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BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION q �+ (�(' REV-1593 EX AFP (12-12)
PO BOX HARRISBURG PA 17128-0601 ZECO""n OC!I(OE ° r
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�'`'•' y' DATE 09-13-2013
�-I,jra 30 pm l� �n. ESTATE OF BROZACK BARBARA A
,
U N JJ DATE OF DEATH 12-29-2011
FILE NUMBER 21 12-0258
C'--1.1. "r COUNTY CUMBERLAND
OPPI:ANS' COU�T ACN 101
NWELr4pi-MM CO., PA Amount Remitted
KEITH 0 BRENN�lIy�N•tE'SV
44 W MAIN ST
PO BOX 318 MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
MECHANICSBURG PA 17055-0318
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 (—
REV-1593 EX AFP (12-123 ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: BROZACK BARBARA A FILE NO. :21 12-0258 ACN: 101 DATE: 09-13-2013
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) (1) 125,508.25
2. Stocks and Bonds (Schedule B) (2) .00
S. Closely Held Stock/Partnership Interest (Schedule C) (3) 00
4. Mortgages/Notes Receivable (Schedule D) (4) 00
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 27.584.45
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 9.376.63
S. Total Assets (B) 162,469.33
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 15,959.68
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 14,026.20
11. Total Deductions (11) 29,985.88
12. Net Value of Tax Return (12) 132,483.45
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 132,483.45
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) 132,483.45X.045= 5,961 .76
17. Amount of Line 14 at Sibling rate (17) ,00X. 12 - .00
18. Amount of Line 14 taxable at Collateral/Class B rate Cis) ,00 x. 15 - .00
19. Principal Tax Due (19) 5,961 .76
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-12-2013 CDO17728 20.37- 5,982. 13
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-13-2013 TOTAL TAX PAYMENT j 5,961 .76
BALANCE OF TAX DUE -00
INTEREST AND PEN. 104.78
TOTAL DUE 104.78
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.)
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REV-1470 EX;0bW}
° penn$ylvarna INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 266601
DECEDENT'S NAME FILE NUMBER
Barbara A. Brozack 2112-0258
REVIEWED BY ACN
James Russell 161
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
A deduction on Schedule E (page 2, item #7) in the amount of$452.72 for Suburban
Propane needs to be removed. This amount was paid in error and the estate will be '
receiving a refund from Suburban Propane for said amount
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