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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
2CD8 J
I \
~-}\ \ I: 1.'
01-03-2008
BURKE
07-05-2007
21 07-0734
CUMBERLAND
101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
I'~.'
,. I
JOHN R COX
317 3RD ST B
NEW CUMBERLAND
PA 17070
Amount Remitted
REV-1593 EX AFP (03-05)
REGINA
M
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
~
NOTE: To insure proper credit to your account. submit the upper portion of this form with your tax payment.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1593 EX AFP (03-05)
** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF BURKE
REGINA
M FILE NO. 21 07-0734
ACN 101
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
(l)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
173,624.00
.00
.00
8.
Total Assets
(8)
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H)
(9)
ClO}
37,506.00
.00
10.
II.
12.
13.
14.
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Cll}
Cl2}
Cl3}
Cl4}
Net Value of Estate Subject to Tax
TAX:
15. Amount of Line 14 at Spousal rate Cl5}
16. Amount of Line 14 taxable at Lineal/Class A rate Cl6}
17. Amount of Line 14 at Sibling rate Cl7}
18. Amount of Line 14 taxable at Collateral/Class B rate Cl8}
19. Principal Tax Due
TAX CREDITS:
.OOX 00
.OOX 045=
136,l18.o0X 12 =
.00X 15 =
Cl9}
DATE
08-21-2007
09-17-2007
+
INTEREST/PEN PAID (-)
815.79
.92
15,500.00
18.00
AMOUNT PAID
NUMBER
CD008575
CD008694
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
*
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.)
0;;
DATE
01-03-2008
173,624.00
37,506.00
136,118.00
.00
136,118.00
.00
.00
16,334.16
.00
16,334.16
16,334.71
.55CR
.00
.55CR
REV-1470 EX (6-88)
.
INHERITANCE TAX
EXPLANA TION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
REVIEWED BY
Regina M Burke
Rick Olson
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Adjusted Schedule E back to original figure of $173,624.00.
FILE NUMBER
ACN
2107 -0734
101
Paqe 1