HomeMy WebLinkAbout11-17-06
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
DEAN SANDRA B
2010 MANADA STREET
HARRISBURG, PA 17104
-------- fold
ESTATE INFORMATION: SSN: 196-14-0190
FILE NUMBER: 2106-0068
DECEDENT NAME: GOTTSHALL JEANNETTE M
DATE OF PAYMENT: 11/17/2006
POSTMARK DATE: 11/17/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 10/31/2005
NO. CD 007454
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $9.72
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1023
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$9.72
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
10-23-2006
GOTTSHALL
10-31-2005
21 06-0068
CUMBERLAND
101
APPEAL DATE: 12-22-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
REV:is4;-EX-AFP-ioi:os3-NOTicE.OF-iNHERiTANCE-TAX-APPRAiSEMENT:.ALLOWANCE-OR-----.------~--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JEANNETTE M FILE NO. 21 06-0068 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z806Dl
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENTI ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
STEPHEN J HOGG ESQ
STE 101
19 S HANOVER ST
CARLISLE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17013
ESTATE OF GOTTSHALL
'*'
REV-1S47 EX AFP (06-05)
JEANNETTE M
( ) CHANGED
DATE 10-23-2006
APPROVED DEDUCTIONS AND EXEMPTIONS:
51712.71
9. Funeral Expenses/A~. Costs/Hisc. Expenses (Schedule H) (9)
10. Debts/Mortgage UllbiUUes/Uens (Schedule I) (10) 10.072.67
11. Total Deductions (11)
12. Net Value of Tax Return (12)
13. eharitabla/Governnenta1 Bequests; Non-elected 9113 Trusts (Schedule J) (13)
14. Net Value of Estate Subject to Tax (14)
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and
reflect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. ~unt of Line 14 at Spousal rate (15)
16. A.ount of Line 14 taxable at Lineal/Class A rate (16)
17. Aaount of Line 14 at Sibling rate (17)
18. Aaount of Line 14 taxable at Co11atera1/C1a.s B rate (18)
19. Principal Tax Due
TAX RETURN WAS: (X) ACCEPTED AS FILED
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. Cesh/Bank Deposits/Hisc. 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
40.780.80
.00
.00
(8)
.00 X
241995.42 X
.00 X
.00 X
.
.
AtIOUNT PAID
11124.66
DATE
09-14-2006
NUMBER
CD007210
INTEREST/PEM PAID (-)
.00
BALANCE OF UNPAID INTEREST/PENALTV AS OF 09-15-2006 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure proper
credit to your accountl
~it the upper portion
of this fo~ with your
tax paYll8l1t.
401780.80
15.785 38
241995.42
.00
241995.42
19 will
00 =
045 =
12 =
15 =
.00
11124.66
.00
.00
L 124. 66
(19)=
11124.66
.00
9.72
9.72
( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)I YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)