HomeMy WebLinkAbout06-17-13 INHERITANCE TAX � pennsylvan�a
REGORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERFTANCE TAX DIVISION REY-1543 EX AFP C12-12?
PO BOX 280b01
HARRISBURG PA 17128-0601
���`r{}��.�w`a� �i'C'�v� Q� DATE Ob-�b-2013
I��C�S �i;,� U� �,�,°f!�.S ESTATE OF RICHWINE ETHEL M
DATE OF DEATH O1-13-2Q13
:'U�J uUIV 1? �� 1 1� FILE NUMSER 21 13-0155
COUNTY CUMBERLAND
����K ��: ACN 101
Roc�� a IRwIH Es� ORP�ANS• C0�}1�T Amount Remitted
6o W POMFRET sT C�JMBERLQND G�., PA
CARLISLE PA 27013-3243 MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RECISTER QF 4fILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensura praper credit to Your account, submit the upper partion of this form with your tax pavment.
CtIT ALON6 THIS LINE � RETAIN L04tER PORTIUN FOR YOUR R�GORDS �E---
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REV-1593 EX AFR (I2-12� *� INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: RICHWINE ETHEL M FILE N0. :21 13-0155 ACN: 1a1 DATE; 06-06-2013
ADJUSTMENT BASED oN: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) C1� ,p�
2. Stocks and &onds fSchedu2e B} [23 ,d{�
3. Closely Held Stook/Partnership Interest CSchedule C) C3) .Dd
4. MortgageslNotes Receivable {Schedule B} C4} ,�Q
5. Cash/Bank Ueposits/Misc. Personal Property tSchedule E) C5) '�18,392.23
6. Jaintly Owned PraAerty CSchedule F) t6} .00
7. Transfers CSchedule G) ��� .0 0
8. Total Asse#s C87
DEDUCTIONS AND EXEMPTIONS: ���:3g�.��
9. Funeral Expenses/Administrative Casts/
Miscellanaous Expenses tSchedule H? {g} Ib,783.64
10. Debts/Mortgage Liabilitfes/Liens CSchedule 2) C107 3,2$9.99
lI. Total Deductians {11) 20,Q73.b3
12. Net Value af Tax Return C12) 298,31$.60
13. Charitable/6avernmental Bequests; Non-eleeted 4113 Trusts CSchedule J? tl3} .QO
14. Net Yalue of Estate Subject to Tax t14) 2q$,318.60
rnx:
I5. Amaunt af �ine 14 at Spousel rate {ig� .D0�.00 = .00
16. Amount of Line 14 taxable a# Lineal/Class A rate �16� 29$a 318.b0 X.Q45= 13,424.34
27. Amount of �ine 14 at Sibling rate C17} ,QQX,12 - .d0
18. Amount of Line 14 taxable a# Collateral/Class B rete C1�� ,p0 Y,Y5 - .0 0
14. Princ3pa2 Tax Due
TAX CREDITS: {14} 13,424.34
PAYMENT R CEIPT DI OUN (+)
DATE NUMBER INTEREST/PEN PAID {-) AMOUNT PAID
03-08-2013 CD017301 671.22 12,753.12
05-09-2013 CD01758b .QO 449.94
TOTAI TAX RAYMENT 13,874.33
A�ANCE OF TAX DUE 449.99CR
INTEREST AND PEN. .00
TOTAL DUE 449. 97�R
* IF PAID AF7ER DATE INDICATED, SEE REVERSE IF T4TAL DUE IS REFLECTED AS A "CREDIT" tCR), YOU MAY BE DUE
FdR CALCU�ATION OF ADDITiONAL INTEREST. A REFUND. SEE REVERSE SIDE OF 7HIS FORM FOR INSTRUCTIONS_)
REV-1470 EX(01-10)
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��=� � � pe1�1�$�I�Val�la INHERITANCE TAX
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DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
DECEDENT'S NAME FILE NUMBER
Ethel M Richwine 2113-0155
REVIEWED BY ' ACN
Joan M. Peters 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted to reflect that it a
change has been made to Schedule "H"; the attorney fees were incorrectly entered.
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