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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
BUREAU OF INDIVIQ14I:'!-r,~X~
INHERITANCE TAX OII/ISION . ..,,'
PO BOX Z80601 .
HARRISBURG PA 171Z8-0601.
,-
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-06-2006
FRY
03-24-2005
21 05-0344
CUMBERLAND
101
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JAN L lRO~N 8 ASSOCS
845 SIR THOMAS CT 12
HBG PA 17109
Allount Rellitted
REI/-1593 EX AFP (03-05)
SHIRLEY
A
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, subllit the upper portion of this forll with your tax paYllent.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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ESTATE OF FRY
SHIRLEY
.. INHERITANCE TAX RECORD ADJUSTMENT ..
ACN 101
A FILE NO. 21 05-0344
REV-1593 EX AFP (03-05>
DATE
01-06-2006
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adllinistrative Costs/
Miscellaneous Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
10.
ll.
12.
13.
14.
TAX:
15. Allount of Line 14 at Spousal rate
16. Allount of Line 14 taxable at Lineal/Class A rate
17. Allount of Line 14 at Sibling rate
18. Allount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
148.900.00
5.633.02
.00
.00
15.753.88
.00
13.951.53
(8)
184,238.43
115.515.64
68.722.79
.00
68.722.79
.00
3.092.53
.00
.00
3.092.53
n_ ... l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-23-2005 CD005842 .00 3,092.53
TOTAL TAX CREDIT 3.092.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
(9)
(10)
52.879.19
62.636.45
(11)
(12)
(13)
(14)
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(15)
(16)
(17)
(18)
.oox 00 =
68.722.79x 045=
.oox 12 =
.OOX 15 =
(19)
(0'
REV-1470 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 FILE NUMBER
Shirley Fry 2105-0344
REVIEWED BY ACN
Emerson Luciano 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Schedule H has been corrected per correspondence dated 11/29/05
PaQe 1