HomeMy WebLinkAbout04-24-06
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BUREAU OF INDIVlt6OALiifAKES'';'_' ,,'"-
INHERITANCE TAX OIVISlQM'\ "'," :
PO BOX 280601 . ','
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEP~RTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
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REV-1593 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
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ROBERTCEJ>'MVi~s\
100 YORK RD
NEW CUMBERLAND PA 17070
04-14-2006
BOSSLER
06-25-2005
21 05-0604
CUMBERLAND
101
G
TIMOTHY
Amount Remitted
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, submit the upper portion of this form with your tax payment.
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
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REV-1593 EX AFP (03-05)
ESTATE OF BOSSLER
TIMOTHY
.. INHERITANCE TAX RECORD ADJUSTMENT ..
04-14-2006
G FILE NO. 21 05-0604
ACN 101
DATE
9113 Trusts (Schedule J)
ADJUSTMENT BASED ON:
VALUE OF ESTATE:
ADMINISTRATIVE CORRECTION
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)
5. 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/Administrative Costs/
Miscellaneous Expenses (Schedule H)
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected
Net Value of Estate Subject to Tax
10.
11.
12.
13.
14.
TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
U)
(2)
(3)
(4)
(5)
(6)
(7)
202,024.40
.00
.00
.00
36,084.02
.00
.00
(8)
238,108.42
(9)
UO)
211,838.98
.00
(11)
(2)
(3)
(4)
211,838.98
26,269.44
.00
26,269.44
(5)
(6)
(7)
(8)
.oox 00 =
.00x 045=
.oox 12 =
26,269.44X 15 =
(9)
.00
.00
.00
3,940.42
3,940.41
t"ATrIt.1'l1 1(t.1.t.~t"1 '1'J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-14-2005 CD006109 .00 2,816.34
02-17-2006 CD006346 .00 704.08
EREST IS CHARGED THROUGH 04-29-2006 TOTAL TAX CREDIT 3,520.42
THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 419.99
ERSE SIDE OF THIS FORM INTEREST AND PEN. 2.82
TOTAL DUE 422.81
INT
AT
REV
IE
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS
IF TOTAL DUE IS
A REFUND. SEE
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,
LESS THAN $1, NO PAYMENT IS REQUIRED. ,
REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE.I.1v
REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ("