HomeMy WebLinkAbout12-07-82
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.
REV. 1583EX (11-82)
'PENNS'YLVANIA DEPARTMENT OF REVENUE
BUREAU OF ACCOUNTS SETTLEMENT
P.O. BOX 2055
HARRISBURG. PA 17105
INHERITANCE TAX
RECORD ~USTMENT
ASSESSIIENT
CONTROL NIl.
101
DATE
ESTATE OF FISHER ANNA H FILE NIl. 21 78-0164
DATE OF DEATH 03-27-78 COUNTY CUMBERLAND
NIlTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YDUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF
WI LLS. AGENT."
MYERS ETAL
PO BOX 125
LEMOYNE
PA 17043
CUT ALONG THIS LINE
"INHERITANCE TAX RECORD ADJUSTMENT"
ESTATE Of FISHER
ANNA
H FILE NO.21 78-0164
ADJUSTMENT BASED ON:
COURT DETERMINATION
VALUE OF ESTATE:
,. Real Estate (Schedule Al
2. Stocks and Bonds (Schedule BI
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages and Notes (Schedule 0)
5. Cash & Miscellaneous Personal Property (Schedule E)
6. JOintly Owned Property (Schedule F)
7. Transfers (Scnedule G)
8. Total Gross Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funerlll Expenses/Administrative Costs/Miscellaneous
Expenses (Schedule H)
10. Debts/Mortgages/Liens (Schedule I)
1 1. Total Deductions
12. Net Value of Estate
13. Charitable Bequests {Schedule J}
14. Net Value Subject to Tax
TAX:
, 5. Amount of line 14 taxable at 6% rate
, 6. Amount of line 14 taxable at 15% rate
17. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
12-26-78
01-08-79
RECEIPT
#
DISCOUNT (... I
INTEREST {-}
063722
063750
.00
.13-
INTEREST IS CHARGED AT 06 PERCENT FOR 1444
DAYS FROM 01-09-79 TO 12-22-82*.
* IF PAID AFTER DATE INDICATED SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST
RETAIN THIS PORTION FOR YDUR RECORDS
( 11
( 2)
( 31
( 41
( 51
( 61
( 71
( 91
(10)
(151
(161
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
ACN 101
22,500.00
.00
.00
.00
5,399.04
715.87
.00
.00
7,705.91
15,799.73
.00
AMOUNT PAID
880.74
13.07
TOTAL TAX CREDIT
BALANCE OF TAX llUE
INTEREST
TOTAL DUE
DATE 12-07-82
I BI
28,614.91
(If Balance Due is less than S 1.00 no payment is required)
( 11)
(12)
(13)
(14)
7,705.91
20,909.00
.00
20,909.00
X.06=
X.15=
(17)
947.98
.00
947.98
54.30
12.86
67.16
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