HomeMy WebLinkAbout08-20-13 INHERITANCE TAX � pennsylvania
sua�au oF iHpIYIDUAL raxES RECpRO ADJUSTMENT '��'J OEPAR7MENTOFREVENUE
INNERITltNCE TA7( DIYISION REY-1543 EX AiP {11-12)
PO HOX 28@b91
IUIRRI$9URG PA ]7128-Ob01
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. . DA7E 0]-31-2013
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` ' ' '`' ESTATE OF PANE ANZTA F
^7 DATE OF DEATH 07-p3-2011
'`�:�'''� '''�-' !�� ^� � �-, 4J FILE NUMBER 21 11-0814
COUNTY � CUMBERLAND
- -�-<<<� . . ACN 101
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AN �A, � �;:��.'�.., � r S�MUEL L - Amount Ranittutl
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LEMOYHE PA 17043-1245 MAKE CHECK PAYA6LE AND REMIT PAYMENT T0:
� RE6ISTER OF 4tILLS
1 COURTHOUSE S�UARE
CARLISLE PA 17013
NOTE: To ansuro proper tratllt tn your aetount, wbmSt the uppar Rortian of this form with yeur tax paymant.
CliT At4N6 THSS LINE --�t RETAZX �ONER PORTZON FOR YOUR RECORDS t-�
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REV-Y593 EX AFP C12-12) ■x INHERITANCE TAX RECORD ADJUSTMENT ■�
ESTA7E OF: PANE ANZTA P FILE Np. :21 11-0814 ACN: 101 D11TE: 07-31-2013
ADJUS7MENT BASEO oN: ADMINISTRATIVE CORRECTION
VA�UE OF ESTA7Ee
1. Rsal Estate tSthatlule A) {i} 126�0OO.OQ
2. Stotkx antl Bands CSChetlule BJ �27 .00
3. Clasaly Held SYOCk/Partnership Int¢rost (Sehotlule C) (3) .00
4. NartgagislNatas tiecaivabie {$chatlula D} f4} .00
B. Cash/Bank Deposits/Misc. Personal Proparty tSehpdule E) t5) 113.179.66
6. Jointly Owned Property (SChodule F7 �67 .00
7. Transfars (SChetlule >) tT7 OQ
e. Tatai A:ssts {aY 239.179.66
DEdUC7I0NS pHD EXEMPTIONS: '
9. Funar�al Expensas/Atlminiatrativa CosYS/
Miscallanaous Expensss CSChaduia H) C4} 31.Sb5.5$
10. Deb#s/XOrtpaga LiabSlitSes/Liens LSchmdula I) (10) 687.40
1�. rotal Deductlons ci1� 32,352.98
12. Nsi Yalue af Tax Raturn [12} 206r&26.6$
13. Cha�3#ablef6overnmentai Beqaasts; Nan-alected 4113 7rusts tSehqdule J7 �13� ,pp
14. Net Va1ue of EsYate Subiect to Tax (14) 206,826.68
TAXs
15. Aa�ount of lina 24 at Spousai rate ;15) .pOX,00 ° .00
ib. AmounY of �¢na 1c t.xacie ,t �aneaiiclass A rata �16� �p6,826,68,,.045° 9.307.20
17. Amaunk of Line 14 at Siblin9 r�te
�x�� .00x.12 " .00
38. Amaunt af Line 14 ;axabla at CollaterallClass B rate tia� p�y 15 ` ,00
14. Principil TeX Due
TAX CREDITS:
�ig� 9,307.20
+
DATE NUNBER ZNTEHESTtPEN PAID P} AMOUNF PAID
04-12-2011 CD014944 465.36 lOrp00.�0
04-LO-2012 CU016482 .00 97.44
12-10-2012 SBABJUST .OQ 1,25
� � TOTA� TAX PAYMEMT i0,564.13
ALANCE OF TAX �UE 1.256.93CR
INTEREST AHD PEN. .00
70TAL DUE � 2,256.93CR
+ LP PAZD AFTER DATE INDZCATED� SEE REVERSE ZF TOTAL DUE ZS REFLECTED AS A ^CREBIT" {CR}, YDU MAY SE DUE �i�
FOR CALCUI.ATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE 5IDE OF THIS FDRM FOR INS7RUCTIpNS J A`l)
V,.
PAYMENT: Petech the toP nor4ion of this nptice entl zub�it rith vour oav�ent �atle peYeble to the oa�e and aqCress
nrvintetl on thu rsvers� sitla.
If p�went ds for s Rea3dont Uacadant, faka chaek or NoneY ordar pavable� tqi kopister ot Wills, Aye�t.
If pav�ent is for a Non-rosiaant Otcsaent, saks cMCk or �anev arCar cmrabxe to: Coxarwoaith of Pannsvlvanla.
Failuro to pey tha tuc. fnLnsk, �ntl n�nelkY due wey rasult in �he Hlinp of s lian of recorA 3n the
appYOD�ista GOYnkYr dF th1 issu�ryCY of an tlwPhin's LouFt citati0n.
REFUNtl (CR)i A rYfunC of a taf[ epWAt� Mhich Mes not nquaitotl on tho tax rahrnr �av ba roquestad dY co�vletintl en
"Appli<ation for Refund of Pmnrylvania lnh�r9tance and Estata Tuc° (REV4515). �nclicetions aro evailable froM
thc tlavart�ent•s web sitc ue.atet�,�,4e.us, arry Ropistsr of Wilis cr Ravwus Dixtrict Offita. cr frow t�a
Dapaftemt`s 26-hour at�akeri »rvSees T-dOD-bi2-2E58� servicss for tm�caytrs vith sneciai hatrirt{i arEdlor
sasaking �wedss I-880-447-3929 CTT onlv}.
REPLV
T0: puastions rapardinp �rrors conta}natl on thix notica shaultl Ee addrossatl kp� pA O�oart��nt of Ravonue. Burabu
af fnAivitluel Taxas, A7'TN: Poxt Assasa�aok 8ariev tlnit, Po�boz 2l06Q1, N�rriaburp PR 1712l-U69I, er eel7
t717) 787-65G5. ..
DISCOUNT� If nny t� tlua is oaitl p3thin khPae cslantlaP Monihs aftel` tha dacatlant's daeth, a five pYromt tliaobunt of tM1a
tm[ Oaid is e17w�G.
PEWILTY� The 15 vroan# tarz anneskv non-perki<ination panalty fa co�nukatl on the totel of the ta� antl intarast asstssatlr
and not oaid bafora Jan. 18. 1996r Ctna firzt Oay aftrr the end qf the tmc aYlnsstv nvlodJ
IN7ERE$Tz Iti{y�a5t is C�lf9id 6iySifitiifp x1}h fi!'S[ dYY Of tlMli(ipUitiCY o� h3hY �O�ih9 eNd OlIY 4iqt ft0� L31i dlCt Of dQiL'FI
ta khe aete of naY�ant. Tuces which Eeca�a dalinauant bafare Jan. 1. 19l2 hear intarast et t�e ratc ot s�Uc
carcent par annu� eelculatad ei�e tlailv raka of 0.000164. �31 tweas which baca�e ael4nquant on �nd aftar
Jy�. 1, 1962. r313 baqr intcrost nt a rata whSch rerias fro� voar� ta vea� wYth tha rvate announcptl dy tha P�
tMpsrtiant of Raranua. Rrtes for 7962 throuph 208fi can ba fountl 1A tha Pannsvlvania RasitlaM Fnstruetion
Aookle} (REV-35013. the Penrtsvlvanis Non•rssitlant.Instruckion �uokl9t LRav�iT363 or on tha Dsoartwant of
R�v�nue Wab afta wv.raranue.oa.us. The epplieaEle io4arost rotes for 200T throuph 2p13 ara:
Intanst Dailv Tnterast Dailr Znterost DailY
Yeao Rata Pactor Yeet Rate Factor YsaP Rs#a f»ckoh
2G0'/ S1: .U00219 2ptl6 )X .9D0792 2009 5% .OUtl137
2tl]0 4Y. .00011� 2011•2013 3Y. .000082
Ink�nst is celeulatetl es follws�
INTEREST = BALANCE OF 7AX UNPAZD X NUMBER OF DAYS DEiIN4UEHT X bAZIK INTEBESF FACTOR
Any not3ce isswtl ettar tha tax baca�es dwlfnauent will reflect an intereat calcuiatlan to fifban aays
bsyond t�e tleta of t�a pssess��nt. If pav�dnt is ��tla sftrr tne intorost co�pubtion tlek� shwn on 4ha
noti<a, aGd3tional intarost �ust ha calcu3ataG.
REV-0OO EX(01-00)
� pennsylvania lNHERITANCE TAX
j�,� DEPARTMENT OF REVENUE EXPLANATION
BUREAU OFINDIVIDUALTA%ES OF CHANGES
PO Box 280801
DECEDENTS NAME FILE NUMBER
Anita P. Pane 2111-0814
REVIEWED BY ACN
James Russell 701
SCHEDULE �Np EXPLANATION OF CHANGES
Adjusted Schedule A Real Estate value to sale price of 5126,000.
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