HomeMy WebLinkAbout09-05-08COMMONWEALTH OF P REVENUE NIA
DEPARTMENT OF
- f~ `~',`"~ ;. INHEKI ~..,,_- REV-lby~ ".
.' ~f ~ t i i.~~
~ - ,,~ ADJUSTMENT
TA'X~ RECORD 08_2g_2008 M
OF INDIVIDUAL ,,~, - ~ ~ ~ „~
BUREAU -' u,.~ ~~_ ANNA
INHERITAyp601AX DIVISION DATE ANDERSON
p0 BOX - 0601 ~~ ~~. C
H~t,2IS8URG PA 17128- ~ .} ESTATE OF ~ 27-2008
DATE OF DEATH 0a-
~OvB SAP 2,~ 08-0348
FILE NUMBER CUMBERLAND
1r
CLE~~+~ ~~~ ~~ COUNTY 101
(J";i~I 1~f+``~ ~ ~~`J, Ph ACN Amount Remitted
~,,.r, ;' 'l , .
ROGER B IRWIQU~'~f
8~ MCKNIGHT REMIT PAYMENT T0:
IRWIN
60 W POMFRET ST PA 17013 MAKE CHECK PAYABLE AND
CARLISLE REGISTER OF WILLS HOUSE
CUMBERLANII CO COURT
CARLISLE, PA 17013
tax Payment.
upper portion ~~f this form with your
submit the S E~ __--
our account ~ TION FOR YOUR RIECORD _________________
NOTE: To insure Proper credit to Y ___________________________-._-_____---'--_________
~ RETAIN LOWER-POR
CUT ALONG THIS LINE ____________________________°-'" RECORD ADJUSTMENT ** 2008
DATE 08-28
_ ----------- ----~ C03-05) ** INHERITANCE TAX ACN 101
REV-1593 EX AFP M FILE, NO. 21 08-0348
ANNA
ESTATE OF ANDERSON CORRECTION
ADMINISTRATIVE •00
ADJUSTMENT BASED ON:
(1)~
VALUE OF ESTATE: C2)- 287.28
.00
1, Real Estate (Schedule A (3)~ ,Q 0
and Bonds (Schedule B) Interest (Schedule C)
Z, Stocks (4)~
3, Closely Held Stock/Partnership 9?206.28
eceivable (Schedule D) (Schedule E) (5) --
G, Mort9a9es/Notes R ertY c6)~ 20,312.99
5, Cash/Bank Deposits/Misc. Personal Prof 63,190.7 3
(Schedule F) c7)~ 175,997.28
Owned Property c8)
6. Jointly
7, Transfers (Schedule G)
g, Total Assets
EXEMPTIONS: 19,650.28
DEDUCTIONS AND (y)_
enses/Administrative Costs/
1,779.28 21,429.56
9. Funeral Exp enses (Schedule H) (LU)- C11)
Miscellaneous Exp (Schedule I) 154,567.72
e Liabilities/Liens (12)
lo. Debts/Mortsa9 10,000.00
c13) 567.72
11. Total Deductions 144,
elected 9113 Trusts (Schedule J
of Tax Return (14)
12. Net Value $eQUests; Non-
Charitable/Governmental to Tax ,00
13. . 00 X 00 = , 00
14. Net Value of Estate Subject (15) - • 00 X 045=
c16) ~ . 00
Spousal rate . 00 ~( 12 =
TAX: rate
15. Amount of Line 14 a (17) ~ 72 X 15 = 21 685.16
16. Amount of Line 14 taxable at ~a{eal/Class A (1B) _ 144 567 • (19) 21 685.16
17. Amount of Line 14 at Sibling
lg, Amount of Line 14 taxable at Collateral/Class B rate AMOUNT PAID
Prin~iPal Tax Due +
* IF PAID AFTER DATE INDICATED. SEE REVERSE
cnR CALCULATION OF ADDITIONAL INTEREST.
BALANCE OF Twx ""` .00
IMTEREST AND PEN• 568,34
TOTAL DUE
^CREDIT'~ CCR)~ YOU NAY BE ~
( IF TOTAL DUE IS REFLECTED AS~ANO HISNFORMIFOREQNSTRUCTION
IF TOTAL DUE
A REFUND. SEE REVERSE SIDE OF T