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„ INHERITANCE TAX Pennsylvania
RECORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-13)
PO BOX 280601 RECORDED OFFICE OF
HARRISBURG PA 17128-0601
REGISTER OF !1ILLS DATE 11-10-2014
ESTATE OF HESS A A
?014 1`0U 17 HIM 11 22 DATE OF DEATH 08-31-2013
FILE NUMBER 21 13-1014
CLEi ii OF COUNTY CUMBERLAND
ORPHANS' (CUR T ACN 101
BOGAR CiC,�rAOPIi !`: Ij ., t`i, Amount Remitted
1 W MAIN ST
SHIREMANSTOWN PA 17011-6327 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-1593 EX AFP (12-13) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: HESS A A FILE N0. :21 13-1014 ACN: 101 DATE: 11-10-2014
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) (1) .00
2. Stocks and Bonds CSchedule B) (2) 312,918. 18
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 132,627.46
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) C7) 39,755.33
8. Total Assets (8) 485,300.97
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 52,816.30
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 00
11. Total Deductions (11) 52,816.30
12. Net Value of Tax Return (12) 432,484.67
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 432,484.67
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) 31,418.34 .045= 1,413.83
17. Amount of Line 14 at Sibling rate (17) 15,709. 17X.12 = 1,885.10
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 385,357. 16X. 15 = 57,803.57
19. Principal Tax Due (19)
61,102.50
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
11-21-2013 CDO18437 3,055.13 59,248.46
02-14-2014 CDO18757 .00 701 .22
09-16-2014 REFUND .00 6,231.72-
INTEREST IS CHARGED THROUGH 11-25-2014* TOTAL TAX PAYMENT 56,773.09
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 4,329.41
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 24.85
TOTAL DUE 4,354.26
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE "4-\
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) �)
REV-1470 EX(01-10)
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p y INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION 8/31/2013
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box280601
HARRISBURG,
ARRI BUR PA 17128-0601
DECEDENTS NAME FILE NUMBER
A. Alfreda Hess 2113-1014
REVIEWED,BY ACN
Steven -Agent# 193 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
B The value of this Schedule has been adjusted to correct an error on the original
administrative correction which adjusted off too much.
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