HomeMy WebLinkAbout12-08-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX~CORDED OFFJCE OF
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 171Z8-0601
I~HERIT,ANCE TAX
RECORD ADJUSTMENT
*'
2006 DEe -8 PH 12: 09
CLERK OF
ORPHNrS COURT
DAVID P KING CUfir\~'" . v', . PI\
23 BEAVER DR
PO BOX 1016
DUBOIS PA 15801
REV-1593 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-21-2006
BEAR
04-13-2005
21 05-0359
CUMBERLAND
101
Amount Re.i tted
MARGARET
L
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS LINE
NOTE: To insure proper credit to your accauntl sub.it the upper portion of this for. with your tax pay.ent.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
---------------------------------------------------------------------------------------------------------------------------------------
REV-1593 EX AFP (03-05)
ESTATE OF BEAR
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
MARGARET L FILE NO. 21 05-0359
11-21-2006
..-. -. . ('I') AMOUNT PAID
DATE MJMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
1. Re.l Est.te (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Trensfers (Schedule G)
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.inistrative Costs/
Miscellaneous Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Govern.ental Bequests; Non-elected 9113 Trusts
Net Value of Estate Subject to Tax
10.
11.
12.
13.
14.
TAX:
15. A.aunt of Line 14 at Spousal rate
16. A.ount of Line 14 taxable at Lineal/Class A rate
17. A.ount of Line 14 at Sibling rate
18. Amount of Line 14 texable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
ACN 101
DATE
U)
(2)
(3)
(4)
(S)
(6)
(7)
79,000.00
.00
.00
.00
2.919.52
.00
.00
(8)
81.919.52
(9)
(10)
201498.49
93.287.26
(1)
(2)
(3)
(4)
113.785.85
31.866.33-
.00
31.866.33-
(Schedule J)
US)
(6)
(7)
(8)
.00 X 00 =
.OOX 045=
.00 X 12 =
.00 X 15 =
(9)
.00
.00
.00
.00
.00
· IF PAID AFTER DATE INDICATED 1 SEE REVERSE (IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. (, 1
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR). YOU MAY BE DUE '-1:1
A REFUND. SEE REVERSE SIDE OF THXS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
'*
INHERITANC~ TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME
MARGARET L BEAR
FILE NUMBER
Dianne McClain
ACN
21 05-0359
101
REVIEWED BY
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The Notice of Inheritance Tax Appraisement, Allowance or Disallowance of Deductions
and Assessment of Tax has been adjusted. Schedule G transfer removed from Inheritance
Tax Return and billed directly to beneficiary.
ROW
Paqe 1