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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
RECORD ADJUSTMENT
2001 DEe f 0 PH I: 29
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
CLERK OF
ORPHAN'S COURT
R MARK THOMAS m/BE?l ;\]\!D co.. PA
101 S MARKET ST
MECHANICSBURG PA 17055
REV-1593 EX AFP (03-05)
12-03-2007
BREWER'
11-13-2006
21 06-1163
CUMBERLAND
101
SUSAN
C
Amount Remi tted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
NOTE: To insu~e p~ope~ c~edit to you~ account, submit the uppe~ po~tion of this fo~m with you~ tax payment.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV-1593 EX AFP (03-05)
ESTATE OF BREWER
C FILE NO. 21 06-1163
*. INHERITANCE TAX RECORD ADJUSTMENT ..
DATE
SUSAN
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Pa~tne~ship Inte~est (Schedule C)
4. Mo~tgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Pe~sonal P~ope~ty (Schedule E)
6. Jointly Owned P~ope~ty (Schedule F)
7. T~ansfe~s (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
DEDUCTIONS AND EXEMPTIONS:
9. Fune~al Expenses/Administ~ative Costs/
Miscellaneous Expenses (Schedule H)
10. Debts/Mo~tgage Liabilities/Liens (Schedule I)
(9)
CIO)
11.
12.
13.
14.
Total Deductions
Net Value of Tax Retu~n
ACN 101
12-03-2007
.00
310.68
.00
.00
7,081.39
63,950.00
.00
(8)
71,342.07
128,531.53
1,881.32
(11 )
CI2)
130,412.85
59,070.78-
.00
59,070.78-
Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J)
Net Value of Estate Subject to Tax
TAX:
15. Amount of Line 14
16. Amount of Line 14
17. Amount of Line 14
18. Amount of Line 14
19. P~incipal Tax Due
TAX CREDITS:
at Spousal ~ate CIS)
taxable at Lineal/Class A ~ate CI6)
at Sibling ~ate CI7)
taxable at Collate~al/Class B ~ate CI8)
DATE
08-13-2007
11-30-2007
+
INTEREST/PEN PAID (-)
.00
.00
NUMBER
CD008544
REFUND
CI3)
CI4)
.OOX 00
.OOX 045=
.OOX 12 =
.OOX 15 =
CI9)
.00
.00
.00
.00
.00
AMOUNT PAID
145.79
145.79-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
II
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
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
.\
l-b
.00
.00
.00
.00
. .
~
REV-1470 EX (6-88)
'*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
Susan C Brewer
FILE NUMBER
REVIEWED BY
Scott Ellison
ACN
2106-1163
101
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
One half of the mortgage has been accepted as a deduction. A refund will be forthcoming.
ROW
PaQe 1