HomeMy WebLinkAbout01-18-13 (2)INHERITANCE TAX ~ pennsylvania
BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REY -1593 IX AFP (12-12)
PO BOX 286601
HARRISBURG PA 17128-6661
RECQRD~C Q;~~=~~`~ (~~DATE 01-04-2013
REGISI'tY O- "~~~-~,.~ DATETOFODEATN OlOF23A2012 DONNA F
'r1 FILE NUMBER 21 12-0179
~~~~ '~~~~ l~ ~it i i; ~~ CDUNTY CUMBERLAND
ACN 101
~~~~~ ~-~~ Amount Remittetl
DAVIn A aARIC r~~O~/RP~HpA~N~S' G;ti.i;;
CARWISLETH S7 PA 1T0'E3834R5"T~J ~ ~' ':t.
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper cre diL to your account, submit the upper portion of this farm with your tax payment.
CUT ALONG THIS LINE --- RETAIN LOWER PORTION FOR YOUR RECORDS l--
REV-1593 EX AFP (12-127 *a INHERITANCE TAX RECORD ADJUSTMENT a^
ESTATE OF:HOFFMAN DONNA F FILE N0. :21 12-0179 ACN: 101 DATE: 01-04-2013
ADJUSTMENT BASED DN: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate CSchetlule A) I1) 135,618.57
2. Stocks and Bontls CSChetlule B) (z) .00
3. Closely Heltl Sto<k/Partnership Interest (Schedule C7 (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Hank Deposits/Misc. Personal Property (Schedule E) (53 74.071.64
6. Jointly Owned Property (Schedule F) (6) 207.773.00
7. Transfers (Sehetlule G) (7) .00
e. Total Assets (B)
417.463.21
DEDUCT IONS AND EXEMPTIONS:
9. Funeral Expenses/Adm inistratiVe Costs/
Miscellaneous Expenses (Schedule H) (9J 37,728.41
18. Debts/Mortgage LlabSlities/Liens (Schedule I) (10) .00
11. Total Deductions (117 37,728.41
12. Net Value of Tax Return (12) 379,734.80
13. Charitable/Governmental Bequests; Non-electetl 9113 Trusts (Schedule J) (13) ,00
14. Net Value of Estate Sub3ect to Tax (14) 379,734.80
TAX:
15. Amount of Line 14 at Spousal rata
(15) .00 X. DO .00
16. Amount of Line 14 taxable at Lineal/Class A rate (I3>
379.734.80 y.045= 17,088.07
17. Amount of Line 14 at Sibling rate
(1 ])
.OOy.12 -
,00
38. Amount of Line 14 taxable at Collateral/Class B rate
(18) ,00
.15 .00
19. Principal Tax Due x
TAX CR
EDITS: (19) 17,088.07
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-06-2012
03-15-2012 (0015665
CD015711 460.79
393.61 8,754.93
8,071.00
TOTAL TAX PAYMENT ~ 17.680.33
tALANCE OF TAX DUE 592.26
* IF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
FOR CALCULATION DF ADDITIONAL INTEREST. 4 REFUND. SEE REVERSE SIDE DF THIS FDRM FOR INSTRUCTIONS.)
PEV-tO0 Ex (Of,ID)
~ pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
INHERITANCE TAX
EXPLANATION
OF CHANGES
~~ rvvrvto¢n
Donna F. Hoffman 2112-0179
I>,~~~ 101
Joan M. Peters
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above referenced Account C
have been made to Schedule "F"
adjusted to
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