HomeMy WebLinkAbout04-09-07
..:------.
IUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 280'01
HARRISBURG PA 17128-8'01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-03-2007
HAYS
06-16-2006
21 06-0567
CUMBERLAND
101
MARVIN BESHORE
M BESHORE LAW OFFICE
PO BOX 946
HBG PA 17108
Allount Re.itted
*
REV-1593 EX AFP (03-05)
GLENN
B
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, sub.it the upper portion of this forll with your tax pay.ent.
REV-1593 EX AFP (03-05)
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ESTATE OF HAYS
GLENN
B FILE NO. 21 06-0567
ACN 101
DATE
04-03-2007
ADJUST"ENT lASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule I)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. "ortgages/Notes Receivable (Schedule D)
5. Cash/lank Deposits/"isc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
O}
(2)
(3)
(4)
(S)
(6)
(n
.00
365,143.55
.00
.00
444,959.55
.00
45,000.00
(8)
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.inistrative Costs/
"iscellaneous Expenses (Schedule H)
(9) 20,352.44
OD} 291. 37
(ll)
02}
9113 Trusts (Schedule J) (13)
04}
10.
ll.
12.
13.
14.
TAX:
15.
16.
17.
lB.
19.
Debts/"ortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return .
Charitable/Sovern.ental lequests; Non-elected
Net Value of Estate Subject to Tax
.00XoO =
.00X045-
166.891. 86 X 12 -
667,567.43X 15 -
(U)
A.ount of Line 14 at Spousal rate OS}
A.ount of Line 14 taxable at Lineal/Class A rate (16)
A.ount of Line 14 at Sibling rate on
A.ount of Line 14 taxable at Collateral/Class I rate (lB)
Principal Tax Due
+
INTEREST/PEN PAID (-)
5,789.47
.00
A"OUNT PAID
DATE
09-16-2006
03-06-2007
NU"IER
CD007218
CD0D7868
110,000.00
4,373.13
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
855,103.10
20,643.81
834,459.29
.00
834,459.29
.00
.00
20.027.02
100, 135. 11
120.162.13
120 162.60
.47CR
.00
.47CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN .1, NO PAY"ENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY IE D
A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.
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REV-1470 EX (6-88)
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENrS NAME FILE NUMBER
Glenn Hays 2106-0567
REVIEWED BY ACN
Department of Revenuel Emerson Luciano 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Payment discount has been applied
,
PSQe 1