HomeMy WebLinkAbout12-19-11INHERITANCE TAX
rr ;, -,-RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES "Zf r, ~,~~'
INHERITANCE TAX DIVISION - - j~~
PO BOX 280601 ~' .. ,. ~ _
HARRISBURG PA 17126-0601
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MARTSON LAW OFCS
10 E HIGH ST
CARLISLE PA 17013
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1593 EX AFP (12-10)
DATE 11-09-2011
ESTATE OF MILLER MARIAN E
DATE OF DEATH 10-13-2009
FILE NUMBER 21 09-0989
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NO7E: 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- _________
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REV-1593 EX AFP C12-10) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF:MILLER MARIAN E FILE N0.:21 09-0989 ACN: 101 DATE: 11-09-2011
ADJUSTMENT BASED oN: PROTEST BOARD DECISION
VALUE OF ESTATE:
1. Real Estate (Schedule A) C1) .00
2. Stocks and Bonds (Schedule B) <2) 5"e!,703.49
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0
4. Mortgages/Notes Receivable (Schedule D) C4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) j',7b1.7 7
6. Jointly Owned Property (Schedule F) C6) lU.6D0.80
7. Transfers (Schedule G) C7) 4'(.442.78
8. Total Assets CB) 114,508.84
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 1[1,878.45
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 123,640.46
11. Total Deductions (11) 134,518.91
12. Net Value of Tax Return C12) 20,010.07-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 20,010.07-
TAX:
15. Amount of Line 14 at Spousal rate (15) .00X.00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) . 00 X.045= . 00
17. Amount of Line 14 at Sibling rate C17) 11,435.828.12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate Clg) 5, 717.91 jy. 15 = . 00
19. Principal Tax Due C19) .00
TAX CR EDITS:
PAYMtNI ect~eiri ~~~~~^~ " ~ AMOUNI' PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-13-2010 CD013346 .00 13,D48.66
12-13-2010 REFUND .00 13,048.66-
TOTAL TAX PAYMENT .00
ALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION DF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE. OF THIS FORM FOR INSTRUCTIONS.)