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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
STATEMENTPO BOX
OF ACCOUNT
HARRISBURG PA E�J1DED OFFICE O
REGISTER O I"ILLS
DATE 11-10-2014
?fly N10V 17 frii 11 23 ESTATE OF SALKELD VICTORIA W
DATE OF DEATH 01-10-2013
_ FILE NUMBER 21 13-0436
C L ��'` COUNTY CUMBERLAND
ZEIGLEGRft6C� l�' ftAUL`•R j L ACN 101
30
POOB��IT�ERST: 12N; , .LRI:$Amount Remitted
NEW CUMBERLAND PA 17070-0256
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 --I RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP (12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SALKELD VICTORIA W FILE NO. : 21 13-0436 ACN: 101 DATE: 11-10-2014
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-04-2014
PRINCIPAL TAX DUE: 13,940. 12
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
*** SUMMARY OF ALL 005 PAYMENTS ***
11-07-2014 .00 13,941 .31
TOTAL TAX PAYMENT 13,940. 12
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
INHERITANCE TAX
RECORD ADJUSTMENT pennsytvarna
JOINTLY HELD OR TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-13)
HARRIISBURGPO BOX 6PA 17128 FICNO R D01 -D OFFICE O
REGISTEF .'ILLS
DATE 11-05-2014
ESTATE OF SALKELD VICTORIA W
2014 t`0V 17 t'n, 11 23 DATE OF DEATH 01-10-2013
FILE NUMBER 21 13-0436
G LIE GC COUNTY CUMBERLAND
BRETT ,SAUKEL.0D
GR� SSN/DC
:,f, , ACN 13153503
29 SAI ����pp,,�N' I?REWS= RD Amount Remitted
SEVERN PAkK- MD 21146-1433
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS. LINE —) RETAIN LOWER PORTION FOR YOUR RECORDS ♦�
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REV-1604 EX AFP (12-13)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 11-05-2014
ESTATE OF: SALKELD VICTORIA W DATE OF DEATH: 01-10-2013 COUNTY: CUMBERLAND
FILE NO. : 21 13-0436 S.S/D.C. NO. : ACN: 13153503
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 2107866619
TYPE OF ACCOUNT: C ) SAVINGS ( X) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 12-31-2012
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TO: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES RECORD ADJUSTMENT 1 DEPARTMENT OF REVENUE b-2
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-13)
PO BOX 280601
HARRISBURG PA 17128-161'R ECORDED OIFFICE OF
EGGS E"
CF ,,71 US
DATE 11-05-2014
ESTATE OF SALKELD VICTORIA W
DATE OF DEATH 01-10-2013
?019 NOU 17 F-19 112 Z, FILE NUMBER 21 13-0436
CLEF, OF COUNTY CUMBERLAND
ACN 101
ORPHANS' C O'U."%T Amount Remitted
ZEIGLER Eft 4AU L
IVES
300 BRIDGE ST 'F L'R
PO BOX B MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
NEW CUMBERLAND PA 17070-0256
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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS +-
--•-------------------------------------------------------------------------------------------------------------
REV-1593 EX AFP (12-13) INHERITANCE TAX RECORD ADJUSTMENT
ESTATE OF:SALKELD VICTORIA W FILE NO. :21 13-0436 ACN: 101 DATE: 11-05-2014
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) Cl) 234,700.00
2. Stocks and Bonds (Schedule B) (2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) _ .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 122,695.92
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 357,395.92
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 47,615.39
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions (11) 47,615.39
12. Net Value of Tax Return (12) 309,780.53
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 309,780.53
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) 309,780.53X.045= 13,940. 12
17. Amount of Line 14 at Sibling rate (17) .00X.12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X. 15 .00
19. Principal Tax Due (19) 13,940.12
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
09-06-2013 CDO18132 .00 1,541.35
09-25-2013 CDO18189 .00 1,541.35
10-09-2013 CDO18221 .00 9,307.07
10-18-2013 CDO18284 .00 1,545.00
INTEREST IS CHARGED THROUGH 11-20-2014* TOTAL TAX PAYMENT 13,934.77
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 5.35
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1 . 19
TOTAL DUE 6.54
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX(01-10)
pennsytvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG,PA
17 8-060
DECEDENTS NAME FILE NUMBER
Victoria W. Salkeld 2113-0436
REVIEWED BY ACN
Joan , Agent#196 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
The above referenced Account Control Number has been adjusted to reflect that per the
attorney for the estate, there were two errors on Schedule#4. The balance changed to
$11,592.85 instead of$11,392.85. Change account number to: 2107966619.
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