HomeMy WebLinkAbout02-07-83
REV. 1593EX (11-82)
J
PENNSYl4{ ANIA DEPARTMENT OF REVENUE
<<: BUREAU OF ACCOUNTS SETTLEMENT
P.O. BOX 2055
HARRISBURG. PA 17105
INHERITANCE TAX
RECORD AD.JUSTMENT
DATE
ESTATE OF FISHER ANNA H FILE NO. 21 78-0164
DATE OF DEATH 03-27-78 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF
WILLS, AGENT."
MYERS ETAL
PO BOX 125
LEMOYNE
PA 17043
CUT ALONG THIS LINE
ASSESSMENT
CONTROL NO.
101
PLEASE RETURN THIS
PORT ION TO REGISTER OF
WILLS IF PAYMENT DUE
----------------------------------------------------------------------.
<<INHERITANCE TAX RECORO AO~USTMENT<<
ESTATE OF FISHER
ANNA
H FILE NO.21 78-0164
AOJUSTMENT BASED ON:
ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages and Notes (Schedule D)
5. Cish & Miscellaneous Personal Properly (Schedule E)
6. Jointly Owned Properly (Schedule F)
7. Transfers (Schedule Gl
8. Total Gross Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/Miscellaneous
Expenses (Schedule H)
10. Debts/Mortgages/liens (Schedule I)
1 1. Total Deductions
1 2. Net Value of Estate
13. Charitable Bequests (Schedule J)
14. Net Value Subject to Tax
TAX:
t 5. Amount of line 14 taxable at 6% rate
16, Amount of line 14 taxable at 15% rate
17. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
RECEIPT
#
DISCOUNT 1+)
INTEREST H
12-26-78
01-08-79
063722
063750
.00
.03-
. IF PAID AFTER DATE INDICATED SEE REVERSE FOR CALCULATION
OF AODITIONAL INTEREST
RETAIN THIS PORTION FOR YOUR RECORDS
(1)
I 21
I 31
( 4)
( 51
I 61
( 7)
191
1101
liS)
1161
ACN 101
DATE 02-07-83
(If Balance Due is less than $1.00 no payment is required)
22,500.00
.00
.00
.00
5,399.04
715.87
.00
181
28,614.91
.00
7,705.91
1111
(12)
1131
(14)
7,705.91
20,909.00
.00
20,909.00
14,895.69
.00
X.06=
X15=
1171
893.74
.00
893.74
AMOUNT PAID
880.74
13.07
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
893.78
.04CR
.00
.04CR
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