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INHERITANCE TAX � pennsylvan�a
RECORD ADJ USTMENT DEPARTMENT OF REVENUE �
BUREAU OF INDIVIDUAL T.AXES
INHERITANCE TAX DIVISION REV-1593 IX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 09-30-2013
ESTATE OF BOWERSOX ROBERT H
DATE OF DEATH 09-10-2012
FILE NUMBER 21 12-1181
COUNTY CUMBERLAND
ACN 101
IRWIN ROGER B Amount Remitted
60 W PROMFRET ST
CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 CDURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of thfs form with your tax payment.
CUT ALON6 THIS LINE �! RETAIN LOWER PORTION FOR YOUR RECORDS �
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REV-1593 EX AFP C12-12� ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: BOWERSOX ROBERT H FILE N0. :21 12-1181 peN; 101 DATE: 09-30-2013
ADJUSTMENT BASED oN: ADMINISTRATIVE CURRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) �1) .0 0
2. Stocks and Bonds CSchedule B) C2� 894,980.99
3. Closely Held Stock/Partnership Interest CSchedule C) C3) .0 0
4. Mortga�es/Notes Receivable (Schedule D) �4� .0 0
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) �5) 474,564.82
6. Jointly Owned Property C3chedule F) C6� .0 0
7. Transfers CSchedule G) ��� .0 0
8. Totil Assets C8� 1,369,545.80
DEDUCTIONS AND EXEMPTIONS:
9. FunQral Expenses/Administrative Costs/
Miscsllaneous Expenses CSchedule H� t9� 96,303.45 �, ;'�'!
10. DabtsfMortgage Liabilities/Liens CSchedule I? C10) 8,1�.8 9 i� � �
11. Total Daductions �. �C11) ��1 ^ �� 49.34
12. Nat Valus of Tax Return � 5 0
� -bc��� �---�i,2�,, �S9 6.
13. Charitable/Governmehtal Bequests; Non-elected 9113 Trusts CSchedule J) � ��-(1�'3 3 � 1.0 8
14. Net Value of Estate Subject to Tax � �1�, 8 ,�5.50
TAX: --�: �'= � ...� -e1 ,,,�.t
15. Amount of Line 14 at Spousal rate C15? .��p�_ � � �
c� .0 0
16. Amoun,t of Line 14 taxable at Lineal/Class A rate C16� ,a,Q�45= �""�' 00
17. Amount of Line 14 at Sibling rate �1�� �dJ�°„'�2 - �"�'��
18. Amount of Line 14 taxable at Collateral/Class B rate �ig� g$6,555.5',�I''Y.15 S 132,983.3�3
19. Principal Tax Due C19?
132,983.32
TAX CREDITS:
P ISCOUN C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-11-2012 CD016904 .00 75,000.00
02-19-2013 CD017188 .00 73,501.42
TOTAL TAX PAYMENT 148,501.42
ALANCE OF TAX DUE 15,518.1OCR
INTEREST AND PEN. .00
TOTAL DUE 15,518.1OCR
� IF PAID AFTER DATE INDICATED, SEE REVERSE IF T�TAL DUE IS REFLECTED AS A "CR�DIT" CCR), YOU MAY BE DUE `�
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ��
.
REV-7470 EX(Q�-7Q)
a'
r enns lvania � � .
� y INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION '
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO,Box 280601
DECEDENTS NAME FILE NUMBER
Robert H. Bowersox 2112-1181
REVIEWED BY ACN
. James Russell 101
ITEM
SCHEDULE Np, EXPLANATION OF CHANGES
Schedule E was adjusted. item#4�5 were removed because they were closed on 6-22-12�
combined into a money market account which was reported as item#3 worth�103,501.55
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