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BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT �9ff11 ►\1I����i4 DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 06-02-2014
ESTATE OF CROUSE HELEN F
DATE OF DEATH 08-26-2011
FILE NUMBER 21 11-0926
COUNTY CUMBERLAND
ACN 101
ZULLINGER JOEL R Amount Remitted
STE 200
14 N MAIN ST MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CHAMBERSBURG PA 17201-1814
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 paym¢nt.
CUT ALONG THIS LINE --► RETAIN LOWER PORTION FOR YOUR RECORDS 4—
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REV-1593 EX AFP (12-13) x* INHERITANCE TAX RECORD ADJUSTMENT ■■
ESTATE OF: CROUSE HELEN F FILE NO. :21 11-0926 ACN: 101 DATE: 06-02-2014
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) 3,451,219.26
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 43, 152.95
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 4.601 ,436. 18
S. Total Assets (g)
8,095,808.39
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 98,930.43
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 21,134.00
11. Total Deductions (11) 120,064.43
12. Net Value of Tax Return (12) 7,975,743.96
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 1 ,664,386.74
14. Net Value of Estate Subject to Tax (14) 6,431,421 .65
TAX: C)
r
15. Amount of Line 14 at Spousal rate ("l t,'1
n5) .00X.-AO
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 6,431,421 .65X.'0'45-- n
17. Amount of Line 14 at Sibling rate (17) 1 '`
i-- -
. ", �'� I"
18. Amount of Line 14 taxable at Collateral/Class B rate 00X7-12 F.00
19. Principal Tax Due (18) . 00 X• I5�i-' � A0 TAX CREDITS: - c> -- 2 ,4,0:1;1;Q7
PAYMENT RECEIPT DISCOUNT AMOUNT PAID �� -a
DATE NUMBER INTEREST/PEN PAID (-) - H.~.. I" T
11-22-2011 CDO15252 14,177.07 269,364:125 w p
01-24-2013 CDO17092 9.36- 47,979. 04 �1
02-27-2013 CDO17258 .00 956.03
TOTAL TAX PAYMENT 332,467.03
BALANCE OF TAX DUE 48,455.96CR
INTEREST AND PEN. .00
TOTAL DUE 48,455.96C
e 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.) ,Vl