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•BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVI ~~~ ~.,,~,,._,_~_ r
TAXE~~_`' ~'' '"1 rrj~~r OC
- INHERITANCE TAX Pennsylvania' '`
RECORD ADJUSTMENT
SION
PO BOX 280601
H ~.{
is .?,=1} ~ ~~ DEPARTMENT OF REVENUE
ARRISBURG PA 17128-0601
/_ 1rL ~~' "' "" •~ REV-1593 EX AFP
t ~
IW-• ~-~: DATE
06-29-2011
CLERK(, ESTATE OF RESUTA
CABOT
DATE OF
ORPHr~R~'S ~(~URT DEATH 10-18-2005
FILE NUM
Cl)~J~~'ri' ~~,sf~l 1~;7 PA BER 21 05-1078
NTY
CUMBERLAND
ELIZABETH P MULLAUGH ACN
101
100 PINE ST Amount Remitted
PO BOX 1166
HBG PA 17108 MAKE CHECK PAYABLE AND REMIT
PAYMENT T0:
L
REGISTER OF WILLS
1 COURTHOUSE S6~UARE
NOTE: To ensure CARLISLE PA 17013
proper credit to your account, submit the upper
CUT ALONG THIS LINE portion of this form with
---------- ~• RETAIN Your tax payment.
------------------- LOWER PORTION
REV- 1593 -----°---------------- FOR YOUR__R_ECORDS
EX AFP (12-101 * * INHE --------------------- ~_____
RITANCE TAX RECD -°'°---
RD ADJUSTME -------'
NT *~ -------------
ESTATE OF:RESUTA
CABOT L FILE N0.:21 05-1078
ADJUSTMENT BASED ON: w,r..
VALUE OF ESTATE: H~rtlnisTRATIVE CORRECTION
_ `"~ DATE: 06-29-2011
•• neat 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)
B. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral
10
11
12
13
14,
TAX:
Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H)
Debts/M
4,841.43
ortgage Liabilities/Liens (Schedule I) (9) 4'841.43
Total Deductions (10)-~-
Net Value of -~ • 00
Tax Return C11)
Charitable/Governmental Bequests; 4,841.43
Non-elected 9113 Trusts (Schedule J) (12) •00
Net Value of Estate Subject to Tax
c13) . 00
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17• Amount of Line 14 at Sibling rate
1B• Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
DATE I NUMBER I DISCOUNT (+)
INTEREST/PEN PAID (-)
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS
A REFUND. SEE RE
OR INSTRUCTIONS.)
c14) . 00
(15)
(16)
c17)
cls) . 00 X.00 =
•00x.045=
• UOx • 12 =
.00x.15 =
(19) . 00
.00
. 00
.00
.00
AMOUNT PAII
TOTAL TAX PAYMENT
ALANCE OF TAX DUE •00
INTEREST AND PEN, .00
TOTAL DUE: •00
REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE•
VERSE SIDE OF THIS FORM F
C1)
~ ~ .00
(2)
• 00
c3)
. UU
c4) _
UO
c5) _
_
31491.43
(6) I .~5
C7)- `
~~
ca)