HomeMy WebLinkAbout11-04-14 INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES
RECORD ADJUSTMENT DEPARTMENT OF REVENUE
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INHERITANCE TAX DIVISION r,c /� REV-1593 EX AFP (12-13)
PO BOX URG 01
PA p (+QBDED OFFICE OF
HARRISBURG PA 1 1 a0 b4
REGISTE O "ILLS DATE 10-24-2014
1 ESTATE OF BROWN MARY J
?0N NIOU 9 Q'1 11 so DATE OF DEATH 03-31-2014
_ f' FILE NUMBER 21 14-0314
CLE�T, O_ COUNTY CUMBERLAND
0RPHANE')' C ju ACN 101
GLEA'Srr YN'1;&U-I"T'HOMASFA1 P Amount Remitted
STE 3
49 W ORANGE ST MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
SHIPPENSBURG PA 17257-1813
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: BROWN MARY J FILE NO. :21 14-0314 ACN: 101 DATE: 10-24-2014
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) (1) .00
2. Stocks and Bonds (Schedule B) (2) .0 0
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) C4) .00
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 73 874.04
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
S. Total Assets (8)
73,874.04
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 14,204.11
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1,172.2 3
11. Total Deductions (11) 15,376.34
12. Net Value of Tax Return (12) 58,497.70
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 58,497.70
TAX:
15. Amount of Line 14 at Spousal rate (15) 00X.00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 58,497.70x.045= 2,632.40
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 C19)
2,632.40
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
06-11-2014 CDO19336 131 .62 2,500.78
TOTAL TAX PAYMENT 21632.40
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.) (�'�P'