HomeMy WebLinkAbout11-27-06
~.COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
,
1:NHERtTANCE TAX
BUREAU OF INDIVIDUAL TAXB..' :
INHERITANCE TAX DIVISION
PO lOX Z80601
HARRISBURG PA 171Z8-06017l1f]( ~Jr.U; V 27 P~ill 3: 31
,-dLO l'Q" ~
RECORD ADJUSTMENT
CLERK OF
ORPH!\i'j'S COURT
CULQ~C:;J;.' CO, PA
WILLIAM C DISSINGER
400 S STATE RD
MARYSVILLE PA 17053
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-09-2006
GREGORY
01-10-2006
21 06-0100
CUMBERLAND
101
AlIOUI"lt R_I tted
'*
REV-1593 EX AFP (03-05)
KATHERN
A
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To Insura proper credit to your account, ~It tha upper portion of this fore with your tax p~ant.
CUT ALONG THIS LINE
REV-1593 EX AFP (03-05)
ESTATE OF GREGORY
... RETAIN LOWER PORTION FOR YOUR RECORDS +--
--------------------------------------
KATHERN
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ACN 101
A FILE NO. 21 06-0100
AD.JUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. R..1 Estata (Schedula A)
2. Stocks and Bonds (Schedula B)
3. Closely Held Stock/Partnarshlp Intarast (Schedula C)
ft. ItortgageslNotas Recelvabla (sm.dula D)
S. Cash/Bank DeposltslltSsc. Parsonal Property (Schedula E)
6. Jointly Owned Property (Schedula F)
7. Transfars (Schedula G)
8. Total As..ts
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/A~lnlstratlya Costs/
Miscellaneous EXlMftus (Schedula H)
10. Debts/Mortgage Llabllltlas/Llans (Schedula I)
11. Total Deductions
12. Mat Value of Tax Raturn
13. Charltabla/GoYa~ta1 BaquastSj Non-a1acted 9113 Trusts
14. Hat Value of Estata Subjact to Tax
TAX:
IS. A.ount of Line 1ft at Spousal rata (IS)
16. A.ount of Line 14 taxab1a at Lineal/Class A rata (16)
17. ~t of Line 14 at Sibling rata (17)
18. A.ount of Line 14 taxab1a at Col1atara1/Class B rata (18)
19. Principal Tax Due
(1)
(2)
(3)
(4)
(5)
(6)
(7)
96,370.00
.00
.00
.00
13,059.27
.00
.00
(8)
DATE
11-09-2006
(9)
(18)
15,361.10
25,040.27
(11)
(12)
(13)
(14)
109,429.27
40,401. 46
69,027.81
.00
69,027.81
.00
3.099.95
16.80
.00
3.116 75
TAX C DITS:
.n......... . I"J AItOUNT PAID
DATE NUltBER INTEREST/PEN PAID (-)
04-06-2006 CD006531 125.35 2,381.56
09-20-2006 CD007225 .00 609.85
TOTAL TAX CREDIT 3.116.76
BALANCE OF TAX DUE , .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
(Schedu1a .J)
.OOX 00 =
68.887.81 X 045=
140.00X 12 =
.00x 15 =
(19)
· IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (~)
'*
INHERrrAN6E TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDMDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME
KATHERN A GREGORY
REVIEWED BY
Dianne McClain
FILE NUMBER
ACN
21 06-0100
101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The Notice of Inheritance Tax Appraisement, Allowance or Disallowance of Deductions
and Assessment of Tax has been adjusted to reflect the decedent's correct date of death.
ROW
PaQe 1