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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
RECORDeD O~FICE:Q!HERITANCE TAX
p'-i"('r-j', r~:- ",'I;: '''.
,t.: :) c' ',"; ,llEcORD ADJUSTMENT
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 171Z8-0601
REV-1593 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-13-2005
CAPEHART
01-24-2005
21 05-0113
CUMBERLAND
101
E
Z005 AUG - I
P1112: 26
DALE F SHUGHART
STE 203
35 E HIGH ST
CARLISLE
CLEm;
OFPi.'"
JR E@Q'
PA 17013
JOAN
AIIaunt R...i tted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
NOTE: To insure proper credit to your account, sub. it the upper portion of this for. with your tax pay..nt.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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REV-1593 EX AFP (03-05)
ESTATE OF CAPEHART
JOAN
.. INHERITANCE TAX RECORD ADJUSTMENT ..
DATE
E FILE NO. 21 05-0113
AOJUSTHENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
1. R..I Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hort~ges/Not.s Receivable (Schedule DJ
5. CashlBank Deposits/Hisc. Personal Property (Schedule E)
6. ~ointly Owned Property (Schedule F)
1. Transfers (Schedule Q)
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.inistrative Costs/
Hiscellaneous Expenses (Schedule H)
Debts/Hortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequestsi Non-elected 9113 Trusts
Net Value of Estate Subject to Tax
10.
11.
12.
13.
1....
TAX:
15. Anount of Line 14 at Spousal rat.
16. A.ount of Line 14 taxable at Lineal/Class A rate
11. A.ount of Line 14 at Sibling rat.
18. ~unt of line 14 taxable at Collateral/Class Brat.
19. Principal Tax Du.
TAX CREDITS.
ACN 101
07-13-2005
(1)
(2)
(3)
I"')
(5)
(6)
(7)
.00
.00
.00
.00
4.849.11
.00
70.224.32
IB)
75,073.43
(9)
(10)
9,465.27
.00
Ill)
(12)
(13)
11"')
9.465.27
65.6'08.16
.00
65.608.16
ISchedul_ J)
(15)
(16)
(17)
I1B)
64.776.16X 00 =
.OOX 045=
.OOX 12 =
832.00X 15 =
(19)
.00
.00
.00
124.80
124.80
.
'.J AI1DUNT PAID
DATE IIUItBER INTEREST/PEN PAID 1-)
04-15-2005 ....... CD005203 6.24 118.56
TOTAL TAX CREDIT 124.80
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ~<:,\l
REV.1410 EX (6-88)
'* INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME JOAN CAPEHARET FILE NUMBER
2105-0113
REVIEWED BY ACN
SCOTT ELLISON 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
THE INHERITANCE TAX RETURN HAS BEEN ADJUSTED TO THE FIGURES AS
ORIGINALLY FILED.
ROW
Paqe 1