HomeMy WebLinkAbout02-10-12F~~C"~~'~E~~ i_1~';'iL,E ~ RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXE~Jf"''~i' "."' ' 't (~
INHERITANCE TAX DIVISION 41ui'~~.,~'._.~~ `._-~ •~Pt,..~J
PO BOX 280601
HARRISBURG PA 17128-0601
?~~2 F'E'B 10 Pfd !2~ ~ 0
CLERK OF
ORPHAN~s COtsRT
CUMa`~~~ p;r~~, ~^~ PA
JACQUELINE A KELLY
STE 12
845 SIR THOMAS CT
HBG PA 17109
Pennsylvania . ~
DEPARTMENT OF REVENUE
REY-1593 EX AFP (12-11)
DATE 01-30-2012
ESTATE OF KISTLER BETTY J
DATE OF DEATH 10-09-2010
FILE NUMBER 21 11-0016
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
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 (-
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REV-1593 EX AFP C12-11~ ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF:KISTLER BETTY J FILE N0.:21 11-0016 ACN: 101 DATE: 01-30-2012
ADJUSTMENT BASED oN: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) C1) .00
2. Stocks and Bonds (Schedule B) C2> .00
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) CS) 6 6.7 3
6. Jointly Owned Property (Schedule F) (6) 4 , 363.31
7. Transfers (Schedule G) C7) 15.014.06
8. Total Assets (8)
19,444.10
DEDUCT IONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) C9) 6, 180.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,58 6.81
11. Total Deductions (11) 9,766.81
12. Net Value of Tax Return C12) 9,677.29
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 9, 677.29
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) 4,677.29X.045= 435.48
17. Amount of Line 14 at Sibling rate C17) , 00X. 12 - . 00
18. Amount of Line 14 taxable at CollaterallClass B rate C18) .00X.15 = .00
19. Principal Tax Due C19)
435.48
TAX CR EDITS:
PAYMENT RECEIPT DiSCDUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
01-03-2011 CD013856 21.77 413.71
TOTAL TAX PAYMENT 435.48
tALANCE 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 OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)