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INH ITANCE TAX
~(. (` ,~ r" ~~~ ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES _, ~,0,
INHERITANCE TAX DIVISION
PO BOX 280601 - - ' `'~~
HARRISBURG PA 17128-0601
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1593 EX AFP C12-10)
~1, ", C l :rL '"J ~'~ ~' ~= ~ DATE 11-07-2011
ESTATE OF MARTIN ELIZABETH M
C~F~~~ ~~~- DATE OF DEATH 01-20-2010
0~~~~~=J ~J..~i FILE NUMBER 21 10-0235
t =-~, ~''} ,^r'~. FA COUNTY CUMBERLAND
CiV~ ~,.,. ACN
101
BARK SCHERE~ Amount Remitted
19 W SOUTH S
CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WELLS
1 COURTHOUSE SQUARE
I' CARLISLE PA 17013
NOTE: To ensure 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 F-
----------------------- --------------------------------------------------------------------------------------
REV-1593 EX AFP C12 10) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF:MARTIN 1- ELIZABETH M FILE N0.:21 10-0235 ACN: 101 DATE: 11-07-2011
__
ADJUSTMENT BASED DN: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Sch edule A) (1) .00
2. Stocks and Bond$ (Schedule B) <2) .00
3. Closely Held Su ck/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes~ Receivable (Schedule D) (4) .00
5. Cash/Bank Depos~' ts/Misc. Personal Property (Schedule E) (5) .0 0
6. Jointly Owned Pr operty (Schedule F) (6) 00
7. Transfers (Sched ule G) (7) 1 ~ .
9. 947. 72
8. Total Assets (g)
DEDUCT IONS AND EXEM PTIONS:
9. Funeral Expenses) /Administrative Costs/
159,947.72
Miscellaneous E penses (Schedule H) (9) 9,9b2.86
10. Debts/Mortgage 4 iabilities/Liens (Schedule I) C1D) 1,54 9.16
11. Total Deduction C11) 11,512.02
12. Net Value of Ta Return .. (12) 148,435.70
13. Charitable/Gove nmental Bequests; Non-elected 9113 Tr usts (Schedule J) (13) .00
14. Net Value of Es ate Subject to Tax C14) 148,435.70
TAX
:
I
15. Amount of Line 4 at Spousal rate (15) 00 X
00 =
.
. . 00
16. Amount of Line 1 4 taxable at Lineal/Class A rate (16)
148,435.70x.045= 6,679.61
17. Amount of Line 1 4 at Sibling rate
18
Amount of Line 1
4 taxable at C
ll
t
l/Cl
B (17) .00X.12 = .00
. o
a
era
ass
rate (18)
19.
Principal Tax D~
e .00 Y.15 .00
TAX CREDITS: ', C19)
6,679.61
rwrrverv, ec Vtlh'I ll1S000NT (+) --
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
11-03-2010 CD 13593 .00 6,552.75
01-19-2011 CD 13910 .00 10.09
INTEREST IS CHARGED~THROUGH 11-22-2011*
AT THE RATES APPLIC BLE AS OUTLINED ON TH
REVERSE SIDE OF THI$ FORM
* IF PAID AFTER DATE IINDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I
TOTAL TAX PAYMENT 6,562.84
E ALANCE OF TAX DUE 116.77
INTEREST AND PEN. 14.24 j
TOTAL DUE 131.01
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1170 Ex (01-10)
- ~ -1;' ~ •
~ ~ pennsylvan~a INHERITANCE TAX
DEPARTMENT OF REVENUE '- EXPLANATION
BUREAU OF INDIVIDUAL 1fAXES OF CHANGES
PO Box 280601
DECEDENTS NAME FILE NUMBER
Elizabeth M. Martin 2110-0235
REVIEWED BY ACN
Joan IU~. Peters 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The ab ve referenced Account Control Number has been adjusted to reflect that have
been ade to Schedules "H" and "I".
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