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RECORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1593 EX AFP (12-14)
PO BOX 2816RC CDR28�0601 f? OFFICE 0 F
HARRISBURG �11y
REGISTER OF WILLS DATE 08-06-2015
CUP
?015 AUG 17 PM 12 'J DATETOFODEATH 04-27-2005 VERA H
FILE NUMBER 21 05-0444
C LER" r COUNTY CUMBERLAND
ORPHANS' r;:.1` ,i ACN 101
WG[Iff,P�FESQ''" IBRIDG�ET M Amount Remitted
FL 6
17 S 2ND ST MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
HARRISBURG PA 17101-2053
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 FDR YOUR RECORDS
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REV-1593 EX AFP (12-14) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: CUPP VERA H FILE NO. :21 05-0444 ACN: 101 DATE: 08-06-2015
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ESTATE:
1. Real Estate (Schedule A) Cl) .00
2. Stocks and Bonds (Schedule B) (2) .00
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) 17,548.00
6. Jointly Owned Property (Schedule F) (6) 117,953.00
7. Transfers (Schedule G) (7) 112,779.00
8. Total Assets (8) 248,280.00
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 16,092.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 16,092.00
12. Net Value of Tax Return (12) 232,188.DO
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 232,188.00
TAX:
15. Amount of Line 14 at Spousal rate (15) 46,226.00X.00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 185,962.00X.045= 8,368.29
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 - .0 0
19. Principal Tax Due
c19) 8,368.29
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
07-27-2005 CDO05632 368.42 7,000.00
04-13-2006 REFUND .00 3,584.75-
03-09-2015 CD020327 1,921 .99- 6,857.35
TOTAL TAX PAYMENT 8,719.03
BALANCE OF TAX DUE 350.74CR
INTEREST AND PEN. .00
TOTAL DUE 350.74CR
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.
REV-1470 EX(01-10)
pennsylvania INHERITANCE TAX
DEPARTMENTOF REVENUE
_.,... EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG,PA 17128-0601
DECEDENTS NAME FILE NUMBER
Vera H. Cupp 21 05-0444
REVIEWED BY ACN
Steven -Agent# 193 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
A 1 The value of this item was moved to Schedule F as it was held as joint tenants with rights
of survivorship and not as tenants in common.
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