HomeMy WebLinkAbout02-11-13 (2)HUREAU OF INDIVIDUAL TAXES
IMHEAITAtICE TAX DDJISION
PO 100f Zafa91
NIIRRISHaR6 PA 1712a-alai
SUSAN k CDNFAIR
2331 MARKET ST
CAMP HI14
INNERITANCE TAX
RECORD ADJUSTMENT
~ Pennsylvania
DEPARTMEHT OF REVENUE
RE9-1593 FX AFP C12-32)
RECORDED O~FIGE OI~TE 01-2s-2013
REGISTER OF ~l~-~- ssaTE OF VAGNERINI BARBARA A
p{~ DATE OF DEATH 06-27-2010
t0I3 FEB 11 rl i ~ ~~E MUMIER 21 10-1008
[OUNTY CUMBERLAND
CLERK OF ACN ID1
ORRHANS' COURT _ Awaunt Ra~ittad
CI~M$ERLAND GO., PA. ~ 3/ 85
PA 17011-4642 MAKE (NECK PAYABLE AND RHNIT PAYMENT TD:
REGISTER OF WILLS
1 COURTHOUSE SQVARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your xcount, subait the upper portion of this fora with your tax paytant.
CUT ALONG THIS LINE ~Y RETAIN LOWER PORTION FOR YOUR RECORDS !~-
REV-1593 EX AFP C12-12) ~ a^ INHERITANCE TAX RECORD ADJUSTMENT *t
ESTATE OFsYA6MERINI BARBARA A FILE N0.:21 1D-1DOE ACNs I01 DATE: 01-28-2013
ADJUSTMENT BASED oN: PROTEST BOARD DECISION
VALUE OF ESTATE:
i. Real Estat• (Schedule A] CL) 70.000.00
2. Stocks and Bonds (Schedule H) C2) .00
3. Closely Hald Stoek/Partnerahip Interest CScMdule C) t3) .00
4. Mortyaaas/NOtea Rxeivabla (Schedule D) ' C4) .00
5. Cash/Hank Deposits/Misc. Personal Property tSebeduL E) C5) 25,702.36
6. JOint1Y OMMd Property CSeMdUla F) C6) b34.79
7. Transfers CSeMdula 8) CT) gg,q~.54
a. Tatal Assets , ta) 195,325.69
DEDUCTIONS AND EXEMPTIONS:
9. Fum ral Expanses/Adainistrative Cests/
Nisealianeous Expanses (Schedule H) C9) 17.164_02
10. Debts/Nortsaye Liabiiities/Liens CSeAdula I) Cla) 111.480.37
I1. Total Deductions ul) 128,644.39
12. Mat Ysiua of Tax Return t12) 66,681.30
13. CMritable/So.ernaantai Nauasts; Non-elaetsd 9113 Trusts tSeMduls J) t13) ~ .00
i4.eMet value of Estate Sub3act to Tax C14) 66,681.3D
TAX: -
I5. Aeount of Lirte 14 at Spousal rata t15) .OD x.00 " .00
16. Mount of Lina 14 taxable at Lineal/Class A rat• tip ,QO y.045° .00
t7. Aaount of Lino i4 at Sibiina rata tiT) 84,423.45Y.12 " 10.130.81
18. Mount of line 14 taxable at Collateral/taass H rats tie) ,00 Y.15 s .00
19. Principal Tax Duo _ tig)
10,13D.81
TAX CREIIITS:
^'^P^' AMOUNT PAID
DATE NUMBER INTEREST/PEM PAID C-) _
`03-25-2011 CD014184 .DO 6,000.00
INTEREST IS CHARGED TMROU641 02-12-2013* TOTAL TAX PAYMENT 6~000.OD
AT THE RATES APPLICABLE AS~pUTLINED ON THE ALAMCE OF TAX DUE 4,130.61
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 233.04
TOTAL DUE 4,363.85
f IF PAID AFTER DATE IIR)ICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT^ CC ), •WI NAT HE DUE
FOR CALCULATION Of ADDITIOtiAL INTEREST. A REFUND_ SEE REVERSE SIDE OF THIS FORM FOR'RNSTRUCTIOMS.)