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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
.
REV-1593 EX AFP (03-05)
[~J' 11:5:J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-17-2007
SHARPLEY
04-16-2005
21 05-0581
CUMBERLAND
101
GEORGE
A
MARGARET M SHARPLEY
1937 PRINCETON AVE
CAMP HILL PA 17011
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
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CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV-1593 EX AFP {03-05J
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ESTATE OF SHARPLEY
GEORGE
A FILE NO. 21 05- 0581
ACN 101
DATE
04-17-2007
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. Real Estate (Schedule A)
2.
3.
4.
5.
6.
7.
8.
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
.00
.00
.00
Stocks and Bonds (Schedule B)
(8)
.00
Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative
Miscellaneous Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens
Total Deductions
Costs/
10.
11.
12.
13.
14.
(Schedule I)
(9)
(10)
.00
.00
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
(11)
(12)
(13)
(14)
.00
.00
.00
.00
TAX:
15. Amount of
16. Amount of
17. Amount of
18. Amount of
19. Principal
TAX CREDITS.
.OOX 00
.OOX 045=
.OOX 12 =
.OOX 15 =
(19)
.00
.00
.00
.00
.00
Line 14 at Spousal rate (15)
Line 14 taxable at Lineal/Class A rate (16)
Line 14 at Sibling rate (17)
Line 14 taxable at Collateral/Class B rate (18)
Tax Due
.
PAY"ENl KI:.~1:.1P l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, ND 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.)
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REV-1470 EX (6-88)
*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
FILE NUMBER
REVIEWED BY
ACN
2105-0581
101
George Sharpley
Department of Revenue
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
The above referenced filing requirements have been waived. The Department however,
reserves the right to assess any assets that may be recovered at a future time.
Paqe 1