HomeMy WebLinkAbout09-30-13 INHERITANCE TAX [� J pennsylvania
BUREAU OF INDIVIDUAL TAXES
RECORD ADJUSTMENT '�.�1' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1593 EX APP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
REGORI'-0 071Gc Of
REGISi..Z Oi= ',fiLLS DATE 09-13-2013
ESTATE OF SHIRK CHERYL J
1.0113 SEP 30 PM 1? 31 DATE OF DEATH 06-07-2012
FILE NUMBER 21 12-0778
CLERK Of COUNTY CUMBERLAND
ACN 101
ORPHANS' COURT Amount Remitted
SHIRK JEE�i�;I���N�YIFaaEF(�R�(�EAND CO., PA
805 OLD SILVER SPltiAb K
MECHANICSBURG PA 17055-2883 MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ------_ � RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1593 EX AFP (12-12) t■ INHERITANCE TAX RECORD ADJUSTMENT ■■
ESTATE OF: SHIRK CHERYL J FILE NO. :21 12-0778 ACN: 101 DATE: 09-13-2013
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) (1) . 00
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) 100
7. Transfers (Schedule G) (7) 12.246.77
B. Total Assets (e) 12,246.77
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 1,929.27
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) . 00
11. Total Deductions (I1) 1 ,929.27
12. Net Value of Tax Return (12) 10,317.50
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 10,317.50
TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X.00 ` . 00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 10,317.50X.045` 464.29
17. Amount of Line 14 at Sibling rate (17)
. 00X112 .00
18. Amount of Line 14 taxable at Collateral/Class B rate (is) .00 X. 15 ` . 00
19. Principal Tax Duo (19)
464.29
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-27-2013 CDO17806 4.26- 469.29
TOTAL TAX PAYMENT _ 465. 03
BALANCE OF TAX DUE .74CR'I
INTEREST AND PEN. .00
TOTAL DUE F .74CR�
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)