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INHERITANCE TAX . pennsy van�a
RECORD ADJUSTMENT DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES REV-1593 IX AFP C12-12)
INNERITANCE TAX DIVISION
PO BOX 280601
WIRRISBl1R6 PA 17128-0601
DATE 09-25-2013
fSTATE OF BROZACK BARBARA A
DATE �F DEATH 12-29-2011
FILE NUMBER 21 12-0258
COUNTY CUMBERLAND
ACN 101
KEITH 0 BRENNEMAN ESQ An�ount Remitted
44 W MAIN ST
PO BOX 318 MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 rrith your tax payment.
CUT AL�N6 THIS LINE —► RETAIN LOWER PORTION FOR YOUR RECORDS E--
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REV-1593 EX AFP C12-12� ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: BROZACK BARBARA A FILE N�. :21 12-0258 ACN: 101 DATE: 09-25-2013
ADJUSTMENT BASED oN: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate CSchedule A) C1� 125s508.25
2. Stocks an'd Bonds CSchedulo B) C2� .00
3. Closely Held Stock/Partnership Interest CSchedule C) C3) .0 0
4. Mortgages/Notes Receivable CSchedule D) (4) �p p
5. Cash/Bank Dsposits/Misc. Personal Property CSchedule E) C5) 2$,�3 7.1 7
6. Jointly Owned Property (Schedule F) C6) .a 0
7. Transfers CSchedule 6) ' ��� 9.376.63
s. Totai Assets C8� 162,922.05
DEDUCTIDNS AND EXEMPTIDNS: � �
9. Funar#��, Expenses/Adsinistrative Costs/ C`? �, � �
Miscollsnoous Expenses {Scfiedul� H) (9) 15 0�96 � G7 Q
� , � • G J :�
10. Debts/Morts��e Liabi'lities/Liens CSchedule I) C10) 14,�1'6[�2r,Q ---{ C►'� �
11. Total Deductions �C1��,,,,.��t'C11) � 533.16
12. Net Value of Tax Return �„�, � �2)� � ' ,�388.89
13. Charitable/6overnmental Bequests; Non-elected 9113 Trusts CSchedule J) � � �3� ,,,_, »� .�0
� �
14. Net Value of Estate Subject to Tax � � �4) � �3 �388.89
TAX: ,�, � —, '�"+—
t-�-� �".. �'t
15. Amount of Line 14 at Spous�l ratQ C15? .�,0"(�X.00 �-,, f,�'3 � ' .00
16. A�aount of Line 14 taxable at Lineal/Class A rate C16� 133,38�":89 Y.045�'"�` 6,002 0
17. Amount of Line 14 at Siblinp rate C17) .00Y.12 a .00
18. A�nount of Line 14 taxable at Collateral/Class B rate �ig� .OO Y.15 a `.00
19. Principal Tax Due C19)
TAX CREDITS: 6,002.50
+
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
06-12-2013 CD017728 .00 5,982.13
INTEREST IS CHARGED THRDUGH 10-10-2013� TOTAL TAX PAYMENT 5,982.13
AT THE RATES APPLICABLE AS OUTLINED ON THE ALANCE UF TAX DUE 20.37
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 126.20
TOTAL DUE 146.57
� IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE ��
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) �
REV-1470 EX(01-10) `
•
� pennsy van�a INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES. OF CHANGES
PO Box 280601
DECEDENTS NAME FILE NUMBER
Barbara A. Brozack 2112-0258
REVIEWED BY ACN
James Russell 101
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
Schedule E is returned to the original value as should be. Schedule H has a deduction
removed for Suburban Propane which was valued at�452.72 because it was paid in error
and estate is receiving a refund.
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