HomeMy WebLinkAbout02-21-14 (2) INHERITANCE TAX 1 pennsylvania
BUREAU OF INDIVIDUAL TAXES
RECORD ADJUSTMENT DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 02-18-2014
ESTATE OF MARGIN ADDA M
DATE OF DEATH 06-17-2008
FILE NUMBER 21 08-0711
COUNTY CUMBERLAND
ACN 401
GALLOWAY DAVID R Amount Remitted
ATTORNEY AT LAW
54 E. MAIN STREET MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
MECHANICSBURG PA 17055
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 +-
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REV-1593 EX AFP (12-13) ** INHERITANCE TAX RECORD ADJUSTMENT ■*
ESTATE OF: MARGIN ADDA M FILE NO. :21 08-0711 ACN: 401 DATE: 02-18-2014
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) (1) 95,125. 12
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 n
r' T
4. Mortgages/Notes Receivable (Schedule D) (4)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 "?'f 7_1 _ - 7:
6. Jointly Owned Property (Schedule F) (6) 00
. 00 _
7. Transfers (Schedule G) (7)
8. Total Assets C87 95 125.12
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/ TiN
Miscellaneous Expenses (Schedule H) (9) .00 - T
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) 95,125. 12
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 95,125. 12
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) 95,125. 12X. 045= 4,280.63
17. Amount of Line 14 at Sibling rate (17) .00X. 12 ` .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X. 15 = .00
19. Principal Tax Due (19)
4,280.63
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-19-2013 CDO18428 . 00 4,280.63
TOTAL TAX PAYMENT 4,280.63
BALANCE OF TAX DUE . 00
INTEREST AND PEN. .00
TOTAL DUE . 00
* 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.) i�