HomeMy WebLinkAbout12-08-08~ ~ COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ,
INHERITANCE TAX DIVISION -
PO BOX 280601 ~ _, ~ ' RECORD ADJUSTMENT REV-1593 EX AFP (03-05)
HARRISBURG PA 17128-0601
rj~`Ju 'J=.~+ _~ ~~' t ~ ESTATE OF LEBi01-2008 MELVA M
DATE OF DEATH 07-11-2007
(`! ~;'~ ~„r _ FILE NUMBER 21 07-0691
r~r. !n ' r,'~~I ~~`r r COUNTY CUMBERLAND
JAMES M ROBINSON ,~i~"' ,, ~. ?H ACN 101.
TURD LAW OFCS Amount Remitted
28 S PITT ST
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF IrJILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~-
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REV-1593 EX AFP CO3-05) ** INHERITANCE TAX RECORD ADJUSTMENT **
MELVA M FILE N0. 21 0 7-0691 ACN 101 DATE 12-01-2008
ESTATE OF LEBO
ADJUSTMENT BasED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
(1) 117,000.00
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B) C2) .00
Closely Held Stock/Partnership Interest (Schedule C)
3 (3) .00
.
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 57,556.13
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) .00
cB)
174,556.13
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
Funeral Expenses/Administrative Costs/
9
. 13,589.09
(9)
Miscellaneous Expenses (Schedule H) 273.40
11
10. Debts/Mortgage Liabilities/Liens (Schedule I) ,
clo) 24
862.49
(11) ,
11. Total Deductions 149,693.64
12. Net Value of Tax Return (12)
00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .
149,693.64
14. Net Value of Estate Subject to Tax C14)
TAX:
Amount of Line 14 at Spousal rate
15 C15) . 00 x 00 = . 00
.
Amount of Line 14 taxable at Lineal/Class A rate
16 C16) .00 X 045= .00
.
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
05
454
22
Amount of Line 14 taxable at Collateral/Class B rate
18 C18) 149,6'~3.64X 15 = .
,
. c19) 22,454.04
19. Principal Tax Due
TAX CREDITS: +
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-14-2008 CDOO9545 12.93 - 23,495.39
07-15-2008 CDO1OO16 .00 13.53
11-20-2008 REFUND .00 1,041.95-
04
454
TOTAL TAX CREDIT .
22,
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL 1DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE
E IS LESS THAN 81, NO PAYMENT IS REQUIRED. / ~
IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DU
A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR ~
INSTRUCTIONS.) ~,~
~~ ~ ~~,; INHERITANCE TAX
EXPLANATION
CORIMONWEALTH vF PEf~-1NS1L.VAPJIA
DEPARTnJENr of hF_'~. FrIUE OF CHANGES
BUREAU OF INDIVIDU 41 TAXES
P( h o,iu ~
H~.RRISBUf ~ f :: ' I !6'~I
DECEDENT'S NAME
Melva Lebo
REVIEWED BY
Department of Revenue/ Emerson Luciano
FILE NUf~1BER
ACN -
101
ITEM EXPLANATION OF CHANGES
SCHEDULE NO.
Adjustment has been made removing duplicated deductioins
2107-0691
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