST AND PEN. 1. 72
TOTAL DUE 1.72
BAL
* 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
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)