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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA*ES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
, ll. I. -1'1
I ;I' ,
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-25-2007
LEBO
11-07-2006
21 07-0029
CUMBERLAND
101
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f \.-..
EARL RICHARIt:.E:TZWEILER
105 N FRONT ST
HBG PA 17101
Amount Remitted
*
REV-1593 EX AFP (03-05)
ANNA
R
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, submit the upper portion of this form with your tax payment.
REV-1593 EX AFP (03-05)
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ESTATE OF LEBO
ANNA
R FILE NO. 21 07-0029
ACN 101
DATE
04-25-2007
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3.
4.
5.
6.
7.
8.
.00
.00
.00
.00
488.01
667,151.25
5,088.32
(8)
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative
Miscellaneous Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens
Total Deductions
Costs/
14,789.18
188.70
(9)
UO)
10.
11.
12.
13.
14.
(Schedule I>
(11)
(2)
(3)
(4)
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
TAX:
15. Amount of
16. Amount of
17. Amount of
18. Amount of
19. Principal
TAX CREDITS:
Line 14 at Spousal rate (5) . DO X DO
Line 14 taxable at Lineal/Class A rate (6) 657,749.7ox 045=
Line 14 at Sibling rate U7> .00X 12 =
Line 14 taxable at Collateral/Class B rate (8) . DO X 15 =
Tax Due (9)
672,727.58
14,977.88
657,749.70
.00
657,749.70
.00
29,598.74
.00
.00
29,598.74
K,,""',,"l~ / l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-10-2007 CDo0767Y 1,479.94 28,118.80
TOTAL TAX CREDIT 29,598.74
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, NO PAYMENT IS REQUIRED. \)~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE \1-
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX <-l
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FILE NUMBER
Anna R Lebo 2107-0029
REVIEWED BY ACN
SCOTT ELLISON 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The date of death has been corrected to November 07,2006 and the estate adjusted
accordingly.
ROW
PaQe 1