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INHERITANCE TAX � pennsy van�a
: RECORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INNERITANCE TAX DIYISIOF! • REY-1593 EX AFP t12-12)
PO BOX 280601 ��f������ �� �
HARRISBURG PA 17128-0601 V �
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� �� g:�!,��,�,t�" DATE 03-14-2Q13
���� ��� �� � ESTATE OF DANNER ROBERT K
� � L.�� DATE t3F DEATH 05-21-2010
FILE NUMBER 21 10-0599
��-�R� ��' Ct�UNTY CUMBERLAND
�R�,�,4�,5' �;���� ACN 1Q1
R MARK THOMAS ESQ�������J��� G'��i �� Amaunt Remitted
101 S MARKET ST
MECHANICSBURG PA 17055-6328 MAKE CHEGK PAYABt�E AND REMIT PAYMENT Tt�:
REGISTER �F WILLS
` 1 COURTHOUSE Sql1ARE
CARLISLE PA 17013
NOTE: To ensure proper credit to yaur accaunt, submit the uPAer 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 C12-127� ** INHERITANCE TAX REC[fRD ADJUSTMENT **
ESTATE OF: DANNER ROBERT K FILE N0, :21 1Q-0599 ACN: 101 DATE; 03-14-2013
ADJi1STMENT BASED ON: PROTEST BOARD DECISIOhI
YAL.UE QF ESTATE:
1. Real Estate tSchedule A) �1� 60,000.00
2. Stocks and Bonds CSchedule B} t2) 298.62
3. Closely Held Stock/Partne�ship Interest CSchedule C) C3) w0 Q
4. MartgageslNotes Receivable tScheduZe D) (4� �d�
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E3 {5} $,315.0 3
S. Jointly Owned Property CSchedule F� C6� «0 0
7. Transfers tSchedule 6} {7} � ��
8. Total Assets ��� 6$,6I3.65
DEDUCTIONS AND EXEMPTICiNS:
9. Funeral Expenses/Administrative Casts/
Miscellaneous Expenses tSchedule H) t9) 17,�.40.73
10. DebtslMartgage L3abzlities/Liens CSchedule I} ClQ? 77:ggg,'jp
11. Total Deductions (11) 95,140.43
12. Net Yalue of 7ax Return {12) �b,526.78-
13. Charitable/Gavernmental Bequests; Non-elpcted 9113 Trusts CSchedule J? �},�� fQ 0
14. Net value of Estate subject to Tax t14� 2b,526.78-
TAX:
15. Amaunt of Line 14 at SPOUSal rate t15) ,pQ X.(�0 = .00
16. Amount �f line 14 taxabie at l.ineallClass A rate �1�} ,�Q x.045- .OQ
i7. Amount af Line 14 at Sibling rate C17) ,OOx,12 - .00
28. Amount of Line 14 taxable at Cal3aterallClass B rate t�$} ,fl Q Y,1 5 - .0 0
19. Principal Tax Due {I4� ��
TAX CRE�ITS: '
PAYMENT REC IPT DISCOUNT C+)
DATE NUMBER INTERESTIPEN PAID t-� AMOUNT PAID
TOTAL TAX PAYMENT .00
ALANCE t}F TAX DUE .00
INTEREST AND PEN. .00
TtlTAL DUE .00
� IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" LCR}, YQU MAY BE DUE
FOR CALCU�ATION OF AI}DITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INS7RUGTIONS.)