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BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT dE1 ► DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-28-2014
ESTATE OF MILLER ARLENE M
DATE OF DEATH 07-25-2013
FILE NUMBER 21 13-1110
COUNTY CUMBERLAND
ACN 101
CONFAIR SUSAN H Amount Remitked
2331 MARKET ST
CAMP HILL PA 17011-4642 MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 E-
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REV-1593 EX AFP (12-13) ■■ INHERITANCE TAX RECORD ADJUSTMENT ■■
ESTATE OF: MILLER ARLENE M FILE NO. :21 13-1110 ACN: 101 DATE: 05-28-2014
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) .00
4. Mortgages/Notes Receivable (Schedule D) (4) .00
S. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) .00
6. Jointly Owned Property (Schedule F) (6) ,00
7. Transfers (Schedule G) (7) 69,874.41
S. Total Assets (8)
69,874.41
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 12,041 .65
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,421 .26
11. Total Deductions (11) 15,462.91
12. Net Value of Tax Return (12) rBA,411 .50
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (P)
TOJO
14. Net Value of Estate Subject to Tax (1b) (54,4+1'1. 0
TAX: "J a
15. Amount of Line 14 at Spousal rake
u57 .00X:'00;;_ m BOO
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 54,411 .50 y.:..b;45° _�_ 2,446. 2
17. Amount of Line 14 at Sibling rate (17) e _
.00y.r])5 C;
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due C18) .00 y.f 1)5 C'- 'Ti '� � .$0
TAX CREDITS: _�9 ,� ,4k8.F5c2
PAYMENT RECEIPT DISCOUNT (+7 D CIl Cn CD
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID �a
10-21-2013 CDO18292 109.21 2,075. 00
11-21-2013 CDO18432 .00 1.60
03-26-2014 CDO18939 .00 262.71
TOTAL TAX PAYMENT 2,448.52
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" (CR7, YOU MAY BE DUE „_\
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.7 lawj\
REV.1410 U(01-m)
pennsylvania INHERITANCE TAX
r DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
DECEDENTS NAME FILE NUMBER
Arlene M. Miller 2113-1110
REVIEWED BY - ACN
Wlyons 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
I $414.16 was added back to the Schedule.
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