HomeMy WebLinkAbout94-00184
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REV-1543 EX AFP (1-91)*
' 'CD~OHI~AL TH OF ~EHHSVLVAHIA
DEPA:l1HL:H llf REVEHIJE
I~EAU OF IHDIVIDUAL TAXES
DEPl. Zl06rl
HARRISI~O. PA 17121-0601
I y./'!':;r
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21- (1'1., If"!
94104381
02-09-94
PATTON
407 E COOVER ST
MECHANICS BURG
VERNA
PA 17013
o
TVPE OF ACCOUNT
W ~ SAVINGS
CHECKING
TRUST
CERTIFICATE
RE"IT PAY HE NT AND FORHS iO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BLANCHE
ESTATE OF RIGGINS
5,5. NO, 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
FAItHERS TRUST COHPANV hll prtlvidtd th, O.p.rt..nt with th, ln/orutton lllt,d b,low which hll bun ulld In calculating thl
pottntlt1 tlM d'~. Thalr r.cord. Indicat, that at the dl.th of the above dlCldlnt, you "'lrD . Joint owo.r/btn,flolary of thl. 'COO\~t.
If you f.,1 thl, Infor..tJon I, lncorrlot, pl.... obtain wrlttln corrlotlon fr08 th, flnanolal lnttltutlon, attech a oopy to thl, for.
-,.rt ,..t"!,,,, It t., .h. _hI''''' '.,~tl,.n.. "hl.. ..........". I.. ..",,"1" I" ...,....1-,,,. "It.. .10.. '''''I''rl.~...... ...,:' I,1:I1t':' -:-1 ~!-,:, ,:,,\,,,,:,,,:!",:'~h
cf "..:,-':l:.'l'::l~!~.
Ou..ticn. ..y b. an.w.rld by CIlllng (111) 181-8527.
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Aooounl No. 8-63912 0.10 07-26-88
E.hblhh.d
Aooount a_lano.
p.ro.nl T...blo
AMOunl Subj.ol 10
T.. R.h
Pol.nli.l T.. Ou.
4,083.99
50,000
2,042.00
,06
122,52
TAXPAYER RESPONSE
FAILURI TO RISPOND WILL RESULT 1M AN OFFICIAL TAX ASSESSNINT BASID ON THIS NOTICI
To In,url proplr orldlt to your account, two
(2l cop II' of thl, notlcl lust acco.pany your
PIYllnt to thl Rlghtlr of Willi. H.kl ch.ck
p.yabll tOI "Rlgllt.r of Will., Agont",
K
K
NOTEI If talt pay..nt. erl 'lid. wJthln thr..
(!) lonth. of the dlc.dlnt'. dati of dlath,
YO\I laY dldlJot~5%-df"coUi'K' of the tilt du.,
Any Inhlrltancl tax-aUI kifl blco., dlllnquent
nln. (9) .o~th. aft.r thl date of d..th,
T.x
rART
m
[CHECK ]
ONE
BLOCK
ONLY
A. ~ Th' abovl lnforlation and talt dOl I. corrlet,
~ t. Vou lay choo.. to rl.lt pay,.nt to thl Rlgl.tlr of Will., with two cople' of thl. nutlcl to obtain
a dl.c~unt or avoid Int.r..t, or you .ay ch.ck bolt "A" and rlturn thl, notJc. to the Rlgl.tlr of
Will, and .n official ........nt will b. i..u.d by the PA O.part,.nt of R.y.nuI.
I. c:J Th. .bov. a...t hat b'ln er will b. r.ported and talt paid with the Plnn.ylvanla Inhlrltanc. Talt r.turn
to bl fll.d by the dleldlnt" rlpr'l,ntetlve.
C. c=J Th. above tnforlltlcn I~ncorr.ot and/or dlbt. and d.ductlon. w.r. p~.~ ~ you,
Vnu IU,t cOlpltt. PART l!J and/or PART [!] b.low. (~ ~ ',';
,. I{)
PART
~
TA~ K~IUHN - LUM~UIAI.UH
LINE 1. 0.1. E.I.bli.h.d
2. Aooount 8.1.no.
S. P.ro.nl T...bl.
4, A.ounl Subj.ol 10 T.x
5. O.bl. .nd O.duolion.
6. A.ounl T.x.bl.
7. T.x R.h
8. Tox Ou.
lAX UN JUlNl/lKUSI A~UOUNI~
PAil
1
2
3
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
OFFICIAL USE ONL" 0 AAF
PA DEPARTM~~r OF REVENUE
,
If you indio.l. . diff.r.nt t.. r.I., pl.... .1.1. your
r.l.lion.hip 10 d.o.d.nl,
U~
1
2
S K
4
5
6
7 K
8_
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-
PART
I!l
DATE PAID
PAVEE
DESCRIPTION AMOUNT PAID
I I
TOTAL IEnl.r on Lin. 5 of T.. Co"pul.tlon) .
-- -
~
Und.r p.n.lli.. of p.rjury, I d.ol.r. Ih.1 tho f.olo
00~)~1' 10 Ih1\b..1 01 "y ~noHl.dg. .nd b.li.f,
( i \.." ~J / (J (it; ,
TA~PAVER SIa ATURE
I h8V. r.porhd .boY' _r. trUI, oorl-Iot end
HOME ( l() )}~.", ,/yl)/
WORK ( ) ." "
TELEPHONE ~UMB~R
'/<1
GENERAL INFORMATION
1. fAILURE TO RESPONO WILL RESULT IN AN OffICIAL TAM ASSESSH~NT .lth .ppllcabl. Intor..t b...d on Inforo.tlon
.ubIIUttd hv thli 'InlnOl,1 in.tltutlon.
2. Inherlt'nGl tax btc~.. delinquent nln. eonth. .ft,r thl dlc,dantl, dBt. of d,.th,
S, A Joint acClOWlt I, tlMlbl, .ven though thti dlc,d,ntl, 11'" WII lidded !II a latt,r of OOl\\lI"II"CI.
4. Accoootl <lnaludlng tI,O.. held b.twII" hu.b,nd end will) which thl ct.ctd.nt put In Joint n.... within ana V'1r prior to
dtlth Irl luth hubl, .. tran.flrt.
5. AccOU'It. ..tlblhhtd Jointly bit.,.." hu,blnd !!lrod wlft lor. than OM Yllr prior to dnth ar. not tllelCl,.
6, AecOWIt. held b) . decldent "In truIl for" anothtir or other. .r. tlllllblu fully,
REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE
1. BlOCK.Ii. If the Infor..Uon and co.putaUon In thti notlcl art corrlct 8nd deduotlonl tr.. not baing elalNd, plecl WI "II"
lr, blod< "A" 0' Part 1 of thl "TaMpIIYlr RUPQntl" lIotlon. Sign two copt.. and .ub.1t thu with your che~k. for the ..aunt of
tu to the Alghter of Willi of the county Indlcet.d. The O.part.lnt of AlVlnul w1l1 h,ue an offtol.1 ........nt
(For. REV-154' EM) upon r.cIJpt of thl R.turn fro. the Rlgl,tlr of Will"
2. BLOCK B - If thl I...t .peclftld on this notlcl he. bien or will be rlportad and tlM paid with the Ptnnlvlvlnla InhtrJtlncl
Tax Rlturn ,lIld bv U,e dlcldlnt" rtJ'!rttlnt.ttva, pllce W1 "M" In block "8" of Part 1 of thl "TalCpaytr R..pontl" illation. Slln one
copy 1M return to thl PA Dlpartlitnt of RIVOnul, Bur..u of Individual Takl., D.pt Z80601, tlarrhburg, PA 17UI-0601 In the
.nvllope provJdtd.
!~C':" ,. - H "'t'.. ,.".1... I,,'...~...t II)t'l h '''r.l'Irrlilct tnd/or deduction. arlil bllng olal..d. chIck block "e" ."d co.,l.te Part. 2 Ind S
accurdtng to thl in.truotlon. below. Sign two (lopl.. end .ubtlt th.. with your chick for the auount of taM p.yable to the R.gltUr
of 111111 of the county Inclicatld. Th. PA D.partltant of Rlvenu. will tuu. an offlolal a.......nt (For. Rf.V-15~8 EM) upcn rlclipt
of thl rlturn fro. the Rlghttr of Willi.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent.r the dlte tlM! KCount orhtin.UY w'" ..hblhhld or tlU.d In the lIM1r 1M hUng et dIU of dttth.
HOTEl For a d.ctdent dying aft~r 12/12/821 Account. which the d.e.d.nt put In joint na'I' within onl (1) y..r of dl.th .r.
tOMlble fulb .. tron.flr.. llow.v.r, th.r. 11 IIn IMo1u.lon not to 'Mcnd 15,000 plr tran.ftr.. rlgll(ll... of the v.lut of
the .oeount or thl nOlblr of a:count. h.ld,
If I doubl. a.t.rl'k INN) .pp..rt blfor. your flr,t n... In the addr..' portion of thll notlcl, the '3,000 'M01u,loo
.lrlldY h.. bltn dtduotld frol thl eccount belane. It rlport.d by thl ftn.nchl lottltutlon,
2. Ent.r thl tot. I b.lenc. of th. account Inoludlng Int.rl.t acoru.d to thl dati of d..th.
]. The percent of thl aceollnt that It tIlMabh for nch lurvlvor it dlt.r.lnld !II folla'f'1
A. ThI ~reent textbl. for joint a...ts Iltablllh.d .orl thin an~ Ylar prior to the d'~ld.nt" delthl
I DIYIDED IV TOTAL _IER Of
JOINT OWNERS
Exuplll A joint ....t r.gltterld
DIYIDED IV TOTAL HllI.ER Of K 100 . PERCENT TAKAILE
SURVIVING JOINT OWHERS
In the nNlI of the dee.dent .nd two other Plr.an..
1 DIYIDED IV 3 (JOINT OWNERS) DIYIDED IV 2 (SURYIYDRS) . ,167 K 100 . 16,/X (TAKAILE FOIl EACH SDRYIYDR)
a. The plrcent tlll.bl. for ....t, crttttd within onl yur of the dlc.dlntll duth or eecount. oltOld by thl d.c.dlnt but h.ld
In trult for .nother Indlvicklll(.) (tru.t benlfletarllth
1 DIVIDED BV TOTAL NUMBER OF SURVIVING JOINT M 100 ~ PERCENT TAXABLE
OWNERS DR TRUST BENEFICIARIES
EIC.-plll Joint Iceount rlgl'tlrld In tht na'l of thl dlcodtnt and two oth.r per.anl and I.tablllhld within onl yl.r of dlath bV
the dlo.dtint.
1 DIVIClED IV 2 (SURVIVORS) . .50 M 100 . 50X (TAXABLE FOR EACH SURVIVOR)
4. ThI IIIOU1t lubjlnt to taM (Une 4) It dltlralntd by lult1pIylng th. account balane. <lInl 2) by thl parelnt taMlbl. (l1n. ]).
S. Enter thl tohl ef thl d.b" IlftCI deauotlon. lIn.a In ..art ~.
6, The IMtOUI1t taxabll Uln. 6) It d.ter.lnld by .ubtrectlno thl d.btl and dlductlom Illn. 5) fro. thl alount .ubJtot to talC (l1nl 4),
7. Entlr thl IPproprllte tlX rat. (lint 7) al dltlr.inld bllow.
A. Trlllllerll to Une.1 dllcendantll lnoludlng feth.r, .other, hlJ.bancl, wlfl, .on, dauwhter, grendchildrln, .0n-In~law,
dlughtlr~ln-l.w, ttepchlld and thllr II.uI arl ta~abl. at .IM plrclnt (6Xl,
8. Tran,f.r. to all oth.r, inclUding broth.r, .J,tlr, unol., aunt, nlph.w _nd nl.c. ar. taMebl1 at flft.ln p.rc."t (15Xl,
C, If you chanae thl taM rat., pl.... .p.clfy your rllatlon.hlp to the dlcldant ln thl nrla provided.
8. Thl ..ount of tlM du. (1In. 8) It dlt.r.tnld by ftUltlplYlng th. alount taMabl. (lln. 6) by thl t.M rate Clint 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND OEDUCTIONS CLAIMED
Allowlbll dlbtt end deductlcnl art d.t.r.ln.d a. folloWl1
A. You l.g.llv ar. r.tpanslbll for peY.lnt, or thl .lItat. .ubjlct to ed.lnl.tratlon by a plrlonal ropr.,entatlvl 1, In.ufflct.nt
to plV thl dlduotlbl. It....
I. You IKItual1V paid thl dtbt. after dllth of th. dIe. dint and can furn!lh proof of p.y..nt.
C, Dlbt. bllng ohl.ld ItUlt bl Itu.lud fully In Part 3, If llddltlonal .pac. I. nlld.d, UII ph In piper 8 Ill" x 11". Proof of
plY.lnt IIV bt r.qulltld by th. PA DIPart.lnt of Rlvlnul,
TAXPAYER ASSISTANCE
. IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE aUREAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
,
REV-1543 EX AFP (1-91),*
' 'CDtlIlONlitAL "' Of PENNSVI VANIA
.DEPARTHf.11T Of REVENUE
IUREAU OF INDIVIDUAL TAKES
DEP!. ZI0601
HARRISBURG, PA 17121-0601
I (/, I (i:i ~.
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21- 9l/-/f'{
94104382
02-09-94
ESTATE OF RIGGINS
5.5. NO, 191-01-6412
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVINOS
CHECKING
nUST
CERTIFICATE
REHIT PAYHENT AND FORHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
BLANCHE
PATTON
(,01 E COOVER ST
MECHANICSBURG
VE.RNA D
PA 11013
FARHERS TRUST COMPANY hatl provided thl Dlpart..nt with the Infor..Uon 1 htld below which ha. bl.n u..d In calCUlating the
pot,nUII hue ctu., Th,lr recordl Indica" that ftt the duth of thl above dlcedlnt, you WI,. . Jotnt owner/beneficiary 0' 'hll account.
If YOU ,..1 thlt lnfor."tlen II Incorrect, pi.... obbln written torr.otion frol the fln.nelel Inltltutlon, attach I copy to thil for.
,.,ci .."tUI''' ,+ tn .h') r,hl'l\'\ .IOI""r"'~ Tkl.. ....1"...''''. I.. t"'....ll~ I.. v.t\..t1...... ..ltl, tto,. ',.....,,1........ T...~ I.~,,: ~~ ~~: '::';":~~ ..::'.~, ::If r::-,;",~,,'l,..;>;,
.,
Queetlon~ ..y b. anewor.d by Cllllng (111) 1a1~a521.
COMPLETE PART 1 BELOW ~ M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3,,87479 od. Oa"11"88 To lnlur. prop.r credit to your ac:c:ooot, hID
E.hbli,h.d CZl copt.. of this noUc:. luet acco'panv your
pllyltnt to th. Rtglttlr of Willi. Hak, c:h.c:~
Account aal.no. 38 J 298,96 PIIYllbh tal "RIglsttr of ~Ill., Agtnt",
Porc.nt T...blo K 50,000
Aocunt Subj.ct tc To. 19,149,48
To. Rote K .06-
Pctentlol T.. Du. 1 , 148,91
PART TAXPAYER RESPONSE
CUI FAILURI TO RISPOHD MILL RESULT IN AN OFFICIAL TAX ASSESSHENT BASID OH THIS NOTICE
A.
HOTEl If tal( pavltnh IIrl ..dt within thrlt
C!) lonth. of t~,-:dW:~ date of dtath,
yoU lay d.duc:t i(..,Si: dhcour:!' of tht talC dut.
"'nv Inh.r UancI tIIlic-DUC'M"fll blC:O.I dallnqutnt
nlnt (9) lonth. aftlr thl data of dlath.
[CHECK ]
ONE
BLOCK
ONLY
t8I Thl abovt InforutJon and tax dut II corr.ct,
1. You IIV choo.t to r'llt pay.tnt to the Rlght.r of W11l1, wIth two c:opl.. of this 110Uc:. to obtain
a dhc:ount or ftvold Int.rl.t, or you lav chick bolC ....... Ind rtturn thh noUC:1 to the Rlght.r of
Will. and an offlchl u......nt .,111 b. Issued by thl PA D.part..nt of R.vlnu..
I. 0 The 'JbovI ft...t hit bl.n cr will bt report.d and tax paid with the P'M'Ylvanh lnherltanc. Tn r.turn
to b. flhd by the dlc.d.nt's rlprtllnhttv..
c, 0 Thl abovl Infor.atlon t,.~ncorrlct Md/or dlbts and dlductlons wlr. PII.ld py you,
You lust cOlpll" P"'RT ~ and/or PART 0 bilow, ~,J :
''']
If you indioat. . differant t.x r.t., pl.... .tlt. your
r.lotlcn.hlp tc dlcodlnt.
l
ur 1",\ Un "'u~nI/IHU~1 A,;t.UUNllI
I
2
3 K
4
5
6
7 K
8
,
OFFICIACUSE ONLY 0 AAF
PA DEPARTH~r OF REVENUE
,.., L\" .1 ','.'
PART
~
TAil
LINE
RiiHJKi'l . lOUril'U III i 11.11;
I. Dlto Eltoblllh.d
2, Account e.l.nce
5. Plroent Tlxabl.
4. A.aunt Subjoct tc To.
5. O.bt. ond O.ductlcn.
6. Aocunt To.obl.
7. T.. Rot.
8. To. Duo
rAu
1
2
3
4
5
6
7_
8 _
l-~,l
..:
/;',',
"
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAl D
! !
TOTAL (Entlr on L In. 5 cf To. Co.puhtlcn I .
Undor p.nll tll.. cf por jury, I d.clorl thot lh. foch I
CC.PI,tl.tc thC\bl. )f .y knowlodg. .nd blll.f,
(I ()("
. " '.: I II ~ /. n' (I '
hlv. r.pol-tad .bov.
HOME (/; I )
WORK ( )
Ir. truI, correct and
,1( (, j y'o), )
1/ ' I
I "f'
, y,/
DATE
GENERAL INFORMATION
1. FAILURE 70 RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT wi th oppllClblo Inlorul baaod on Infor.ollon
Iubtllttud by the flnlWlolll In,tltutlon,
Z. Inherltancl '1M bleo... delinquent nln. lonthl n't,r the dleld,"t" d~t. of d..th,
S. A joint ICCount h t,lCltbh IVI" though the dICedl"t', "... WII added III a ntt.r of Donvlntlnc..
0\. ACCDOOh (lnoludlng tho.. held b.tw.." hUlblnct ~d wUIl which the decedent put In joint ".... within on. v..r prior to
dI,th Ir. fully t'lC~l. II trlOlf.rl.
S. Account. ..t~ll.h.d Jolntlv bltw.," hUlblOd and wlf. lor. than one v..r prior to d..th Ir. not 'IMabl,.
6. Accounh t..ld bv . dlCldlnt "In trUlt for" another or other. Irl tllClbh fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
I. aLOCK A - If the Infor..t1on and CfllIPut,Uon In the notlcl .r. corrlot and deduction' .r. not being chJ..d, pilei In ")I"
In block "Ato of Pert 1 of the "TIll<paVIr R..pon.... ..otlon, Sign two copl.. and .uba1t th.. with your chick for the .ltOUI1t flf
t.x to the R'AI.t,r of Will. of thl countv Indlc.t.d. rh. O.part..nt at R.v.nu. will I..u. an offlolll a.......nt
(for. REV.1548 EX) upon r.c.lpt of thl Alturn fro. thl R.ght.r of Willi.
2. BLOCK ft - If t~ ....t ,p.olflld on thl. notlc. ha' b..n or will bl r.port.d .nd tel< plld with the Penn.vlvlnl. Inh.rltlnc.
T.x R.turn flied bv thl dlcldent'l ruprlllntatlv., plae. an "X" In block "B" of P.rt 1 of thl "TaI<Plv.r R.,ponll" I.otlon. Sign one
copy and rlturn to the PA [Hplrt..nt of Rlvenug, Buruu of Individual Tilt", O.pt lB0601, tllrrhburg, PA 17128-0601 In thl
.nvllop. provided.
L !IV)';!", C - H th1 ,.....,1..(" 1.,'.........1.." hi In,",orrlnt Md/or dlduoUnn, IlIr" bllnQ ell,tud, chick blnck "COO Ind QDllpl.t. Plrtl 2 Ind 5
.ccording to the In.truotlonl below, Sign two copl.. and lublit th.. with your chick for thl ICIIOunt of Hut plvlbl. to the R.ghtlr
of Willi of thl countv Indlc.ted, Th. PA OIPlrt..nt of Rlvlnul will lllua In offlcl.1 ........nt (fort REV-l5d EX> upon r.c.lpt
of the r.turn fro. the Q.glltlr of Will..
TAX RETURN - PART 2 - TAX COMPUTATION
~IN€
1. Entar the d.t. thl .coouut orlllln.llv WII f'ltablhhld or tlthd In the aann.r l"hUng at d,tI of duth,
NOTEI for I decedent dying aft.r 12/12/811 Actountl which thl dlCldlnt put In joint na"1 within on. (I) y.ftr of d.,th arl
tuabh fully II trlfllfarl. How.vlr, thlr. .II an II<cl\llion not to .I<cnd U,OOO p.r tranlflr.. r.gardl... of th. value of
thl account or th. nUllb.r of accoootl held.
If . double Ilt.rllk (MM) app..r. blfor. your flrlt na'l In the addrlll portion of thl. notlc., the '5,000 'I<olullon
alr.adY hll b..n dlduotld fr~' thl account balanc. al r.port.d bv thl flnlnol.1 In.tltutlon.
2, Ent.r thl total b,lftnOl of the Iceount Including Int.rl.t Iccruld to thl date of d'lth,
5. The Plroent of the Iccount that I. tal<abl. for Ilch .urvlvor I. d.t.r.ln.d a. follow'l
A. The perc.nt tll<abll for joint '1IIt. ..t&bll.h.d aor. than on. Ylar prior to thl dlcldent'. dlethl
1 DIVIDED BY TOTAL HUHBER OF
JOINT OWNERS
EMa~111 A Joint ....t r.gl.t.r.d
DIVIDED BY TOUL NlIHBER OF )( 100 . PERCENT TAXABLE
SURVIVIHQ JOINT OWNERS
In the n"l of thl d.e.dlnt and two othlr plr.onl.
I OIVIDED BY ~ (JOINT OWNERS) DIVIOED BY 2 (SURVIVORS) . ,167 X 100 . 16.1% <TAMAIILE FOR EACH SURVtVOR)
B. The plrelnt tll<abll for ....t. cr.lted withtn ont VI" of thl dlcld.nt'. dlath or account. owned by the dlcld.nt but hlld
In tru.t for another Indlvldual(.) Itru.t btntflcJarl..)1
\ OIVIDED BY TOTAL HOHBER Of SURVIVlOO JOINT X 100 . PERCENT TAXAIILE
OWH€RS OR TRUST BENEFICIARIES
EI<.-plll Joint aocount rlgl.tlrld In thl na'l of tht dlCldlnt and two ot~lr Plr.on. and .Itabll.hld within onl YI.r of d.ath by
thl dlc.dlnt.
1 DIVIDED BY 2 (SURVIVORS) . .50 X 100 . 50:< <TUABlE FOR EACII SURVIVOR)
4, TM ..ount .ubject to tll< (l1n. 4) II dlt.r1l11nld by IIIJIUplyln; the account blllancI (1lnl ~) by the Plrclnt taubl. (llnl 5l,
S. Ent.r thl tot,1 of the dlbts Ind d~tion' 11.t.o In ~.rt 3.
fl. The MOoot tanbl. Oint 6) h dtt'rlln~ by IUbtreot.lng thl d.btl and d.ductlon. 11Inl 5) frol the 'POunt 'ubjlot to tal< (Unl 4),
1. Ent.r thl appropriate teM r.t. Cline 7) '1 det.rlln.d b.low.
A. TrlOlf.r. to lIntll duclnd.nt. Including 'athtr, .other, hu.bltnd, Wifl, Ion, daught.r, grandchildren, lon-In-law,
deughttr-ln-Iew, .ttF-Chlld Ind thllr IIIUI art taMabla at .1M perclnt (6%>.
a. Tran,f.r. to all othlr. Including broth.r, .I.tlr, uncll, aunt, nlPhlw and nl,cI ar. t.l<abll at flftl.n p.rclnt (15%).
C. If you changl thl tll< rata, ph'" Iplolfy your r,latlon_hlp to th. d,Cld.nt tn th. arll provided.
a, The IIJOUnt of tlx due Cllnl 8) 11 d.ter.ln.d by IlUltlplylng thl aaount tluhll Il1n. 6) by tn. tu rite (ltn. 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. dlbt. Ind dlductlonl arl dltlralnld a. followl'
A. You Ilgllh IIrt rllPonllblt for pav..nt, or thl lltat. .ubjeot to IIdllnhtratlon by a p.rlonal rlPr..lntltlvl 11 Inlufflohnt
to p,y thl dlduotibh It....
t. You .0tu,lly paid th. dlbtl aftlr dllth of thl decldlnt .nd cnn furnilh pr~of of Plv,.nt,
C. Debt. bllng olalald lIU.t b. It..II.d fullY In P.rt 5. If addltlon.1 IpaCI JI n.edld, u.. plain PIP.r 8 1/2" I< II". Proof of
p'~llnt "Y bt rlqul.t.d bv thl PA DIPlrt.lnt of RIVlnut.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HAHRISBURG AT (717) 787-8327.
RI!V-154J I!X AFP (1-911,*
. COI\HOHIIUllll OF PfHllSVlVANIA
. DtPUT:1ENT Of REVeNUE
IUREAU or INDIVIDUAL TAMES
DEP!. ZaG6Dl
HARRISBURG, PA 11126.0601
/ ((, I 'j:l, ~i
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 ~ ? 1(' /J if
ACN 94105950
DATE 02-19-94
ESTATE OF RIGGINS
5.5, NO, 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVIHOS
CltECKIHQ
TRUST
CERTIFICATE
REMIT PAYMEHT AHD FDRMS TD.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSt
CARLISLE, PA 17013
BLANCHE
PATTON
407 E COOVER ST
MECHANICSBURG
VERNA D
PA 17055
FARHERS "RUST COHPANV h.. proYldod thl DIP,rt"nt with thl Infor'RtJon 1 ht.d below whlth hu bun uud In clllculattng the
pctlnU81 hI( dUI. Th,lr r.corell Indlcltl that at thl dllth of thl abo.... dlcldlnt, you wlr. I Joint ownlr/bln.flolary of thlt account.
If you ,..1 thlt In'or..tion II Incorr.ct, pi.... obtain written correotlon frol thl financial Inltltutlon, ftttach II copy to thl, for.
IIInll ,..tllrn It t.. .n" "~"II" .,rlrt,....'. ,...1.. .,."t\Il"' \_ ."....111.. I,. 1I......rri.."I".. ..I'" tn. In"....I......., ,,,.. l."~ n' .t.., ,...."'^r,~j.""... .., o!l"....~,llJ."I.
auUtloll1 ..y be IN\lwlrld by oaU Ing (711) 787-UZ7.
COMPLETE PART 1 BELOW. . . SEE RtVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
A...unt H.. l-A69008C Data 08-11-88
e.hbl hhod
A...unt 8olon.o 5,009,32
Por.ont T..oblo X 16 , 66 7
A..unt Subjo.t t. To. 834,90
T.. Rota X ,06
P.hnUol To. Duo ~O, 09
PART TAXPAYER RESPONSE
CUI FAILURI TO RISPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT BASeD ON THIS NOTI:!.J
I.. h2f Th. aboVI inforut Ion and tal'C dUI II corrlct,
)t.J 1. You lay choo.. to r..1t pay..nt to the Reglltlr of Willi, with two copl.. of 1hll notlcl to obtain
a dllcount or avoid Interut, or you Il8Y chick bOI( "A" and rlturn thh notlcl to thl R.ghttr of
Willi and an official un...lnt will be Iuuld by the PA Dopart"nt of Rlvln"..
Tu lnlurt proptr oredlt to your !lccount, two
(l) coplu of thlt notlct IUllt accoaplny your
p"y..nt to tht Rtghter of Willi. Hakt check
puyabh tOI "Reghter of Wllh, Age"t",
NOTE I If tal( pa:itentl arl ude within three
(3) lonthl of thl.~P~'q~J'I data of death,
yOU IIo!IV d.duct r!i% dhto-u~.f the tlll( dut.
Anv Inher itance hI( '.d~.e-'wrl1 blec.. d.llnqu,nt
nIno (9) tonth. after tht date of death,
[CHECK ]
ONE
BLOCK
ONLY
B, 0 Tha above nuet hili blln or will bt r.ported luid tal( raid with tht PtMlvlvanh InhtrJtanc. TalC r.turn
to bt fll.d by thl dlcedtnt', rtpr...ntatlve.
O~-I -11
C. 0 The abovI Inforutlon I~-:--\ncorrect and/or dtbh and dlduotlon. Wlrt prIG by you, .
Vou IU,t oOlplett PAAT l!J and/or PART 0 bilow,
If you lndlo.t. . different tlx r.t.J pl.... .tlt. your
roloti.n.hip t. do.odont,
PART
~
IA~ HtlURN . ~U~~~lAr1UN U.
UHE 1. Doh elhblhhod I
2, Acoount BIllnee 2
5. Plrc.nt Taxable 3
4. A..unt Subjo.t t. To. 4
S. Dobt. and Dodu.ti.n. 5
6. A..unt To.oblo 6
7. To. Rota 7 X
8. TIK DUI 8
fll^ UN ollar. III MU" I II..(;U, ....1"
OFFICIAl;';USE ONLY 0 AAF
PA DEPARTMENt OF REVENUE
I',)
PART
[!)
DATE
DEBTS AND DEDUCTIONS
rAil
1
2
3
4
5
6_
7
8
CLAIMED
,
.'
X
"f
VI.'.,
PAID
PAYEE
DEseRI PTION
AMOUNT PAID
I
r
TDTAL IEnto,.n Lino 5 .f To. C..put.tl.n)
I
.
Undor ponoltio~,.f par jury, I do. lara that tho
...plotot. tho \o~t )of..Y kn..l.dgo and belief,
I T i . 'I
( ,II I ,. ,', / / ,;, ('( ( .\
TAXPAYER SIGNATdkE
fa.ta I
hlv. r.portld .boy. Ire truI, corr.ct Ind
HOME (III) . J( ( ) Y ; ;.
WORK ( )'"
TELEPHONE NUMbE~'
,I
','/
. .
'I </
DATE
G~NERAL INFORMATION
1. FAILURE TO RESPONO WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with ,",.11,0010 Int",,\ bu.d on In/crullon
.ubtltted by thl flnWWlhl In.titutlon.
2. Jnh.rlt~. tiN b'C6'" dlllnqu.nt nlnt lonth. .ft'f thl d,c.dlnt', det, 0' d.ath.
], A Joint account J, taMIbI'lv.n though the dle.d.nt', n... WI' ~dd.d al a I.tt.r of convlnl.ncl.
~, Account. (JnGludJng tho.. hlld bltwl.n husband and wlf,1 which tht d~c.d.nt put In Joint n.... wtthln on. YI.r prior to
d..th Ir. fully t.Mebl. II trln.f.rl!
5. Account- utlblhhld jointly b.tw..n hUll-and IInd wife lor. than on. Yllr prior to dlath IIr. not tlJIClbll,
.. Account. hlld by . decldtnt "In tru.t for" anather or other. ar. taKablt fully,
REPORTING INSTRUCTIONS - PART 1
- TAXPAYER RESPONSE
1. BLOCK A - If the Infor..t1on and cOl!PUt,t1on In thl notlol ar. corrlet and deduction. art not bllng cllJ"d, phcI an "I("
In block "A" of Part 1 of th. "raMpIYlr Rupon.t" uotlon, Sign two coptu and .ubalt thla wJth your r.htck for tht ..aunt of
t.1C to th. ".al.t.r 0# WUlI Q' the county Indl,ahd. Thl Olparb.nt of R'V'n\I' will IlIue an off 1011,1 u......nt
(Fori REV.1S~1 EX) upon rlcllp\ of thl R,turn 'roR tht Algl.ttr of Will..
2. aLocK a - If tht ....t 'Plclfltd on thla notlcl hi' blln ur will bt rlportld and talC plld with th. P.nnlylvani, Inh.rltanc.
TalC A.turn fll.d by thl dlcldlnt'. rtpr.ltntatlve, placa an "X" In block "a" of Part I of tha "Tax~ay.r A..pon.." laotlon. Sign ant
copy tnd r.turn to the PA Oapart..nt of RtVlnul, Buruu of Indlvldull TaMil, O,pt 280601, lIarrhburg, PA 17121.0601 In tht
anv.lop. provldtd.
3 !I.''''v CO . " tk. nntl.... 1""11....""" .. I..,...,...,,,,t ..n'"nr ell"fluctlon. u. bllno ollhed, ChICk block "C" and coaplttt Partl Z and 1
according to thl In.truotlonD balow. Sign two copl..1 and .ubllt thu wJth :iour r.haek for thl a.ount of tile payabll to the Rlght.r
0' Will. of th. county Indlcattd. Thl PA DIPart..nt of RIYlnUt will Illue ~n offlcl.1 a.lal..lnt (For. REV.1541 EX) upon rlctlpt
of the rtturn frol tht Algl.tlr of Will,.
TAX RETURN - PART 2
- TAX COMPUTATION
LINE
1. Entar
HOTEl
the d.tl th. .ccount originally was 'Itablllhl~ or tltlld In thl aann.r 'MI,tlng at dati 0' d.ath.
For a dlcldant dying aft.r IUIUaZI Account. which thl dlcldant put In joint na... within on. (1) Vllar of duth ara
hlCabh fully.. tran.far., HowI...er, thlra h an IMclullon not to aMcnd B,OOO plr tran.farlu rlgardltn of th. vllut of
tha account or thl nuabtr of account. hlld.
If a double ..hrhk (lul) apPlar. batorl your flrlt na.. In thl arldr... portion of thll notlc., th. n,ooo tlColu.lo"
alrlldy hit bun dlduohd fro. the account balanca as rlportld by thl flnancl.l InlUtutton.
Z. ~ntlr tha total b.lenol of tha account Inoludlng Intlrl.t accruld to th6 date of dlath.
S, Thl Plrclnt of tha eccount that II t.Mabll for .ach lurylyor 1. dlterMlnla al folloWl1
A, Th. parclnt t.xablt for Joint 11.ltl ..tabli.had lorl than 01'11 Ylar prior to thl d'cldlnt'l daath,
1 OIYIDEO BY TOTAL NOHBER Of
JOINT OWNERS
[)cupit! A joint ....t rtght.rld
DIYIDfD BY TOTAL HUHBER OF X 100 . PERCEHT TAXABLE
SURYIYING JOINT OWNERS
In thl na.. of thl dlced.nt and two cthlr plrlonl.
1 DIVIDED BV 5 (JOINT OWHfRS) DIYIDED av 2 (SURVIVORS) . ,161 X 100 . 16.n (TAXABLE fO~ EACH SURVIVOR)
I. The p.re.nt ta~.hl. for ....t. crlat.d withJn ant YI.r of the dlcedlnt'. d..th or Iccount, ownld by tha dlcad.nt but h.ld
In trUlt for .nothlr Indlvldual(ll (trult bln.ficl,rlllll
1 OIYIDED BY TOTAL HUNBF.R OF SURY1Y1HO JOINT
OWNERS OR TRUST BENEFICIAAIES
X 100 . PERCENT TAXABLE
EXI~lel Joint aocount r.gl.tlrld In thl nD.e of thl dlcldent and two othlr plrlon. and I.tablllhld within onl YI.r of d.ath by
th. dlctdtnt.
1 DIYIDfD IV 2 (SlMrJIYORS) . .50 X 100 . 50% (TAXABLE FOA EACH SURVI\lOR)
~. Th. a~unt lubjlCt to tlK (line 4) I. dltlrelnld by .ultlplvlng thl ~ccount balancl (Ill'll Z> bi the p.rclnt tax.bla (111'1' 5).
5. Entar the total of thl d4ibtt and deduoUonl lilted In I-'art ....
6. Th. nount tuablt (1lnl 6) h dlhr.lnld by 3ubtractlng thl dlbt, and dlduotlon. (lIna 5) frol the. nount .ubJ.ct to tax (line 4),
7. Entlr tha Ipproprlata tllC rate (1In. 7) a. dlter.lnld bllow.
A. Tran.fl". to 11n..1 dUclndantl JnC'ludlng fatnar, lIother, hu.band, wlf., lon, daughter, grlndotdldr.n, lon.ln.hw,
dMlghtlr&Jn-law, .tlPChlld and thllr l..uI ara tllClbh ut .IIC plrclnt (6%1.
a. Tran"farl to all othlrt Inoludlng brothu, .tstlr, uncll, nunt, nephew and nil'll arl tlMlbl. at flftalft plrclnt (l!tXL
C. If you chlnp tht hK reta, pl.nl Iplclfy your retltlon.hl" tu the d.cadlnt III the aria provided.
I. Thl a.ount of tlK dtJI (lIna a) h det,,"lnad by lIultlplYlng thl nount taxable Cllnl 6) by th. tax rat. (111'11 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allo~lbla dlbtl and dlductlon. arl dlt.rllln.d a. followl'
A. You \agllly ar. rl.pon.lbla for pave.nt, or the Ilt.t. lubjlct to adllnl.tratJon by a plrlonel rlpr.l.nt.tlva I. Inlufflclant
to pay the deductlbll Itl...
I. You actuIIly paid tht dabt. aft.r dlath of tn. dlcldant and cln furnllh proof of pay..nt.
C. D.bts btlng claJnd IN.t b. Itullld fullv In Parl], If additional Sp.CI It n..dld, u.. plain plplr a 1/2" lC 11", Pf'oof of
p.ye.nt e.y b. ~.qu..t'd by th. PA Olpart.,nt of RI~lnul.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
'UV-1543 EX AFP (1-911,*
. . COHllO.~IIl"L IH OF PENNSVLVANIA
. DEPA.:,TI"{lIT OF REVENUE
aUtlfAU 'IF INOIVIDUAl TAKES
DEPT, 2110601
IlARRISa~RO, PA \1121-0601
// (/'" oj
I 7' I ,:)'."
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ESTATE OF RIGGINS
S,S. NO, 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
BLANCHE
FILE NO. 21" /'1'1
ACN 94i05951
DATE 02-19-94
TYPE OF ACCOUNT
W ~ SAVINOS
CNECKINO
TRUST
CERTIFICATE
WALKER BETTV D
C/O 407 E COOVER ST
MECHANICSBURG PA 11055
RE~IT PAV~ENT AND FORHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FARHERS TRUST COHPANY hll provided th, Depart..nt with thl In'or.atlon litted bllow wMeh hll bun ulld In calculatln(J the
potlntlal t.~ dUI. Their rlcard. Indlcat. that It the d.sth of the above dtttdlnt, YOU wlrt I joint Dwnlr/blnlflclarv of thl. account.
If YOU fI,l thll inforMation h Incorrlot, pl.... obtllln wrlttln cOlrlotlon fro. the finanolal lnltttullon, att~t;h a copy to thh fror.
..",01 r".'I"" It t!l .... ,..,,,.,'" iIItf'.,I'I'. TI.l.. '111"'"1/1; '" ......""1" tn IIrrl\"I'"nt\1l wIth thA In+,.,lt..""!,,, l.~ 1,1"'" ,..4 tk_ r".."nnwlI",ltto nf Plnn."lv"nl",
QUI.tJon. ..y bl an,wlred by calling (7171 117.1527,
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Aooount No. l-A69008C Ooto OB-11-88
E.hblhhod
Aooount 81lanc.
Poroont T..oble
Aeount Subj.ot to To.
TOK Reh
Potontl.1 To. Duo
5,009,32
16,667
B34.90
,06
50,09
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT lASED ON THIS NOTICE
To In,url proplr or.dlt to your lecount, two
(Zl cop II' of thl. notlcl 'Ult acco.pany your
paY'lnt to the R."lstlr of Will.. Hakl chick
payabll tOI "RIgl,tlr of Will., Aglnt",
x
HOTEl If tiN P~~~I .ad. within thrle
(5) lonth. Of'~'~dleld~~-'( dati of dlath,
you uy dldua' ,II 5% dh~ of thl talC dUI,
Any Inher I tano. t.ll)(~'mr.. bleo.1 dlllnqulnt
nine (9) lonth. "ftlF-thl dah of dnth,
x
PART
[f]
[CHECK ]
ONE
BLOCK
ONLY
A, he abovl Inf~r'atlon and tax due 1. correot,
t, You .ay choo.. to rlllt payunt to the RIIII.tlr of Wills, with two copl.. of thh noUoe to obtain
. discount or t'lvClld Intlrlllt, or you lay thick box "A" lInd r.turn tilt. notlcl to thl Rlllhtlr of
Will. and an official ".......nt will be 1.luld by thl PA nlpart.lnt uf Rev.nuI.
a. [] The abovl "..et has blln or will bl roport.d and tax paid with thl rennlylvanla InharJtancI TalC r.turn
to bo fll.d by the dleedlnt'. r.prl.entatlv..
C, 0 Thl above Inforutlon 11 lncornot llnd/o~lbt. and dlduotlon. wire P~cbV you, ...J
You IU.t cOlplato PART ~ and/or PART L!J b.low, r: '!'
PART
[?J
TAll Kt.IURN - "lll'\~UII\Hu" tl~
LINE 1. Ooto Eatoblllh.d 1
2. Account 8.1.no_ 2
3. Pero.nt To.eblo 3 K
4. Anount Subjeot to To. 4
S. Debt. .nd Ooduotlon. S
6. Anount To.eblo &
7. Te. R.to 7 X
8. To. Ouo 8
1~^ ~~ ~~1~1/1kU~1 ~~"~~~f~
~ '
OFFICIAL USE ONLY 0 AAF
PA DEPARTHEN~ OF REVENUE
" . l.1.I, . ";'.
--r)T'
If you Indlooto 0 dlfforont t.. rote, pl.... .tot. your
rel.tlon.hlp to doo.dont,
PART
[!]
DATE
DEBTS AND DEDUCTIONS
t'IUJ _
1
2
3
4
5
6
1
8
CLAIMED
"
";
,1," ,.
~,';~J
PAID
~[
PAVEE
DEseRI PTI ON
AMOUNT PAID
I
TOTAL
IEnt.r on Llno S of To. COMPutotlon)
I
.
-
lnd.r poneltlo. of porjury, I dooloro that tho foot.
oon 1 to to the bllt of ny ,kn?NlodQO ond bollof,
, (. .(,/ " .. ,) /J / I
... ' .. I.. (.I t.l-<.,-,. ,,/
I h_vI rlport_d abov_ .rl tru~1 o~rrlot and
HOME ((Il) 'hi ( ( rl ({, j',~
WORK (. ') ---:-9~
GENERAL INFORMATION
1, FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAM ASSESSHENT om ...1I.obl1 Int,,"\ b".d .n In/oralllon
:1 ,utMlittld by tM fJnlflCll.l In,tltuUon.
Z. Inh.rUIne. tllC blOOM. dtUn",*,t "1M IIOnth. .ft.r the dlc.dent'. tI.t. of dllth.
J. A joint lCeo"rt 11 "leNt. Iv.n though the dlc.d.nt', n.., MI' add.d III II ..H,r of conv'l1lmu.
It. ACloount. UnolucUng tho.. held bit.,.." hu,band Ind wth) Mhleh thl dlc.d.nt P~!t In joint na... within on. y..r prior to
d1.th Ir. fully t.Mabl. II trenlf.rl,
S. Acoount. ,.tlbl1.hed jointly b.tw..n hu.b.nd and wi'. .or. than one y.tr prior to d.,th Ir. not taw.blt.
6. Acoount. held by . d6Cldt.,t "In tru.t for" anoth.r (lr other. Ir' ttlCabll fully,
REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE
1 t BLOCK A ~ If thl In'orHUon and OOllPUtlUno In thl naUc. Ir. corr.ot and deduotion. Ir. not b.lng ol.I..d, plio. an "X"
In block "A" 0' Plrt 1 0' thl "TIMplvlr R.IPon.," IlotJon, Slun two Q~pl.. Bnd .ub.lt th.. with ~our cheok for 'h. -.Gunt of
tlM to the R.gllt.r of NIlll cf thl count~ Indloltld, Th. O.p.rt..nt of R.v.nu. will I',u, In offloJ.l ........nt
(For. REY"15'\I EM) upon r.c.lpt of the R.turn fro. the R.uht.r of NUll.
2. ~LOCK I - If the ....t .p.olfl.d on thl. not Ie. hi' b.an cr will b. r.port.d Ind taM paid with the P.nn'~lvanl. Inherltanc.
TIM R.turn 'Il.d b~ the d.c.d.ntl. r.pr..ent.tlv., pilei an "X" In block "8" of Plrt I of the "T.MP'Ylr R..pon.." '.otJon. Sign on.
copy end r.turn to the PA Dtp.rt..nt of R.Vlnu., Sur.au of Indl~ldual TaM", D.pt 210601, Herrl.burg, PA 17128"0601 tn the
env.lope provided.
1. lint.. C - If tn- nntl~. I"'n~~r.\~" I. lnn~~~~nt andlor ~'duotlon. er. b.lnp Qlal.~~, ch~~k block "C" .~d oo,pl.t~ P~rt. 2 .nd 3
eccardlng to the tn.truotlon. below. Slun two copt.. and .ub.lt th.. with ycur ch.ck for the ..ount of taM Ply.bl. to the R.gl.t.r
of Willi of the Clounty Indlc.t"". Th. PA Deplrt.."t cf R.v.nu. NI11 h.u. .n affld.1 "'''"'IOt (For. REV-I54' EX) upon r.Cl.lp't
of the r.turn frOll thl R.ghter of NUll.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Entlr the d.t. the .ccount orlgln.I1Y WII utlblhh.d or Uthtd In the IInn.r III hUng et det. of d..th.
HOTEl For D d.c.d.nt dying aft.r 12/12/121 Account. whIch the d.1o.d.M put In joJnt na... within on. (1) y..r of d..th .r.
tlMMlt. fulh u tr."lftr.. How.vlr, th.r. h In 'lIolu'lon not to .MClld $5,000 p.r tran.flr.. r.u.rall.. of the Illlue of
the IClCOunt or thl n~r of .ceount. h.ld,
If . double ut.rhk (ItlO ,ppur. before your flrlt n... In thl .ddr... pertlon of thh notlCl., the U,OOO IMCllu'lon
.lr.ndy h.. blln dlduct.d fro. thl leccunt boloncl " r.port.d by th~ flnanolal Jnltltutlon.
Z. Entlr the total blltnCl. of the account Including Int.r.., ICClru.d to the dlt. of d.ath.
S. Th. Plrelnt of the aCClount th.t It tlllabl. for IIClh lurvlvor It d.t.rlln.d II fellow"
A. Thq p.rCltnt t.xabl. for joint ",.t. ..t&bll.h.d lOr. thin ana YI.r prior to the d.Cl.dantl, dl.thl
1 DIVIDED BV TDTAl _IER Of'
JOINT OWHERS
EM_Ill A JoInt ....t reglat,r'd
OIVIDED BV TOm NUHBER Of' K 100 " I>ERCENT TAKABLE
SURVIVINg JOINT OWNERS
In the naaa of the dtc.dtnt Bnd two other p.rlon,.
1 DIVIDED BV S (JOINT OWNERS) DIVIDED BV 2 (SURVIVORS) . .167 K 100 . 16.7% <TAKABLE FOR tACH SURVIVOR)
B. The p.rcIOt t.x.bl. far ....tt cr.<.d within on. Yllr of the dle.dlntl, duth or Iccountl ownld by the dlc.d.nt but hlld
In tru.t for another Indlvldual(,) (trult b.neflol.rlu)1
1 DIVIDED BV TDTAL HUMBER ()f SURVIVING JOINT
OHMERS OR TRUST BENEFICIARIES
X 100 . PERCENT TAXABlE
ElllIIPlll Joint locount rlghtlred In the n... of thl d.otdlnt and two othtr ptrlonl and utablhhtd within onl ~"r of delth by
thl dlc.dlnt.
1 DIVIDED BV 2 lSURVIVllRSI . .50 K 100 . 50~ (TAKABLE FllR EACH SURVIVQfl)
". The .lOunt lubJlct to tlM Uln. .) 11 d.\tr.lntd by .ult1plylng the account blllnc. (lln. 2) by the plrClnt tlllabll (Un. 5).
5. Ent'r the totll of the d.btl and dtdUctJon. IUttd In Plrt 1,
6. Th. lltaunt tlMable <1Jnt 6) It dettr_ln.d by lubtreCltlng the dabtt .nd d.ductlonl (lln. 5) frol the ..ount lubJ.ct to teM (lIn. 4).
7. Ent.r thl approprl.t. tlM r.t. (lln. 7) .t d.t.rlln.d bilow,
A. Trantfer' to lInlll de,eloo."t, InchKllng flth.r, IOthlr, hUlband, Mlffl, Ion, daUght.r, grandchlldrln, .0n"ln-llw,
daught.r-ln"la.., .tlpchlld and their I~.u. ar. tlllab!. at ,Ix paro.nt (6X).
I. Tranlf.r. to all other. Includl~ brother, IlIt.r, ullOIt, aunt, n.ph... Ind nleel Ir. tlM.bl. .t flftlln p.rclnt U5:0.
C. If you Clh,"p the t.M ,'.t., pl.... 'PlClIfY ~our rel.t1onlhlp to the dlcedant In thl Ir.. provided.
a. ThI MOUnt of t'M due (lint 8) It d.ter_IMld by IUItJplvlng the a.ount taxablt (lIn. 6) by the taM r.tl Clint 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. d.bt. .nd dlductlon. .r. nlt.retn.d KI follcWl1
A. Vou I18111v .re rllpon,Jbl. for p.y,ant, or tha "htl lubJltot to .d.lnlttrIUon by . Plrlonal r.pru.nt.tlvl h In.uffloltnt
to p.y thl d.ductlbl. It....
a. Vou ICltuIlb p.ld th, debt. aftlr duth of thl d.o.dlnt and ClIn hlrnhh proof of paY.tnt.
C. Debt. b.lng chh.d rUlt b, UIIl.IId fully In Part 3. If addltlonll ,ple. h n"ded, UII pl,ln paplr 8 112" II 11". Proof of
P.y.."t .IV b. r.quuttd by thl PA Dlp.rt..nt of Rllv.nu..
....... ... . . . . TAXPAVERASSISTANCE . ... . .
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
~EGISTEROF WILLS. PA nEPAMTMENT OF ~EVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INqUIRV UNIT IN
.... .. HARRISBURG AT <717> 787-6327, .
RP'V-1543 !X AFP (1-911_
. 'COHHO~\L'H OF PENNSYlYANIA
. ,00PA~'Nf'll OF AEYENIX
IURUU OF INOIYIOlJAL mfS
DEPI. 180601
HARRISIUII1l. PA IIllI"om
I II /1 3 'i
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 - 1 '1-/ l'y
94105952
02-19-94
ESTATE OF RIGGINS
S.S, NO, 191-01-6412
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVINGS
CHECKING
TRUST
CERTIFICATE
REHIT PAYHENT AND FDRHS TO.
REGISTER OF WILLS
CUMBERLANb CO COURT HOUSE
CARLISLE, PA 11013
BI.ANCHE
PATTON
401 E COOVER ST
MECHANICS BURG
VERNA D
PA 11055
FARriERS TRUST COHPANV nil provldtd the OIP.rt..nt with thl Inlor..tlon 1 hhd blloN which hili b..n utld In calcul,Ung the
potlntlll tlM OUt. Thtlr r.cord. Indice'. th,t It the dlath of thl abovI dlCldlnt, ~ou wlr. I Joint ownlr/btn,fiol.rv 0' thl. lecount.
If you 'HI thll In'orl/ltlo" I, Inoorr.ot, pi.... abtlll" written corr.otlon frol thl IIn.nola1 Inttltutlon, attlch . copy to thlt 'or.
enr' rl'ltll-" It tl) tn" I'lhn\!f1 .f'lrl~"u '11111 ftl'!t'~l,". I. tlll.....hh In Jlr.,..,l'rt",,,," with tn. ,,,,,..........,.., r..... 1".... o~ tl't. ('1J""'H'W..'th ,,4 Pr,I""....'lllllln'.
OUtlUonl "V be IIlIWlnd by calling (717) 787-"27.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aooount tlo. I-A69009C o.to 08-11-88 1. In.ur. pr.p" .rodlt t. y.ur ....unt. two
eat.bUah.d (Z) copln of thh notice IIUlt aoeo.plnv vour
plv..ent to the Reollttr of WllIt. Makt chick
PIyablt tOI "Rlgllttr of Wills, Aglnt",
Aooount 811.no. 5.009,58
P.ro.nt ToXlbll X 16 . 661
A.ount Subj.ot 10 To. 834.95
To. R.t. X .06
Pot.nt III TIX Du. 50 . 1 0
PART TAXPAYER REGPONSE
COI FAILURITO RISPOND WILL RmSULT IN AN OFFICIAL TAX ASSESSMENT lASED ON THIS NOTICI
A, ~ The above Infor.atlon and ta~ due II corrlot.
~ 1. 'tau .tV chao.. to r..l1t Ply..nt to thl Rlghtlr of Wllh, with two ooph. of \hh notlol to obtain
a dllcount 01' avoid Jnhrnt, or yoU .av check bOI( "A" and rllturn thh no tic. ta the Rlght.r of
Will. and an offloJal a.......nt will bl I..utd bv tht PA O.part~nt of R.v.nut.
NOTEI If ta. paV.lntl art ..de within thr'l
(]) 1ll0nthl of th!...~_r_",.".~.datl of d..th,
vou ..V d'duot~!~ dhcountqf the talC due.
Anv Inheritance tn-we,ttHl' b.ao.. dtllnqu.nt
nlnt (9) Illonth. aft.r the dftte of death,
[CHECK ]
ONE
BLOCK
- ONLY
a, 0 Th. abovl Ullt hn bun or will b. rlportld and tll( paid wJth thl P.nnllvlvanla Inhlrltanc' TalC rlturn
to bl flltd bv thll dtClIdtnt'. r.pr"lIntfttlvl,
C. 0 Thll abovt InfarlllUon 11 Incorreot and/or dtbt. lInd dtduotlon. wtrt p.a.l~v you,
Vou lIult cOlpltte PART 0 and/or PART [!] btlow, l ) .~, ' .
C
-'1
If you Indl..t. . dlff.r.nt t.. r.t., pl.... .t.t. your
r.l.tlon.hlp to d...d.nt,
PART
~
fAA Kill iJilN ., ...uH~iJl'An;u,.;
LINE 1. D.t. E.t.bll.h.d
2. Aooount 8.1.n..
3. p.ro.nt T...bl.
4. A.ount Subj..t to T..
5. D.bt. .nd D.du.tlon.
6. A.ount T...bl.
7, TIX R.t.
a. TIX Du.
""t' f"A VA ",-:;'lNi/i"Uo:Il ~1"i/JiJ;~i~
1
2
3 X
4
5
6
7 X
a
OFFIClAL USEON~; 0 AAF
PA DEP~RTII,f;~l OF REVENUE
...._.w..:.c.'... III' \l"~. __
PAlo
1
2
3
4-
5_':t,'
'. '.' ~
,< ~ .
I, n
:..,J
l/;' ,
-I'
PART
I!I
DATE PAID
j
6
1
8
DEBTS AND DEDUCTIONS C~AIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I~
TOTAL IEn .r on Lln. 5 of
T.. Co.put.tlon'
I
.
- .
.0.
Und.r p.n.l U.. of ,p.r jury. I d.ollr. th.t Ih.
ft. toth'~"1 0 ~y k.no.d'du' .nd b.ll.f,
, . ,(J?
(t I...... { ((' l (I .
f.otl
I have r.ported abov. ara tru., ccrr.ct .nd
HOME (iLl) )(,(. ,I 1/) j
WORK ( ),' ./
TELEPHONE NUMBER
j.)'; ~'I
DATE
GENERAL INFORMATION
1, FAILURE TO RESPOND WILL RESULT IN All OFFICIAL TAX ASSESSMENT wi th ""ll"bl. Int"..t b.lld on InforllUon
lubIIlthd bv the flnan01,1 Inltltutlon.
2. lnhtrltlnc, tl. blOOM. d,l1nqulnt nln. lonth. after the dlcld.nt'. dlt, 0' death.
S. A Jotnt account I, tl.lbl, Iv.n though the dle.dlntt, n... W'I added al . ..tt.r of conv.nlencl.
4. Aocount. UnolucUng tho.. held bit".." hu.btnd lInd wlh) which the dlCldlnt put In joint n,,,,. within Ont v'.r prior to
d.,th Ir. fullv tlxabl, II trln,f.rt,
S. ACCDUnh ..tlblhhld jolnth bltwetn husband and wlh lItor. than on. year prior to duth Ilrt not taxabll.
6. Accounh hlld bV . dlcedent "In trult for" anothu or othtr. Ir. tax,blt fully,
REPORiING INSTRUCTIONS - PART 1
- TAXPAYER RESPONSE
1. BLOCK A - If the lnfor.,tlon and cOlputetlon in the notlcl ar. corrlct and dtductlon. ar. not blJng Olll.'d, PIIOI In "~"
In block "A" of Plrt I of the "TaKp3YGlr Ruponlt" lIotlon, Sign h:o copl.. and .ub.it thu with your chick for the allount of
t.~ to the Rtgllt.r of Will. of thl county Indloated. Thl D.part.lnt of Rlv.nul will 1',uI an offlolal .....a..nt
(For.. RfV-1548 EX) upon I',ollpt uf thl Rlturn fro. the R,ghter of WUlI.
2. BLOCK I - If tho ""lit .ptolfied on thh notlcl has bun or will bl rlported and t"l( patd wit~ th. Plnn.ylvanla Inhlrltanoe
Tal( R.turn fllld by the dleldlnt'. rlpre'lntatlve, plaol an "X" In block "a" of Part 1 of thl "TaxpaYlr RI.pon.I" .aotlon. stgn nOI
copy and return to the PA Depart.lnt of Rlvlnul, Bureau of Individual Tal(lI" D,pt 280601, Harrhburg, PA 17128-0601 In tM
InvIlope provldld.
3, !I'C~r. r - ,.. t.." ,."'tl~1l I"f"lr"..ln.. h "...."'....~..t ...,rl/nr d.duntlon' ar. b.lna ohlnd, roh.ck block "C" and cOIPllta Putt 2 Ind 3
lIacordJng to thl In.truotlon. b.lalrh Sign two oople. arul 'ub.1t thl. with your chick for thl alount of hx paytlbll to the RIghtar
of WUlt of tht county Indicated, The PA O.part..nt of Rlvlnu. will 1..08 an offlolal a.......nt (Fora REV-1548 EH) upon rlcllpt
of the return frOl the RIgl.ter of Will..
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent.r the dllte tht account orlglnalh WII IIhblhhed or Utlld In thl IlInner exhtlng at data of doath.
NOTEI For a dtcldent dYing after 12/12/821 Accounts which the delJldlnt put In joint na... within on. (J) Ylar of duth ara
taxabll fully II tran.flrs. Howlver, therl It en lI)(olul1on not to .xcelld 13,000 par tr&n,l.r.. r.gardl... of the value of
the account or the nUlblr of aClJount. hald.
If a doubl. ut.rhk (lUl) IlIpp..rt b.forl your flrlt nUll In thl eddrl" portion of thh not!lJ., the .S,OOD .I<olutlon
alr.edy hal been dlducted frol thl nccount balnncl al rlportld by the flnanolal Inttltutlon.
2. Entlr the totlll b&lan'. of the &lJcount InlJludtng Inter..t eccrued to thl dati of dlath.
3. Tha p.ro.nt of the ~ccount that II taxabll for .ach survivor I, dltlr.lnld ae follows I
A. The perlJ.nt taxabll for joint ....t. lIIt8blhh.d lor. (han onl Yllr prior to thl d.cldlnt'. dnth,
1 DIYIDED BV TOTAL NUIlaER OF DIYIOED BV
JOINT OWNERS
Ex.aplel A joint a.,.t r.gl.tlr.d In thl nee. of
TOTAL NUNBER OF X 100 . 'ERCENT TAXABLE
SURYIYING JOIN'! OWNERS
the c1llJld.nt and two other plr.on.,
1 DIYIOED BV 3 (JOINT OWNERS) DIYIDEO BV 2 (SURYIYORS) . ,167 X 100 . 16.71. (mABLE FOR EACN SURYIYOR)
8. The p.rclnt tax,bl. for asslt. or.atld within one y.nr of the dlcedlntl. dMath or account. own.d by the dlCldlnt but hlld
tn tru.t fo' annthlr Indlvlduel(.) (tru.t blnlflel.rll.)l
1 DIYIDED BV TOTAL NUWBER OF SURYIYIND JOINT X 100 . PERCENT TAXABLE
OWNERS OR TRUST Bf.NEFICJARIES
ExlMlpllll Joint leoount r.ght.rld In thl n... of tnl dlcld.nt and two oth.r p'rlon. end ..tabl hhld wUhln onl Yllr of d.ath by
thl deCldlnt.
1 DIVIDED IV 2 (SURVIVORS) . .50 l( 100 . 50% (fAHULE FOR EACH SURVIVOR)
4, Thl allOunt lubjlot to tll( Uln. 4) It dlter.lnld by lIultlahlng thl account bahnol (Unl 2) by the p.rclnt taxabll Ulnl S>.
S. Enter the \otl'" of the dlbt. and deduction I lhtlcl 1n Pan l,
6. The .-aunt tlxabll (Itne 6) II dltlrlllnld by .ubtractlng thl d.bt. and dlduotlon. lllnl 5) frail the a.ount .ub~eot to tax (lln~ 4).
7. Enter the Ipproprllta tal( rllt~ Ulnl 7) a. dltlt.lnld below,
A. Tren.flr. to Ilnl.1 dl.c.ndlnt. Inoludlng fethlr, .othlr, hu.band, wlf., ,on, daughtlr, grandohlldrln, 10n-ln~llw,
dlUghtlr-ln.law, ,tlPchlld and th.lr IIIUI art taxabll It .Ix plrlJlnt (6%).
a. Trantflrt to ell othlr. IMludlng brothlt, ,ltter, unoll, aunt, nlphew and nllol are tal(able at flfbln p.rcent <15:00.
C. If VOU change the tax rate, ph,.. ,p'lolfv )'our r.latlon.hlp to thl dlcld.nt In thl arn provld'd.
It Thl ..ount of talC due Uln. 8) It d.t.r.lnld by lIultlplYlng thl aeount tllCabl. (lln. 6) by thl tax rate (IIn. 7>.
CLAIMED DEDUCTIONS - PART 3
OEBTS AND DEDUCTIONS CLAIMED
Allowable dlbts and dlduot Ion. erl dlt".ln'd II follow"
A. Vou Ilg'lly arl r..pon.iblt for payelnt, or thl .,tet. ,ubjeot to 1lId1lnl.tratlon by a Plrlonal reprl.lntltlYI I. in,ufliolant
to ply the dlduotlbl. It...,
.. You lotu.lly paid thl dlbt. ~ftlt dlath of thl decldtnt and can furnl'h proof of plYlent.
C. Dlbt. b.lng cl.l.ld .u.t b. Itl.lzld fully In Part]. If additional .pao. I. nlldld, U'I plain paptr 8 1/2" ~ 11". Proof of
PIY.lnt ..y bl r.qu.tt'd by tho PA DIPart..nt of ReutnuI.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BURE;AU OF INDXVIDUAL TAXES, TAXPAYER INQUXRY UNIT IN
HARRISBURG AT (717) 787-8327. . . .. .....
kEVo154J EX AFP (10911,*
.' CO""OH~~AlTH Of PENNSVLVANIA
. OEPARTHEHI Of REVEHU€
BURfAU OF INDIVIDUAl UMES
DEPT, 280601
tlARRISBUAa, PI. 1711a~0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
cL
NO. 21 .' Ij<f' /5;'1
94105953
02-19-94
ESTATE OF RIGGINS
5.5. NO, 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVINgS
CHECKINg
TRUST
CERTIFICATE
REHIT PAYHENT AND FORHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BLANCHE
WALKER
C/O 407 E COOVER
MECHANICS BURG
BETTY D
ST
PA 17055
FARHERS TRUST COHPANV h.. provided thl n,part..nt with thl Inlor..tloo 1 htlQ below wtllch hi' b..n uud In calcul.tlng thl
potential tu dUI, Their r.cordl Indloah that It thl duth"f thl above dlCldlnt, you wQr, a joint owntr/b.n.flci8r~ of thlt .ccount.
If )IOU f..l thh Inforutlon It Incorrlot, pilau obtain written corr.otlon fro.. thl flnanolal 10ltltutloo, .ttach . COpy to ttlll for.
."Ft r"'t'J"'" It tn thl tlhnVI ....rh..... 'hi" lIecttunt I, t.lue""I. In lI,..."..tI"nllll with thl Inhlrlt"nr.1 'aI' 1.~"" f\' tk", r"......w:ltlth t1' n''''''7~jl,,",,11I
QUI.tion. ..y bl an,wlrld by c81ling (1111 181-8521,
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aeccunt Nc, l-A69009C Dot. 08-11-88
~.t.bllohod
ACDoun't 811ance
Porcont Toxoblo
A.ount Subjoet te
Tox Rot.
Potontlol Tox Duo
5,009,58
16.667
834.95
,06
50,10
TAXPAYER RESPONSE
FAILURI TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASID ON THIS NOTICI
To In,ure proplr cr.dlt to your 8ooount, two
(ll cop II' of thl. notlcl .u.t acoolpany your
pay..'" to thl lI.gl.tu of Wllh. Hakl chick
payabll tOI "Raglltlr of Will., Aglnt".
K
NOTE I If tnlC paVe h nrll IlSdl with In thr..
(3) lonth. of nt'l dati of d.eth,
yoU I,1tly dtduct Ji: dl aunt of th. talC dUI.
Any InhtrUancI '.. . will blco" dtllnqutnt
nlnl (9) lonth. a'tlr thl dati of dlath,
To.
K
PART
IT]
[CHECK ]
ONE
BLOCK
ONLY
thl abo~1 lnforlatlon end tax due J, corr.ct.
1. You lay chooll to r..U paYI.nt to the RlIghhr of Wllh, with two copl.. of thl, not lei to obtain
a dltoount or a~oJd Inttrut, or you uy ch.ck bOil "A" and rlturn thlt notlc. to th. Reglst.r of
Willi IInd an official 1lI......nt will b. IlIu.d by the PA Dtpart..nt of R......nu.,
ft. 0 Thl lIbo~. a".t hat hltn or wUI bl rlportld and tu paid with th. Plnn.yl~anI8 Inhlrltllnc. Tax rlturn
to bl 'It.d by thll dle.d.nt'. repr...ntlltl~..
A.
/
c, 0 Thl abo~. Inforllltlen IMncerrlct and/or debh IInd dltluotlonl warl p~ ~ you.
You IU.t co.plltt PART L!J lind/or PART [!] bIlow, .'
:n
PART
~
'j"^
LINE
If you indio.t. I diff.rlnt tlX rlt., pl.... ,t.t. your
rolotlen.hlp to docodont,
~~iURH . ~uN~~rAii~~
I, Doto estobll.hod
2, Account 8.1.no.
5. Perolnt rlx.bl.
4, AMeunt Subjoct to To.
S, Dobt. sod Doductlono
&, AMount T.xlbll
7. To. Rlt.
8. To. Duo
OFFICIA~VSE ON LV 0 AAF
PA DEPARTMENT OF REVENUE
ur I~~ ~Ii ~~!rii/ikuo~ k~~~~~fS
PART
I!J
DATE
DEBTS AND
t'AIJ
1
2
3
4
5
6
7
a
DEDUCTIONS CLAIMED
'.:',
I
2
3 W
4_
S
b
7 W
8
"
':
PAID
~
PAYEE
DE SCRI PTI ON
AMOUNT PAID
I
TOTAL
(Entlr on linl S of rlx Conput.tionJ
.
.
,--.- ,..-
~ndlr plnllti.. of plrjury, I dlol.rl th.t thl
-:J;o. ?,".t. te tho ~..t. of .Y k?rIOdUO. ond bolll!.
J'Url~l(t )/11/1,
't'ER G TURE
hch I
hi VI r.porild Ibov. .r. truI, corr.~t Ind
\jOMLU~ 1./ 1,.\ (h -' ;;
WORK I ) "j , -; ,')"
TELEPHONE NUMBER ' .
GENERAL INFORMATION
1, FAILURe TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with .ppllcobl. I.tor..t b",d on Inlor..tlon
.ubttltt~ by thl flnanol_l Inultutlon.
Z. JnhtrltMOI till bloo,,, dtl1nqulnt nJnl lonthl after thl dtud,nt', dati of duth,
S. A Joint account I, t.~.bl. IVln though thl d.e~d.nt'. n... WI. addld a. I I.tt.r of oonv,nlencl.
4. Aoco~t. (JneludJnn tho.. held bltw..n hu.btnd and wi',) which thl dlcld'nt put In Joint n.... within on. y..r prior to
d..th .r. fully tllC.uh II tranl'lIr..
5. Account. ..taalhh,d Jointly b.tw..n hUlband IInd wlh Ion thin on. Vllr prior to cluth sr. not tlM,blt.
6. Aocount. held by . alClldtnt "It. tru.t for" flnoth,r or othtrl art \8lClbl. h,lh.
REPORTING INSTRUCTIONS' PART 1
- TAXPAVER RESPONSE
1. BLOCK A . If the In'orlltlon and co~u,.t1on In thl notlc. Irt corrlet and d.duotlOIlI art not blln; ol,lud, pllOI Ifl ")("
In block "A" of Part I of tn. "Taxpay.r R..ponl." I.otlon, Sign two copl.. and lubalt th.. with your ch~ck for tha alount of
till to the R.ghter of Willi of the county Indlc.ted, Th. O.partl.ot of R.....nu. will IIlu. an offlcl.l 1I1.....nt
(FOri REV-1548 EX) upon reo.lpt of the R.turn froa the JltlllUtr of Willi.
2, BLOCK II - If tM a...t Ip.olfllld on thll not Ie. hu bun or will b, reported and tax paid with the P.M.vl....nl. Inhltlhlno.
TalC R.turn fll.d bv the d.c.d.nt'. r.pru.ntatlv., plac. lln ")I" In tllock "I" of Par'( 1 of the "TaICpaylt Ruponll" tlctlon, Sign on.
copy and return to the P'" O'Pllrt..nt 0' R.vlnu., BurQlIu 0' Individual TlI<II, D.pt 280601, Ilarrllburg, PA 11128-0601 In tt'l'
.nv.lop. provided,
, un"r: r - " t/"wl .,.,.\,.. I"'nr.lltlon I. 'nr-orr.et ~nd/nr dlductlon. !1ft b.lng olallld, chick block "e" and cOIPI.t. Pith 2 llnd 1
looordlng to the In.truoUon. b.loN, Sign two copl.. nod lubalt th.a with your ch.ck 'or thn nount of tal< plIYlllbh to the R.ghtlr
of Willi of the county Indlc.t.d, rh. PA V.partllnt of Rlv.nUI 14111 I..u. an offlolal a.......nt (For. REV-I5It& Eln upon rec.lpt
of the return fro. tn. R",lItlt of Willi.
TAX RETURN - PART 2
- TAX COMPUTATION
LINE
I. Enllr the dlt. the account originallY WII lltablhh.d or tltl.d In tn. nnnlt uhtlng at data of duth.
NOTEI For a d.c.d.nt dYing a,tlt 1U1Z/1Il1 Accounts whIch the d.e.d.nt put In joInt ne... within on. <11 yur of d..th art
\lxlbl. fullv II tren"'fI, tiow'Ylr, thlt. I. an 'I(clu.lon not to 'I(eud '3,000 pit tran.f.,.. regardl... of the v.lu. of
the account or the nUlb.r of account. h.ld.
If . daub I. B.tltllk (MM) apPurI b"orl your flnt nalll In the add,," partlon of thh notlc., the U,OOO .',(clul1on
aIr'ldy h.1 b.en deduot.d fro. thG Iccount balanc. I' report.d by thl flnanolal In.tltutlon,
Z, Ent.r the tohl bahnc. of thl aocount Inoludlng InterOlt Iccru.d to thll date of duth,
S. Th. perc.nt of the account that II tuabl. for laeh survivor 11 d.terlln.d II followlI
A. The p.rc.nt taMable for joint a.l.t. ..tlbIJsh.d lorl than ona y.ar prior to the dlcld.nt'. dlathl
1 DIVIDED av TOTAL NlI'4BER OF
./OINT OWNERS
Enaplll A Joint UII.t rullt.red
DIVIDED 'dV TOTAL NUHBF.R OF I< laD . PERCENT TAI<ABlE
SURVIVING JOINT OWNERS
In the nba. of thl dlc.dent and two othlr Plr.on.,
1 DIVIDED IV S (JOINT OWHfRS) DIVIDED IV ? (SURVIVORS) . ,167 K 100 . 16,n (lAICAelE FOR EACH SURVIVOR)
a. The parc.nt tll<abl. for a'l.t. cr.at.d within on. Ylar of the dlc.d.nt'. d.ath or acoount. own.d by thl d.c.dent but h.ld
In tru.t for anothlt Indlvldua1(ll (trult blnlfjchrlll>t
1 DIVJDED IIV TOTAL NU"'IER OF SURVIVJNQ JOINT
OWNERS OR TRUST BENEFICIARIES
)I 100 . PERCENT TAl/ABLE
EMHPIII Joint ICCouHt rlgllterld In the nal' of the d.c.d.nt and two other plrlOnl and utabl htl.d wi thin on. Yllr of death by
the d.udlnt,
I DIVIDED BV 2 CSl.lRVIVORS) . .50 I( lOa . 50% (TAl/ABLE FOR EACH SUR'JIVORl
4. The nount lubjaClt to tl)( (lIn. 4) I. d.teraln.d bV aultlplylng the account balance (l1n. Z) by the fl,runt tlICflbh (lIn. 5).
S. Ent.r the tct.l of the d.bU and dldUcltion. IlU.d in Jllft i,
6, The IIOUl'lt t.obl. /l1n. 6) h d.ter.Jn.d by .ubtractlng tn. d.bt. and dlduotlon. (l1n. Sl 'rol the alount subjeot to talC (lIn. It),
7. Ent.r thl .pproprl.t. t.IC rat. (lln. 71 a. d.t.raln.d b.low,
A, Tran,f.rl to 1ln.al d..e.nd.nt. Including fath.r, loth.r, hu.band, wlf., .on, daught.r, grandchlldr.n, lon-In-law,
daughter-In-law, It.pchlld and thllr lI.u. art taMabl. at .IM percllnt 16iO,
I, Tr.n.ltrl to al1 oth.rs Including brother, .hter, Until, aunt, n.phlw and nllce are taxable at fUtlln p.ro.nt (15:0,
c. If YOU chanll' the taM rate, plu.. IP.clfy your relatlonlhlp to the dle.d.nt In the arll proyld.rt,
I. Th' Hount of tlM dUI Uln. 81 h d,tlralnllld by lultlplylng the llllount taMllbl. (lln. fd by the taM rllta (line 1),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowable dlbt. and d.duotlon. are dlttraln.d l!lI followlI
A. You l,glllv are rllpon,lbl' 'or pllYllnt. or trl' utah lulJj.ct to adllnlltratlon by I!l per.onal rtP""ntltl"'l 11 In,ufflcl.nt
to PI'Y the d.ductlbl. It...,
a. You Ictu..lIlv Plld thl d.btl after duth of the d.eld.nt and can furnllh proof of pay..nt.
C. D.bt. b.lng clll..d IU.t III Itulud 'ully In Part S. If additional spac. II nlldltd. UII plllln piper 8 1/2" IC 11", Proof of
pllVllnt I'V b. r.qu..t.d by th, PA n.p"rtl.nt of A'Vlnul,
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CAl.L THE ~UReAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-83Z7,
REUo1543 EX AFP (1091),*
' 'CO~ON\lEAlll' OF PEHllSVlYAHIA
DEPAIITKE,n OF REVENUE
BUREAU OF IHOIYIDUAL TA~ES
om, 2B0601
HARRISBURO, PA 11128.0601
ILl - \'"(l, '6
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 - f ({-j 'I'll
94105954
02-19-94
ESTATE or RIGGINS
5.5. NO. 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
~ SAVlNOS
CHECKING
TRUST
CERTIFICATE
REHIT PAYHENT AND FDRHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BLANCHE
W
PATTON
407 E COOVER ST
MECHANICS BURG
VERNA D
PA 1705.S
FARHERS TRUST COMPANY h". providld thl DIPllrt,.nt with the Inforllltlon Ihhd bllow which has bun u..d In calcuhtlna thl
pot,nUII hit dot, Thllr rlcordl Jndlclt'. thet at thl duth of thl abovI dlCldlnt, you wlr. II joint owntr/btntflCllarv of thh account.
If yoU ,..1 thh Inforntlon I. Incorrlct, pi.... obtain wrltt.n correction fro. thl flnanolal Inltltutlon, attech a copy to thit for.
IIlnlt ~,..'.rn 't.", ,I.. ..h.."." I~..tfr..r It-l<t ~,.,.,." ,. t"\I""I,, lot 'I""""""!'1I':" ~,ltt'o th" 1"h.,.\tl'l"I''' "IV I..,. nf ,~' (",."'.n".....'.., nf P.nn..,'JI"".,11It
Qu.,tlcn, ~ay b, an.w.red by cIlling (111) 181.8321,
COMPLETE PART 1 BELOW N N N SEE
Aooount No, 1-A89657C D.to
E.hblhhod
Aocount Sllanco 10,034. 67
Poroant Ta~abla X 16 . 667
Aoount Subj.ot to Ta, 1, 672.48
Ta, Rota X . 06
Potontlal Ta, Du. 100.35
P~RT TAXPAYER RESPONSE
[i] I PAILIJRI! TO RISPOHD WILL RI!SUL T IN AN OPFICIAL TAX ASSESSHENT BASID ON THIS NOnCI
A, ~'Thl rlboVI Infor.aUon and talC dUI 11 corrlot.
JCf..l. You laY chaO" to r...tt pllyunt to thl Righter of Wlll1, with two copl.. of thll notiel to obtain
a dhcount or lI...old Intlr..t, or YOU lay chick bolC "A" nnd rlturn thh noUe. to thl R.ght.r of
Will. and In official n.......nt will bl 1"uld by thl PA nlpart.,nt of Rlvlnul,
REVERSE SIDE FOR
00-15-90
FILING AND PAYHENT INSTRUCTIONS
To In,url propClr orldlt to your Iceount, two
(2) cop I.. of thl, notlcl IIU,t deCo_pany your
paynnt to thl R.gl,tlr of Willi. Hak, chuck
pavabh tOI "RIgl't" of Willi, Aglnt",
HOTEl If tax ply_.nt. arl .ad. withIn thr..
(3) _onth. of thl~~' dlt, of dlath,
YOU May d.duct fl" ',dhcount f th. tll< dUI,
Any Inhlr !tanel tlllC --.-tt1 lea.. d.Unqulnt
nlnl (91 .onth. Ift.r th, dati of ~.ath,
[CHECK ]
ONE
8LOCK
ONLY
B. 0 Thl .bov' a...t hili bun or will b, reported IInd tol< paid with thl Plnn.yl...anla Inhlrltllncl Tal< rlturn
to b. fUld bv th. d,cld,nt'. rIPrl..ntaUvI.
c, 0 Thl abo.... Inforllation 11 Incorrlot and lor dlbt. and deduction. Wlrl p'TlIr!i'; you,
You .u.t co_pllt' PART 0 and/or PART [D b.low. :',
, ~"'
If you IndIcate I dIfflrlnt tax rlt., pl.... st.t. your
rol.tlonahlp to dac.dant. _________
OFFICIAL,USE ONLY 0 AAF
PA DEPARTH~~~ OF REVENUE
PART
~
'fA" f<U I URN 0 CUi'lI'UHII AU,.. \j~
LINE 1. Data Eatobll.h.d 1
2, Aocount e.l.no. 2
3. Poroant To,abl. 3 X
4. Anount Subjact to To, 4
S. Dabt. and Daductlon. 5
6, A.ount To,abla 6
7, To, Rato 7
a. To, Dua 8
~~^ Qn ~UAnl/lnU~1 A~~~unl~
X
rAil
1
2
3
4
5
6
7 .
8
DEBTS AND DEDUCTIONS CLAIMED
Iv
:1
, ..
i".
PART
[!]
DATE PAID
PAYEE
DESCRIPTI ON
AMOUNT PAID
1-
~
TDTAL IEntar on Llna 5 of ra, Cooputatlonl
I
.
....-....
Undar ponoltlaa of porjury, I dacl.ro th.t tho
coo,plta to tho }..t ~f)nY; knowledga ond bollaf.
~. .' (1'._, /\ /" ( (.1,
TAX AYER SIGNATURE
flat. I hi VI r.portld aboy. Ir. tru., correct
~_OME 'II') '<:, ~J'"
ond
/
, . l--,)/t~/
GENERAL INFORMATION
l. FAILUU TO RESPONO HILL RESULT IN AN OFFICIAL TAX ASSESSHENT with o"II,obl. Int"..1 b...d on Inlor..tlon
.ubllHld bv the finlllOl.i InlUtutlon.
Z. lnh4rltlncl tllC blee... dtl1nqulnt "In. lonthl .ftlt thl dle.d.ntl, dltl of d..th,
], A Joint .ceount I. t8Mlbl, IVI" though the dQcld.nt', n,I, WI' added I' . latt.t of conv.nl.ne..
4, Acoooot. <lnoludlng U'OI' hlld b.twI'" hv.band nnd wl't' which the dle.d.nt put In Joint nu.. within OM yilt prior to
dlllh Ir. fully talC.ble II trln,'.r..
S. Account. ..tlbll.h.d JoIntlY b.tw.,n hu.b.nd and wlf. lor. than one yl't ,rtor to d..'h It. not tlMablt.
6. Account. t~l~ by . dIC.dlr.t Mln tru" for" anolhar or o\h.r. It. talC.bl. fully,
REPORTING INSTRUCTIONS - PART 1
- TAXPAVER RESPONSE
1. BLOCK A - If tn. Infor..tlon .net OOlputatlon In th, notlc. 8r. correct and d.ductlon. ar. not bllng ohl..d, plec. In ")C"
In block "A" 0' Plrt 1 of the "TaMPIYlr R..pon.... 'Iotlon. Sign two cop I'. end .uhllt thll with your ch.ck for the ,tount of
tlM to thl RIglltlr 0' Willi of thl county Indlcatld, Thl DIPart..nt of RI"'lnuI will IlIu. on offlohll.......nt
IFor. REV.1548 E)c) upon rlcllpt of thl Rlturn frail thl Reol,t.r of willi.
2. BLOCK B - If th. 111.t IPlelflld on thll notlc. hat b..n or will bl r.port.d ~nd taM paid with thl Plnnlvlvanla Inhlrltlncl
TIM Rlturn flhd bv thl dlcldlnt', rtP"..nhtl"'l, phc. an ")C" In block "a" of Part 1 0' thl "TaMpaVIr R..pon.... lIotlon. Sign ani
copy and tlturn to thl PA D.pertll.nt of RI",lInuI, Buraau of IndIvidual TaMil, Vlpt 280601, Illltt!lburg, PA 11128-0601 In thl
In"'llopl provldld,
~l IVW r . If th- nl'tlrll Inforutlon II Incorrect and/ot dllll1uotlon, art bllng chl'ld, chick block "c" and COIO\ltl PerU 2 and!
.ccordlno to th. lnltruotlon. bllo~, Sign two coplu and lub.1t thll with your chick for thl alount of tlM pavabll to thl Rloltter
of will. of thl county Indleahd. Th. PA DIPart..nt of RIYlnUI will IlIuI an official aI......nt (For. REV-1548 E)C) upon receipt
of thl rlturn frol the RIol.tlr of Will,.
TAX RETURN - PART ?
TAX COMPUTATION
LINE
1, Ent.r thl d.tl thl Iccount orlglnlllv wa, .,tablllhld or tltlld In thl lannlr IMI,tlng at dati of dlath.
NOTEI for I d.eldlnt dvlng aftlr IUIZ/a21 Accounts which thl dlcldlnt put In Joint na... within onl (11 v..r of d..th Irl
taMlbh 'ully al tra"".,I. ItOWIVIr, thlrl It an IMolu.lon not to IMOI.d 13,000 per tran.fll'aI regard II" 0' th. vIlul 0'
thl ICCount or thl nuab" of accounts hlld.
If. daub II uhrltk (MIl) IIPPI8,. blfo,. your flr.t nil., In thl adelrl" portion of thlt notlcl, tht 15,000 oclu.lon
alreadY hll bun dlduotld 'rol the account belllncl ftl rtporhd bV thl 'Inanolal Inltltutlon,
2. Ent" tht total blltncl of thl lICCCunt Inoludlng Inllrelt accrulu to thl dati of duth.
3. Thl plrclnt 0' thl account that II taMabl1 'or uch .urvlllor It dlterlllnld al folloWl1
A. Thl plrclnt taMabl1 'or joint a"lt. "tabUlhtd 1I0rl than one vur prior to thl dlcldlnt', dl.thl
1 DIVIDED BV TOTAL HUHBER OF
JOINT OWNERS
EMI~l'l A Joint a..lt rlglstlrld
DIVIDED BV TOTAL NUHBER Of' )C 100 . PERCEH'( TAKABLE
SURVIVIHQ JOINT OWNERS
In th. na'l of thl dlCldlnt and two oth.r Plr.on..
I DIVIDED BY 3 (JOINT OWNERS I DIVIDED BV 2 (SURVIVORS) . ,161 )C lOa . 16.7% (TAKABLE FOR EACtl SURVIVOR)
B. Thl p.rclnt taM'bl1 for a.lltl cr,ltld within O~I Ylar of tho d'cldlnt's d.lth or acccunt. ownod by thl dlcedlnt but held
In tru.t 'or anoth" IndlvldllIU,) (trult blnlflcJarltl)1
1 DIVIDED IY TOTAL NU~BER OF SURVIVINO JOINT
OWNERS OR TRUST BENEFICIARIES
If 100 . PERCEHT TAXABLE
EMalpll1 Joint account rlglltlrld In thl na.. 0' thl dlcldlnt end two othlr plrlon. nnd I.tabll.hld within Ont Vllr of de.th bv
thl dleldlnt,
I DIVIDED BV 2 (SURVIVORS) . ,50 )C lOa 50% (TAIfAIILE FOR E.left SURVIVOR)
~. Thl l'Ount lubllOt to taM (llnl 41 II dltlr.lnld by Ilultlplylnu thl account halancl (llnl 1) bV thl plrclnt taMabl1 (Ilnl 5).
S. tnt,r 'hi total of tn. Ol~tl Ind olductlon' illleu In ~ar( ).
6. The ..ount tUlbl1 Cllnl 6) It dlter,lnld bV subtracting tilt d.btt and dlductlonl Illnt S) frail thl lIount lubjlot to \1M (lInl 4).
7. Entlr thl IPproprl,t, tl~ rate (llnl 71 a. dltlr.ln.d bilow,
A, Trenlf.rs to lineal dllclndantl Including fath.r, .othtr, hu.band, wlfl, Ion, daughttr, grandchildren, .on-ln-"",
dlughttr-lnHlIlrl, .tllPchl1d and th.lr l..uI are tSlCablt at II~ ptrclnt (6%),
B, TI'I","" to all otht" IOOludlng brother, .lltlr, unch, dunt, nlphlw IInd nl.e. art tlllabll 111 flft..n p"nnt IIS;(J.
C, If yoU changl thl \1)( ratl, plusl .puclh your rlhtlonlhlp to thl dlcedlnt In thl arn provided,
a. Thl lIlount of taM due 111nl 8J It d.ttr.lnld by lIultlphlng thl atOllnt talCabl. IIlno 6) bv thl tnM rat. 11Inl 7),
CLAIMF.D DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AlloWlbl1 d.bt. and dlduotlon. arl dltlr.lnld al folloWl1
A. You ltglllv arl rupoOllbl1 for pav..n', or thl u'at. lubJIOt to "It.lnlttratlon bv a Plrlonal rlpru.ntat1\11 It Inlu,fJol.nt
to PlY thl d.duotlblo It.I..
II. You aotualty Plld thl dlbt. 11ftI' tluth of thl dlc.dlnt and clln furnlth proof of pIy..n\'
C. O.btl bllng chl.ltlllult bl It..lud tulh In Part J, If addltlonlll 'P'CI II ntldld, u.. phln plptr 8 112" M 11", Proo' of
pIY.lnt IIV bl rlqu..t.d by thl PA n,partlllnt of Alvlnul,
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-B327,
~1!!\'- '.543 EX AFP (1-911_
COH~~WEAllH OF PENNSYLVANIA
O.::'AnTHEHT OF REVENUE
. BUREAU' OF INDIVIDUAL fAKES
DEPT. 180601
tlARRlS!URO, PA 17128-0601
IY. /'(3 ',{
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21_'I";tol,I'1'
94105955
02-19-94
ESTATE OF RIGGINS
S,5. NO, 197-07-6472
DATE OF DEATH 12-01-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
W ~ SAVINGS
CHECKING
TRUST
CERTIfICATE
REHIT PAYHENT AND fGRHS TO I
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
BLANCHE
WALKER
C/O 407 E COOVER
MECHANICS BURG
BETTY D
ST
PA 17055
FARHERS TRUST COHPANY has provld.d thl DIP"rt..nt with the In'orullon lllt.d b.low which hll b..n utld In c.lcuhtlng the
pot.nthl tax dUI, Th,lr r.cord. Indlcat. that at the duth of the above d.c.d.nt, you WGr' a joint ownlr/bln.flolary of thll account.
If \IOU f..l thl. InfClrut10n 11 Incorr.ct, pl.... obtain wrltt.n correction fro. the flr,anchl Irllt1tutlon, IIttach . COpy to thlt for..
Jl.'.~ ....tll,... 't ... ,"'. lflh"'''1l ..tll'l....... Thl. "'.,....11.... I. t.......I.. 1" rr,.nrrlOll'u'" "It.. '10."1 f"......l....~- T"lV I.,... .., ..." t:'r-.r,,,.~..lt.. "C
o.........'I.,.nl~
Qu..tlon. ..y bl an.wlrld by cnllln; (717) 787-8127.
COMPLETE PART 1 BELOW . . . SEe REVERSE SIDE FOR FILING AND PAVNENT INSTRUCTIONS
Acccunt Nu, l-A89657C Dato 08-15-90
E.hblhhad
10,034.67
16,667
1,672,48
.06
100,35
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESsHENT BAS!D ON THIS NOTIC!
Aocount 81l.nc.
Percent TlXlbl.
AMcunt Subjact to
h' R.t.
Pot.ntl.1 T., Dua
To In.url proper cr.dlt to your account, h'J
(2) copt.. of thh /lotlt, IIUlt ncco.pany your
paY.lnt to th. Rlghtllr of willi. Hakl chick
payablll tOI "RIgI.tlr of Will., Aglnt",
x
HOTEl If talC paY.lnU lIrl lIad. within thr..
C\l 1I0nth. of .J.1ll: . data of duth,
you .ay dedupf ~ 5%crr.coun the talC du',
Any Inner I hncli'"tcnt-otN ICO" dellnqullnt
nine (9l lIonth. IIfhlr the dllt, of dlllth.
T.,
x
mr-'
m
[CHECK J
ONE
BLOCK
ONLY
A. hi IIboVI Inforutlon and tall dUI It corrie\'
1. You uy ehoon to rlllltt pay.ent to thl Reghter of 111111, '11th two eoplu of thlt not lei to obtain
a dhcount or aI/old Intlrut, or YOU 118Y chick bOil ..,," and return thil notice to thl R.gilhr of
Wllh ancl IIn official lI..o....nt will be I..uld by th. rA Dopart..nt of RIVlnUI.
on ')
a. 0 Thl abOVI a...t has bun or will b. reportld and tall pllld with thl PI~y'll1linlll lnt'j8rltanc:'.T'~ return
to bl flhd by the dsesdlnt's roprtltlntatJv..
C. 0 Th. above Infolutlon II Incorrect lind/or d.bh and d.ductlons werl paid by you,
You .Ult co.pllto PART [!] andlor PART [!] bilow,
If you indioet. I d1fflrent tex r.te, pll... .t.te your
relltionship to decedentl
OFFICIA~lJSE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PARr
~
IAII
LINE
Kt. I UKrl . !;UI'I~U I A I ~u~ U~
I, D.t. E.t.bll.hod 1
2. Aooount aellne. 2
5. P.roent Texlbl. 5
4, AMount Subjlot to T., 4
5. Dabtl .nd D.duot!cn. 5
6. Allount Tlxlbl. 6
7, la, R.ta 7
8. Tlx Du. 8
IRA UK ~UlKII IKU~I A~~UUhl~
t'kU
1
2
3
4
5
6_
7
8
DEBTS AND DEDUCTIONS CLAIMED
l'L.
',,"
'".
I,
x
x
PART
[3J
DATE PAID
1
PAYEE
DESCRIPTION
AMOUNT PAID
-~
TOTAL
(Ent.r an Line 5 of Tax Conputltlan)
I
.
,-.-- ~--. -,-
plr jur~, I dlollr. that the
MY k"ow~.dga .nd blll.f,
! (/
i(/ I If. ( ,
faots I hlva r.por
~OME
WORK
J
tru., carreot end
/"('(/~
- '--1- --11--
,~~ (
GENERAL INFORMATION
1. FAILU~E TO RESPOND WILL RESULT IN AN OFFICIAL TA~ ASSESSMENT wllh "pll,.bl. Inlor..1 b...d on Infor..llon
rll,1bII1\ttd by tht 'Inanol,1 In.tltutlon.
Z. Inhtrltanol tile blea'" delinquent nln, lonth. nftu thl dlc'dlntl, dat_ of duth,
3, At Joint account h tllllblt It'.n thOlJgh thl dlCldlntl, nil. wal added II II ..tt.r of convlnllncl.
~. Account. Onoludln!l tho.. held bit",.." hUlb,nd .nd wlf,) which thl dlCldlnt put In joint n.... within on. yllr pr'or to
d.,th Ir. fullv tllllbl. II trlnsf.rl.
S. Accountl "tlblhhed jolrltlY blt",..n hUlblnd and wlh lor. thIn ont vllr prlor to duth et. not tlll,bl,.
6. Account. held bV a dlcldent "In trult for" anoth.r or ath.t' Ir. tllC,ble fullv.
REPORTING INSTRUCTIONS - PART
1
- TAXPAVER RESPONSE
1. BLOCK". If the lofor.e'lon and co~ut.tlon In thl notlcl ar. corrlet and deductions .r. not being ol,I.,d, pllOl In "K"
In block "A" of Part I of thl "Tallpavlr Auponu" lIotlon. Sign two cop I.. and .ubalt th.. with your chick 'or the aaount of
t'K to th. R.gl,ter of WillI of thl county Indlcat.d. Th. n.part..nt of R.Vlnu. will 1"uI an offlol.1 ".......nt
(Fora REV.lS4a E~) vpon rlcllpt of thl Rlturn 'rol th. R.~l.tgr 0' Will..
t. BLOC~ B ~ I' the ...,t .plclflld on thl. not lei h.. blln or will bl rlportld and taM paid with thl Plnnsylvlnll Inh.rltanc.
TaM R.turn fllld by the dlcldlnt'. r.prl'lnt,tJv., placl an ..~.. In block ..~.. of Part 1 0' the "ToMPay.r R..pon.... ,.otlon. Sign on.
COpy and r.turn to the PA DIPlrt.lnt of Rlv.nu., Bur..u 0' Indlvldu.1 T.M.., nlPt 280601, H.~rllbur~, PA 11128-0601 in thl
.nvIlop. provld.d.
:ll:':~ C . If th'" r..,t'r.& I..f....~...l.... I, .~......"..~t ~..o:I/.... r1~~nt'tl(l"' IIr. b,lnCl cllll..d. ehlck. block. "C" and co-.pl.t. PerU 'I tlnd ]
ICcordln~ to thl In.truotlon. b.low. Sian two cop II' Bnd lubalt th.. with your chick tor thl ..ount of t'M ply,bl' to thl Rlglltlr
0' Willi 0' the county Indlcat.d. Thl PA Dlpartllnt 01 Rlvlnu. will I"ull lln offlclll ........nt (For. kEY-15411 E~) upon recllpt
of thl r.turn fr~ the Rlgl.t.r 0' Will.,
TAX RETURN - PART
2 - TAX COMPUTATION
LIHE
I. Ent.r the d.tl thl llCCOunt orlQlnllllY w.. I.tllblllh.d or tltlld In the aann.r 'MI.tlng at dati of dlllth,
HOTEl For a d.c.dlnt dying afUr 121121821 Accountl which the dlcad.nt put In Joint n.... within ani (1) yur of death Ire
tlKabl. fulli II tranlf.". HOWIVIr, therl It an aMolu.lon not to 8lCclld 13,000 ptr trrm.hr.. rt~ardle.. of the valu. of
thl .ocount or thl noab.r of account I held.
If . doubl_ ..t.rl.k (MM) applar. blfore your flr.t na'l In thl addrl" portion of thJ. notle., th. 1],000 eMolu.lon
.Ir.~y hal b..n d.duot.d fro' the account blllanea al r.portad by thu fln.nclnl In.tltutlon,
Z. Ent.r thl total b.lllncI of thl Iceount Including Int.rl.t accru.d to the dati of dlath,
]. The pero.nt of the .ccount that It tallablt for ..ch .urvlvor It d.ter.Jnld .. follo"I'
A. Thl p.rc.nt taxabJ. for joint a"lt. I.tabll.h.d lorl than on. y.ar prior to the d.cadlnt', dlath,
I DIVIDED IV TDTAL HOHlER OF
JOIHT OWH€RS
EXIIPI.1 A joint al..t r.gl.tlr.d
OIIJIDED BY TOTAL HUHBER OF K 100 . PERCENT TAKABLE
SURVIYING JOINT OWNERS
In the n... of thl dlCldlnt and two pth.r p.rlon..
I DlylDED av ] (JOINT OWNERS) DIIJIDED BV Z (SURIJIIJORS) . .161 ~ 100 . 16.1% (TAKABLE FOP. EACH SURVIVOR)
B, Thl Plrc.nt t.x.bII for a...t. cr.ltld within onll YI.r of thl dlo.d.nt'l d.ath or lleeount. ownld by th, d.cld.nt but hlJd
In trult for .nother Indlvldulll.) (tru.t bln.flolarl..),
1 DIVIDED IV TOTAL HUHBER OF SURVIVIHO JOIHT
OWNERS OR TRUST BENEFICIARIES
K 100 . PERCENT TAXABlE
ExallPl.l Joint .ccount re~ltterld In the n... of the dlc.dlnt and two other perlon. llnd ..t.bl1th.d within on. Yllr of d.ath by
thl d,cldtnt,
I DIVI~D av 2 UURYIIJORS) . .50 ~ 100 . 50% (TAXABlC FOR EACH SURVIVOR)
~. Th. a.ount .uhjlct to tax (lln. 4) II d.tlr.lntd by lultlplylng the account belllnc' (1In. Z) bV the p.roant taxabl. (1In. 3),
S. Entlt tha totll of the d.bt, and d.ductlonl lUted In Part 3.
6. Th. NOUnt tlxablt (I1n. 6) It dlhrlllnld by .ubtrlctln~ the dlbts and dtductlon. (lln. 5) fro. the a.ount lubj.ot to tax (Un. 4),
7. ~nttr thl approprlat. tax rat. (lint 1) II dlt.r.lnld bll~w.
A. Tran,f.rt to I1n..l d..c.ndantt Including fathllr, aother, husblnd, wlf., .on, daughter, grtndchlldrtn, lon-In.hw,
dIM1;hter"ln-ltw, ItlpchlJd and th.lr IlIu. art t.lIebl. at .tx percent C6Xl.
I. Tran,'.r. to all oth.r. Including broth.r, .I.t.r, unoll, aunt, nlph.w end nl.c. Ir. taxabll at flft.ln Plrc.nt (15%).
C. If you changl thl taM rat., plla.1 sp.oJfY your r.l.tlon.hlp to the d.cldlnt in the ar.. provld.d.
a, Tht ..aunt of t'K due (1In. 8) Is d.ter.ln.d by "ultlplytn~ the ftllount taxabll (Iln. 6) by thl taK r.tl (lint 1),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allow.bll d.b~. llnd d.ductlonl .r. d.t.r.lnld al follaWI'
A. You leglUY Jr. rUPolI.lbll'l for pIY.lnt, or the ..tah ,ubj.ot to Idllnlttration by I plrlonll rtpr..lntIUv. It InlufficJ.nt
to p.y the dlduotibl. It..,.
I. You .ctu.lly ~.Id thl dlbt. eftlr dlath of thl dle.d.nt and can furnl.h proof of pay..nt,
C. Olbh b.lng clal..d IIU.t bl Itulzod 'ully In Part 3. If ftddlt10nlll .p.c~ It n..dld, UII plain paper a 1/2" x II". Proof of
PIYllnt .ay bl r.qullt.d by thl PA "IPart..nt of Rlv.nu.,
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER IIlFORHATION OR ASSISTANCE, CONTACT ANY
RtGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327.
,.'
,
";' .,', .,,. '.. .' ~.' .... .
~
- -....--. --.---. - ---. -... ..-..- - - ..-- --- .-.-.. -.-- ..--
._-~ ,... -. -~.-. .-- .-.. ..- ,-- -- '--' .._~... --- -..-. - .-- ---.'-
Vernl D. Pitton
407 B. Coover Street
Meohlniolburg, PA 17055
& ACN
ASSESSMENT m AMOUNT
CONTROL
NUMBER
U1M9!12 . 147.110
RECEIVED FROM,
"
'OIOHW
ESTATE INFORMATION,
fa MIIR
EJ
II
B ~.I'Y :J8, U94
Ibnoh.
w.
"
N
1993
fa TOTAL AMOUNTPAID _ti'l ~ 110
REMARKS
8. 8. '197-07-6472
SEAL
//
(/
RECEIVED BY
REGISTER OF WILLS
,
-~--~~---------------
-----"""'"--r,-----r"
, t .l
\,
, ,
I'"
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I ~,
!
f" .
..... ......-
..~..,...".:-'....-.~..,.~ UJ r~ ~....",..,\
f ' ~ :
.. 'tJ-.'
"
~. ..,. "7"'.... "..............,
"~
'4
,
\-- - _. -, - - -'.- -,-- --- -- -". -....:. '-'- -.. -.., -.,.. --. -, -.: --' -- -- - - '-'-":' '-. - _"_ __, I
;', '~/i',':,' ,.'.(.,l"~"l ,':'r/"l~(;'-:.;\\ ~:~I':1'..i;h;'~~:~;' {~,~}.\tt\1i~., '~\':{,t:,it;\I"'i;~:J':,,;i;:';" \,ih7:,.l'; li";i;f:I"~-'\. ~-"'i,.J ,~, .,h)I','t''''lli,~~:';~',?,~;:i,r:;'::'
':/\,-,,::;l,~; "':::,1 ''-:;" ",~~' , '\',1(:;\:1(1 "
1"."I,.t .'..'! ~,..I.". .{, ,,,,).,,,1'. '."'",1.".. ,11\ .'1..... I'."'."'" '.1'1,' '! Il,.),,,,,~. '\\.i '..'/." ,..,.,I..l"\I,,. (I t.\N.C'l"l'l'l 'j".' i:'j ".i~,.r, 'It \.""W.f.I,.,;,.\t~...U..
: -'I';; '.'j".' '~' ,.W. .'" : ,r ".
. "''l''I;'I''''\''~!"I'''''''''1'J'' I" ", 'I' ',' 'I' '," "./' l'\W("U'~f'lj'i\"''''''^''\Y'~'' T
'1\'\1:'" ('ll~ ;\~';'''':;''l:l~~l:: ,'I~:\l;I'l"I.\. ~,!bb+I'I\.\1t,.! 1:'l:'!'IM'I'\J;,\i'il\1ilA~{\., ~; ("K~1. 'Ii/li "'r~~ !.)~.~ Mi h . '" . . '1,l
"''''''('';'',''I':"~,'' '.~',,\';:..r~hi'.A'.\.I'''' ,~, lIt" i "",",1.'. '.1 ,kwhl\) " 'R I"". ,~.W' 'W ;" ,f~,:I.;~ ,.' '."
. ':'i!X':! '$!j,'!Jl;!;,t>' ',' 'iiL~~ .::,!!>>/"Jf\i<h;',,\ ~,!,~.,~4.~J\1",',1;" .', .,.," "I
. : ",..!" '0":"""';";:":"\" '" "'.":'~,l ~;., fA,dJj"" ,;iJ,\,,,\\,lili"l~,t,.. '" ~".'.k",ml';I;.I","<'" "r!j\.I)I\j>;;\'>.o!I.''''fi'~!!.''h~'(lI."..;'\,'i.1!..l:\,j.l~,i''::I'' ,I\>!'l~l,~,v
--,-- -~ -~
RECEIVED FROM:
&
ACN
ASSESSMENT 'l'
CONTROL 1:1
NUMBER
AMOUNT
Ve~1 D. Pitton
407 I. Coover Street
Meohlnioeburg, PA ,17055
9UO!l9!1!1
-1115.33
~
.-
^
'ebrulry 28, 19114
rebrul
23, 1994
Cualberlend
December 1, 11193
REMARKS
8. 8. 1197-07-6472
II TOTAL AMOUNTPAID _ $95.33
SEAL
REGISTER OF WILI.S .
""'""'..,.... - - -'......., - -.- .......,.,... --,.. - .-. '--;-I, ..._, .~.- ..".. .'_".__' _ _._. _.'_ _, __. _.. _ __..,_ __ ~,_ __ __.
' ,
I'.
!
,I
"
c.
..............-
, I. . H...,., ~'__,_,..........~ I~ ."AI. ";t... I).
,I '
'"
.......,.
\.
"
PUllPO.E Of
NOTICE 1
To fulfill the r.qulr...nt. 0' 'lotion 21~O of the Joh.rltlnol end Elt.t. TIM Aot, Act ,22 of 1991. (72 P.'.
...tlon Z1401.
PAIlENT 1
Dttach the top portion of thll NoUet end subalt with your Ply""t to the AIIIIshr 0' "'1111 printed 011 the
rIVlr.. .Ide,
~~ HMt ahlck or IIOMy order pIyabl1 tOI REGISTER OF WIllS, AGENT.
AU PIYMnt. r.celved ,hill fir" bt applied to I"Y Intlr..t which IOY b, dUI, with tny rHII.,dtr applied to the tu,
REFUND etR)l A r.fund af I tlM cr.dlt, which W'I not r.qullted on the tlM return, ..y bt r,quI.ted by cOlplttlng In "Appl1cltlon
for R,fund of Plnn.vlvanl, Inherltlncl and Eat.t. riM" (REV.1'1]), Appllcltlon. Ir. ovalllblt at thl OfficIo'
tht At.II"r 0' Willi, eny 0' th, 25 Revlnul Olltrlot Of'lc,. or by cll11ng the aplclet Z~.hour .nlw.rlng ..rvlol
~r' far far.. arderlngl In P,nn.vlvanl. 1'eOO~16Z~20S0, out.ld. P.nn.vlv.nla and within 10011
Harrllbur. .r.. (17) 187~a09", TOOl (7J7) 712~22SZ (H..rlng l.pllred Only),
DIJECTJOHSI Anv p.rtv In Int.r..t not ..tl.fl,d with the IPpr.II..,nt, .llowanc, or dl..llowlnol of dtduatlonl or ".."..nt
of tlK (Inoludlng dl.count or Intlrllt) al .hawn c~ thlt Hotlce ..v obj.at wlthJn .I~tv (60) day I of r,cllpt of
thll NoUn bYI
"written protllt to thl PI. Dlp.rt..nt of R.v.nuI, Ilaard of ApPllll, Dlpt. 281021, Herrllbura, PI. J7124-1021, OR
n.leottnv to h.v, the .eUllr dlterllnld Jt the ludlt of the aaoount of the perianal r.prenntatlll', OR
-'Iwell to thl Orphan.' Court
AllHIN-
I'TRATlVE
C_CTlM,
FlatUlI .rrart dllcov.r.d on thl. I,'..,..nt should bl .ddr....d In writing tal PI. P.p.rt..nt of R'v,nu.,
lurllU of Indlvldull TIK", ATTHI POlt A.......nt R.vl.w Unit, DEPT, 280601, Harrl.bur., PA 171Z8-0601
Phone (711) 7'7~6S0S, S.. Pit. 1 of the bo~klet "In.tructlon' for Inh.rltanc. TeK R.turn for a Ruld.nt
Decedent" (REV-1SOI) for .n 'Mplan.tl~n of adllnl.tr,tlv.lv eorr.ctabl. Irrar.,
OI.COUNT I
If MY tel( due h paid within thr.. (1) a.hndar eanth. Ifhr thl dlcldlnt'l d.-th, . flv. p.rclnt (S~)
dl.aount of the t'K paid I. ellowld.
INTEREST.
lntlr..t I. eh.rg.d b..lnnlng with flr.t dlv of d.llnqu.ncv, or nln. (9) .onth. and ani (1) dlv
frol tM det. of d..th, to the date of p.y.ent. TlMII which b.c... dlllflqu.nt befa,. J.nulrV 1, 1912
b.tr Int.r..t at the rat. of .IK (6~) p.rclnt plr annul c.leultt.d at a dallv ratl of .000164,
All '11(11 which ble... delinquent on or .fhr Janulrv I, 1982 w111 bIRr Interl:.t .t . rlt. whleh will verv frol
C:lllnder v." to e.llnd" vnr with th't rate aftnounc.d b~ thtl PA Dlpart..nt of R,vlnu., Th. appl1clbll
Intlr..t r.t.. for 1982 through 199~ ~rll
I
I
,
i
'WI: Int.r..t R.tl Dilly Int.,..t Faatar UIr Inter..t Alt. D.ll\1 Inter..t F.ctor
1912 20X ,000541 1916 lOX .000214
1'15 16X .000451 1911 9X ,000241
1914 IU .000301 1911-1991 11:< ,000301
1915 llX ,0003Sb 1992 9X .000241
1995-1994 IX .000192
--Jntlr..t I. c.lculat.d ,. followlI
INTERElT . BALANCE DF TAX UNPAID X NUHBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
4~Anv NotlCI I..~ 1ft" the taM b.eo'lI dellnqulnt will rtfhet In Interllt e.lculatlan to flft..n (15) din
blvond the d.t. of the .I......nt. Jf ply..nt I. .,d. .ft.r the Int.rl.t ea.put,tlun dlt. thoNn on thl
Hotlc., addltlonll Intlrtlt .Ult b. c,lcul,t.d.
PUR90IE Of
flOTlCE,
To ful'III the r.qulr...ntl of S.otlon Zl~O of the Jnh,rlt.nc. Ind E.tlt. Tlx Act, ~ot 22 0' 1991. (72 P;S.
St.llo. 21401.
PAVIlEHT,
OttlClh thl top portion of thll HoUel Bnd tub.1t with your Ply..nt to the Righter of NUh pr Inttd on the
rIY,r.. tld',
.. Kek. ch.ck Dr .onev ordu Ply.blt tOI REOISTER OF WILLS, AOf"HT,
All ply.."t. rlellvld Ih,ll flr.t bt .ppl1.d to any Int.r..t which lay b. du., with any r"'lnd.r appll.d to thl t.x,
REFUND (CR II
A r"und of . tlX crldlt, which "'I. not r.quI.ttd on the tax r.turn. .ay bt r.quI.ttd by cOlplttlng In "Applloatlon
for R,fund of P,nn.vlv.nla Inh.rltancl IInd Eltutl TalC" (REV~U13). AppllcltJont art a"'IUlblt at th, OffiCI of
th, AIgl.t.r of Will., any 0' the 2S R.vlnu. DI.trlct Offlc,. or by e.l1lng th, 'Plelal 24.hour an,wlrlng .arvlel
nuMHlr. for for.. ord,rlngl In P,nn,Vlvanh 1-800-362-2050, out.ldl P,nn.vlvtnh and within 100tl
HtrrllbUrg Ir'" 017> 1a7-809~, TOOl (11) 112-2252 (Hurlng IIpair.d Only),
OIJECTIOHSI Anv plrty In Intlr..t not .atl.fltd with thl ~ppral,c'.nt. .llewlncl or dl..llowanc. of daductlon. or ........nt
of tlX (Including dhcount or Int.ruU as .hown on this Hotlcl .av cbj.ct within .lxtv (60) din of r.c.lpt of
thll Notle. bVI
--wrUten prot..t to thl PA Ol,.,utlllnt of Rlvlnu., Board of App..h, DIPt, 281021, Harrhburg, PA 17128-1021, OR
--'hotlng to hlvt tht ..tt.r dllt".lnld at 'hi audit of thl aocount of tt-. p.r.onal r.pr.untatlv., OR
".".11 to the Orphan.' Court
Ao.~IH'
IITRATlVE
CORRECTIONSl Factull Itror. di.cov.r.d on thl. ........nt .hould bl oddr....d In writing tal PA Dlpart..nt of Rlv.nu.,
Bur.au of Indlvldull Tlxu, AnN I Po.t h......nt RIVtlW U"It, OEPT. 280601, Htrrlsbul'g, PA 11121-0601
Phonl (717) 1a7-6S0S. S.. p.gl 3 of thl bookl.t "In.tructlon. for Inhlrlt.nc. Tell R.turn for a Ruldlnt ,
Dlcedlnt" CREY-150lJ ff)r an .xpl.natlon o' ad,lnlttt.tlvllv corrtct.bl. ,rror..
DIICWlT,
If anv tlx dUll Is paid within thru (]) c.hnller .on\h. Ift.r thl d.c,d.nt'. d..th, a flv, perctnt (5;0
dl.oount of thl tax paid II allch.d.
IHIEIlUT,
Intlt..t It chargld blglnnlng with first dav cf dlllnqu,noy, or nlnl (9) 1I0nthl and onl II) day
'rOll the dlto of duth, to the d." of pav'lnt. TIIx.. which blcu, d.lInqulnt b.far. J.nutrV I, 1982
belr Inter..t It thl rat. a. .Ix (6iO parellnt par annul cllcul.tld .t a dlllv r.t. of ,000164.
All tlXII which b.o... dllinqu,nt on or afllr Janulrv I, 1982 will bear Intlrut It t rat. which ifill varv frol
Ottlndtr y..r to cal.nd.r v..r with thlt r.tl 'nnounc,d by the PA DIPart'lnt o. R'Vlnu., Th, appl1clbl1
Intlr,.t rNt.. 'or 1982 through 1994 .rll
nu 'n\lrllt Rlt, Dally Int"..t FlUltur nu Intorul Rah Dallv Int"ut File tor
1912 /0% .000548 1916 10% ,000274
1915 16% .000011 1911 9% ,OO02H
19.. 11% .000301 1988'IlJQl 11% ,ooom
19as 15% .000356 1992 9% ,000247
1995-199' 1% .000192
--Intlr..t It cllcul.tld .. folloHIl
.
INTEREST . SALANCE or TAX UNPAID X HUHAER or DAVS DELINqUENT X DAILV INTEREST rACTOR I
--Any Hotle. 1..Uld .ft.r the tlX blco... dlllnqulnt will rltllct ~n Int,r,.t c.lculltlon to fl.t.ln (IS) day.
blvond tha dl" of thl ........nt. If ply,.nt " ..dl afhr thl InttrDlt co,putaUon dati .hown on thl
NOtlCI, .ddltlonal Int,,"t 'Ult b. c.lcullhd,
I'\JR1lOSE Of
NOTICE'
To fulfill thl requlr...nt. of Station 21_0 nf tht INltrltlncl Ind'fttat. TIK Aot, Aot 22 of 1991. (72 P,S.
s..tlon 1I~0l.
PAVHENI,
U.tlch the top portion of thll HotlC. and IUb,1t with ~our Ply..nt to thl Rlght,r of 14111. prlnt.d on the
rlverl' .Ide,
~. Hlkl chick or lonlY order PIY'blt tOI REOISTER OF WILLS, AQEHT,
All ply.."t, r,cIlvld .hall first b, Ippl1td to 'MY lnt.r..t whIch "Y b, dUI, with any r...ln~.r 'PPIJ,d to the tftM.
REFUND ICRII
A r.fund of . tlM crldlt, which WI' not r'~UI.t.d on thl tlM r.turn, lay b, r.qultttd by cOlplttlng an "AppllcltJon
for R.fund of P,nn.vlvlnll Inh,rltanOI and E,t_t, TIM" (REY-1SI]), Application. ar. IVII1,bl, at the OfficIo'
thl Rlgl.t,r of Willi, tny of thl 23 R.Vlnul Dlltrlct Offlc.. or by calling thl .p,el,1 Z4.hour ,n.w.rlng .,rvlee
nullbtr. for for..orderlngl In penn.vlv.nl. l'IOO-'6l~ZOSO, outlJd. Penn.vlvanl. and within loeel
Harrhburg .r.. (717) 757-1094, rooll (717) '11Z-2ZSZ (H..rlng htp.lrlld Only),
aBJECTIONSl AnV perty In Inter'lt not latl.flyd with th. apprall.a.nt, .llowlnc. or dl..llowane. of d.ductlcnl or ........nt
of tlK (Including dllcount or Int.r..t) a. .hown on thl. Notlo. 'IV obJ.ct within .Ixty (60) dlV' of r.ellpt of
thit Hot 10. by I
."wrltt.n prot..t to the PA D.p.rt"nt of Rlvlnu., loard of ApPllh, D.pt. 211021, Herrl.burg, PA 17UI'I021, OR
...hotlng to hlVI thl ..thr d.tlr.ln.d at th. Iludlt of thl aocount of thy parlonllll rtpr...ntet1vI, OR
"apP1l1 to th. Orphan.' Court
AOIUN-
ISTRAIIYE
C m:Rt: en ONS ,
Faatu.l .rror. dl.cav.r.d on thl. a.......nt .hould b. eddr....d In writing tal PA DIPlrt..nt of Rlvlnul,
Bur.au of Individual TaxII, ATTNI Po.t Allot...nt R.vlew Unit, DEPT, Z10601, Hlrrhburg, PA 17121'0601
Phon. (717) 787-6505. S.. pig. 3 of thl bookl.t ~Inltruatlon. for Inh.rltlnal TaK Return for a R.lld.nt
Dec.dlnt" (REV-ISOl) for an Ixplanatlon of adllnl.tratlvlly corr.etablt Irror..
OISCOUlT.
If tny t.x dut I. paid within thr'l (~l c.llndor .onth. .ft.r the d,cld.nt'. d.ath, I flvl p.ro.nt (SX)
dl.count of the taK p.ld I. 11Iow.d,
INIEREST.
lnt.r..t I. ahlrg.d b.glnnlng with flr.t day of d.1Inqu.nay, ar nlnl (9) .anth. and on. (1) dlv
'rOIl thl date of dlllth, to thl date of pay..nt. YaK" whioh b.e... d.lInqu.nt b.for. Januarv I, 19U
bllr int.r..t at the rete of .ix (6X) p.rc.~t p.r Innu. celculet.d et a dellv retl of .000164.
All hKIt whloh b.ea.. d.Unqu.nt on or aft.r January 1, 1912 will bear Intar..t et . rat. which will vary frat
olllnd,r veer to cal.ndlr y..r with that retl ennounc.d rY th. PA Dlpart'.nt of R.v.nUl. Thl .ppllelbl.
intere.t r.t.. for 1912 through 199. Ir.1
'tW Inhr..t Rite Dlllv In1lrl.t f~ 'tW Interut Rlt. Dlilv Intarut Faatar
1.11 tOX . 0005~1 1.86 10% ,ooom
I.IS 16X ,OO041O 1987 9X ,000147
1.84 llX ,000501 1981'1991 llX ,000101
1.0l UX .OD0556 199Z 9% .000147
1993'1994 ]X ,0001'2
"Inter..t I, c.lcullt.d e. follow'l
INTEREST ~ SALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
w-Anv Hotlc. t..u.d Ift.r thl teK b.eol.. dlllnqu.nl will r.fll~t an lnt.r"1 cllculatlo" to fl,t..n (lS) dlV'
b.vond the date of thl ........nt, If Ply..nt I. ..d. eftlr the Intlr..t COlputltlen d.t. .hown on thl
Hotle., Iddltlanll Int.rl.t .u.t b. ollcullt.d.
,
'"
,
"
PURPoSE Ilf'
HOTlCE.
To fulfill Ih. "qul,_nll of Stoll.. 2140 of Ihl I""orllon.. ond E.IU. T.. A.t, A.I 22 of 1991. (72 P.S.
h.llen 21401.
PAYHEHT.
D.t.oh the top portion 0' thAI HoUc. IInd aub.1t with your Ply""t to thl Righter of Wilh printed' en tM
r.v.r.. .Jde.
u Hlkt check or lon.V order plvlbh tOI REarnER OF WILLS, AGENT.
All P.v..ntl rec,lved .hlll first b. IPPll.d to any Intl,...t which "ty b. dUI, with Iny r...lnder applied to thl till,
RfFl.110 (CRll
A r.fund of . tllC or.dit, whloh "II not r.qu..tld on tkl tile r.turn, ..y b. ".quuttd by cOlpl.tlng In "App1!ooUon
for R,fund 0' P,nnly!venh Inh,rltano. and Eltet. TalC" IREV-U1S), ApPllcltlon. Ir. IVIAlIbl. It tM O"'c. of
thl R"..t.r of Willi, any of the 23 Rlv'nul DI.trlot 0"10" or by Dilling thl ,plolt. 24.hour In.w.rlng ..rvlo.
nu.btr. for for.. ord,ringl In Plnn'vlv.nl, 1-800-362-2050, outside Plnnly!",."I, and within 100.1
H.rrhbur. ar.. (111) 1114101)4, TOO' (717) 172w22S2 (Hllrin. lap.lred Dnb).
OIJl!CTtOHS, Any pertV' In Int"..t not ..tI.fbd with the .pp"llI.."t, tUowlnCa or dhtUowene. of dlduotlon. or ........nt
of t.x (Inoludlne dl,oount or Int.r..t) al shown on thl. Notlo. .'V' obJ.at within .IMty (60) dlv' of r,ollpt of
thh Hqt1ce bv,
-wwrltt.n prot..t to the PI, D.part..nt af R.v.nu., 10lrd of ApP.II., Dlpt. 211021. Harrl.burg, PI, 1712aw1021, OR
-wllloUng to hlv, tha .,tt.r INter.ined at th, audU of th, .ocount of the plr.onll repr...ntatlv., OR
-w."..1 to the Orphan.' Court
ADHIHo
IITRA T1YE
CDRRfCTlllfIS.
F.atu.l .rror. di.oov.rld Pn this ........nt .hould bl .ddr....d In writing tal PI, Oeplrt.lnt of R.v.nu.,
lurnu of tncUvhtual T'M", ATTNI Pc.t A.......nt R.vbw Unit, PEPT. 280601, H.rrhburg, PI, 1112lw0601
Phone (717) 717-6505. Stt PI" S of thl bookltt "In.tructlon. for Inherltlnol TI. Return for I RI.ld."t
DlClldwlt" (REV-150U for In .xplanatlon of Idllnlttrltlvlb aorr.ottbll errOrl,
OISCWlT.
If tnv tlx due I. plld within threl (1) callnd.r .nnth. .ftlr the d'cedlnt'. deathl . flv~ pero.nt (IX)
dlsoount of tl1. tlM paid 11 .Uowed.
IHTEREST.
Int.r..t II oh"ltd beginning with flr.t dav of dlllnquencv, or nine (9. .onthl Ind Onl (1) dlY
fra the date of d..th, to thl date af plV'.nt. 1IxII which bla..e dlllnquent before Jlnuarv 1, 1912
blar Int.re.t .t thl r.t. of .IM (6~) p.ro.nt plr annUl oalculated It I dilly r.t. of .000164.
All t.MI' which blae.. dtllnquant on or .ftlr J.nulry 1, 1912 will bI.r Int.r..t It . r.t. whloh will v.ry frol
clllndlr vllr to o.lend., Vllr with th.t rat. announc.d bv the PAt Depart""t of R.ytnul. Thl eppllolble
Inter..t rat.. far 1912 through 1994 "I'
'tar In'-r..t R.t. 0.11... Inbr..t F.chll' 'tar Int.,.U A.t. DIIlv Int.r..t F.atar
1912 20X .00054S 1916 lOX ,000214
1915 16X .000658 198T 9% ,000261
19" IIX .000501 1918-1991 IIX .000501
1915 UX ,OOO!56 1992 9X ,000261
199H 996 n ,000192
-wlnt.r'lt I. olleul.tld I' folloWl1
INTEREST n BALAHCE OF TAX UHPAIO X HUHIER OF DAYS OELIHQUEHT X DAILY IHTEREST FACTOR
~.Anv Hotlo. l'luld .ft,r the tlM b.eo... delinquent w'll rlll.ot an Intlr..t aaleulltlo" to fltt,.n (15) dlVI
bevond the dltl of the ........nt, If Ply..nt Is tide .fter thot Inttrllt o04lput.Uon dati .hown on the
HaUe., IddHlonl1 Intarllt lU.t bt clleulttld.
P\.llPDII Of
NOTICE,
PA\'IENT'
REFUND (CRIo
OUCl1011S,
ADIlIN-
TSTRAl1l'E
CDflREC110NS I
OIlClItJIlT,
TNTERESTI
'1;
,"
To 'fulfill thl rlqulr...nt. of S.eUon 2UO of thl Inh.rlt.not and E,t,t, TI. 'Aot, Act ZZ of 1991. nz P,I.
ItoUon lllDl.
o.tlch thl top portion of this HoUet and ,ubtlt with your ply..nt to thl Rlght,r of willi prlnt,d on thl
Nlver"t lid,.
-~ MM' chick or l(lntV' ordu pIY'blt tal REGISTER Of WILLS, ADENT.
All plWHnt. r.celvld .hlll Hr.t bt .ppU,d to "MY lnt.r..t which ..y bt dUI, with tny r...lndtr I",plt.d to thl tlX,
A r.fund of OJ t.)( ortd1t1 which w.. not requuttd on tht tlIC r.turn, ..y b, ,.quuted by cOlplttlng In "AppllclUon
for R,fund 0' Plnn,vlvant, Inh.rltlne. end Eltet. TalC" (RE~.UU)' App1!elUonl Ir. IVll1ebll It thl OfficIo'
the Regllt,r 0' Willi, any of thl U Rlvlnul Dhtrlot OfUcII or by ClUing thl ,plol,1 24-hour .nlwlrlng ..rvlol'
nueblr. 'or for.. ordlrlhVl In ~lnn.vIY'nla 1~IOO-56Z.Z0S0, out.ld, P.nn.vlvlnte end within loc.l
Htrrhburll .r.. (7)7) 717-I09lt, TOO' C7l7) 712-225Z (Hllrln; I11palrsd Dnh),
Anv p.rtv In Intlr..t not .ethfled with thl .pprah"lnt, .11ow.nell or dl..Uowlncl of dlduotlon. or ........nt
of tllC Clnoludlng dhoount or Inttr..t) II .hown on thl. Notlc. .av object within .hety (60) dl~' of rsollpt of
thll Notice bv I
.~wrlttln prota.t to the PA O'Plrt.lnt of R.venua~ Baird of ",PPllh, Olpt. 1.810Z1, Harrl'bur~, .?A 1712'-1021,
",llctlng to hay. thl titter dltlr.lnld .t the ludlt of thl account of thl ptr.on.l rlpr"lntltlv., OR
--.,..1 to the Drphln.' Court
PeotuIl .rror. dl.cov.r.d on thl. ........nt .hould b. .ddr....d In urltSn; tOI PA O.part.lnt of Alv.nUl,
lur.eu of Indlvlctull TlMI', ATTNI Po.t A.......nt A.vl... Unit, lJEPT. 280601, Harrltburll, PA 11UI-OUl
PhON (7171 717-6505. S.. r.gl 3 of thl bookl.t "In.truotlon. for Inh'rlhn~' TIM Rlturn for I Ruld."t
Dlc.dtntft (REY-ISO!) fo~ an I~plan.tlon of 'OIlnlttratlvllv corr.ctabl. .rror.,
11 anv till dUI II plld within thr.. (1) cal.nder _onth. efter thl d.ced.nt'. dlllth, a flvI p.rc.nt (S~)
dhcount of the t.~ p.ld It altow.d.
Int.re.t I. chlrg.d btglMlng with first day of d.lInqu.ncy, or nln. (9) tonth. Ind on. (1) cilV
frol thl d.t. of dnth, to the dati of P'YII"t. h)CII which blc..e d.1Jnqulnt blfor. January 1, 1912
blar Inter"t It the rite of the (6iO peretnt p.r InnUI c.leulltld et I dilly rlt. of ,000164.
All ttWII which bee... cltlinquent on or .ft.r JanulrY 1, l"Z wUI bur Int,,"t ftt a rlt. wh1ch wUl VtrV frol
calandtr ylftr to cllandllr Yllr with th.t ,.t, Ilnnounced b~ the PA Otpart..nt of Alvanu.. Thl flppllolbl.
Inter..t rat.. for 1982 through 1994 arel
(I
UII: Int.rut A,t. D,I111 Inter.lt Flctor UIr Inter'lt Rite Dollv Intlrllt Fftotor
19&2 ZOX ,00011& 19&6 lOX .ooom
19U 16X .00015& 19&7 9X .000241
19&4 I\X .0005Ol 19&&-1991 llX ,000101
19U UX .000156 199Z 9X .000241
1995-1994 7X ,000192 f~
"-lnt""t I. caloulatld .. follow'l
INTEREDT . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINqUENT X D~ILY INTEREST FACTOR I
~"Anv HoUc. ll1ued Ifter thl ta~ baoo... dtUnqulnt will refllct .n Int.rut caloulltlon to flftnn (1) dl~'
beyond the date of thl ........nt, If paY.lnt It ..d. Ifter thl Inter..t co.putatlon dlt, .ho..n 011 tha
Notlca, addltlon'l Inter..t .,ut b, clleul.tad.
PtJIlPOIE Ill'
HOTlCE.
PAYIENT.
REFUND ItRl.
"
To fulfill thl requlrenn'. of StoUon 2\40 of thl JnhtrltlllMI and Elte" TIIC Aot, Aot ZZ of 1991. UZ P,S.
I.ollon Zl'Ol.
Otitaoh the top portion of 'hll NoUCI and tub.it wlth your pay..nt to thl Righter of Will. pdnt.d on thl
rlv.r.. "de.
.~ Hlkl check or .ontV ord.r ply,blt tal REGISTER OF WILLS, AGEHT.
All ply.."t. reollVld .hlll f1rt' bl appll.d to ony lnter..t which .ev bl dUI, with any r..tinder applied to the taM.
A refund of . 'ex arldlt, which ~'I not requ..ted on the tlM return, lay bl flqU..ttd by coaplttlnA In "Appllcltlon
for R,fund of Plnnlvlvlnll Inh.rltancl and E,tatt TIM" (REY-ill]), Applications Irt avallebl_ at the Offlcl of
the'RlGht.r of Will., any of th_ 21 R.y.nuI Ohtrlot OffiCII or by call1n; the llplclal Zit-hour anlwlflng ..rvlcl
OUIIbtr. for for" ord.rlngl In p.nnlYlvanla 1"800-56Z-Z050, outllda p.nnlylvanla and ulthln 10011
Harrltbur. ar.a (717) 787-80'4, 1001 (717) 77Z-ZZ5Z (H..rlnglllPtllr.d Only).
DIJECTIOKI. An. p.rt. In Int.r..t not ..tl.fl.d ,Ith tho .p.r.I....nt. .llo,.no. or dl..llo,ano. of d.duotlon. or ........nt
of tax Unoludlng dltcount or Intarut) .. .hown on thlt NoUe.. ..v objtct within .hctv (60) dlllV' of r,cllpt of
thltHoUCI bVl
--,rltten .rot..t to tho PA D...rt..nt of R.v.nu.. So.rd of A,...l.. D.,t, 211021, H.rrl.burg, PA 11121-IOll. OR
"-II.cUng to hlVI tha ..tter d.ter,lnld at thl lIudlt of thl account of thl plrlonal r.prl"ntltlvl, OR
__.pp..1 tn the Orphanl' Court
ADMTN-
ISTRATlVE
CORRt!tTIDKS .
DISCDUMT.
INTERt!ST.
FaotuII Irrora dltoovar.d on this 1I......nt .hould b. addrt".d In writing tOI PA nlPsrt.lnt of Rlv.nul,
aurlau of lndlvldu.1 Tlx", ATTM1 PClt ........nt Rrvl.w Unit, DEPT, Ze0601, H.rrllbUrgl PA 171ZI-0601
PhOne (717) 711-6505. S,Q pagl ] of thl bookl.t "Instruction. for lnh.rlt.nca Tax R,turn for a Ra.id.nt
Dlc.dtnt" (REY-IS01) for In Ixplanatlon of an.lnl.trltlvlly corraot.bl. .rror..
It any tlX dull. plld within thr.' (1) cai.ndar tonth. .ft.r the dlc.dlnt'. dlath, a flv. p.rcent (SX)
dhcount of thl tax paid h allow.d.
tnt.r..t I. ehlrg.d b'lIlnnlnll with flr.t daY of dellnqu.noy, or nine (,) .onth' and on. (1) day
fro. the d.tl of death, to the dl" cf p.y..nt, Tile" whl(;h blca" dlllnqu.nt b.for. J.n".ry 1, 191Z
b.ar lnter..t It the rtte of .ix UX) plrclnt plr annul cllc:ul.ted .t I dlllV rat. of ,00016,..
All tax.. which blea.' d.llnqu.nt on or aft.r JanuarV 1, 191Z will b..r Int.r..t at a rat. which wlll,varv fro.
oa1.nd.r v..r to c.llndar V..r with thlt r.te announc.d by the PA nIP.rt.tnt of Rlv,nu.. Thl appllcabl.
lntar..t r.tl' for 191Z through 1994 .rll
'tilt lQ~lr..t Rlt, p_llv lnhrut F'Cltor 'tilt lntl"lt Ratl Dallv tnt.rllt F'Cltor
1912 20X .ooom 1'~6 lOX ,00021'
I'U 16X .Ooom I9S1 'X .ooom
1916 \IX .000301 I'BI-I991 \IX .000301
I9n I3X .000356 1992 'X .ooom
1993-199' IX .000192
--tnt.r..t II calculat.d .. fol1oM.l
XNTERERT . BALANCE OF TAX UNPAID X NUHBER OF OAYB DELINQUENT X nAILY INTEREST FACTOR
"Anv MotlOI It1utd aftll' the tlX b.co." dellnqu.nt will rlfl.ot en 'nt,,"t ca1cul.tlon to f1ft"n nS) devI
bayond the d.tI of thl ........nt. If ply..nt It .ada after thl lnterllt co.put.tlon date .hown on thl
Hotlel, addltlon.1 lnt.re.t IU.t be oalculatad.
, ..
. '
"
"
"
I'
'"I',
"
"
_OF
HOlle! ,
To fUlfill thl r.qulr..."tt of '.otlon 21'10 of thl InheritInG' ,net Elt,t, Telre Act, Act 22 of 1991. (11 PIS.
...11"" ZlIOI.
PAVlCNT,
OItlOh thl top portion of thll Notice end tubll1 with your PIYtllnt to thl Rtgl.tu of WUlI printed on the
rov.,.. .ldI.
... "'Ichtck; or IOMV orDer pIYlbl. tOI MOISTER Of' WILLS, AGENT.
A11 plv..nh rhtlved Ihlll flr.t 1M .ppUtd to tiny Int.r..t which "V b, due, whh Iny r..,lnd,r IppUed to thl tlM.
REFl.lID ICRI,
. r.fund 0' . tlIC credit, Mhlch "" not requt.ted on thl tll( retllrn, "V bt requllted bV ooaphUng In "Appl1cIUon
, for Refund of P.MlvlvanJ, lnher1tanol and Est,t, riM" (REV-UU). ApplloaUonl 'art l"llhbll It thl Offlol of
the R"lIt.r of Nlll1, any of the IS R,venue Olltrlct Offlctl or by c.lllnl thl .p.ol,t 24-hou.' an,wlrlng ..,vice
MMOIrl for for.. ordtrJngl In PlMlvlvenll 1-100-56,-2050, outtldfl P,nnlyl"."I, and w!thln loo.t
Hlrrhburg,," (717) 767-109ft, TOOl (717) 772-2252 (H.arlng I.p.lred Only).
O.ACTlONS, Anv ,.rtv In Int"..~ not ..thflld with the .Ppr.I....nt, .11owlOOa or dl..Uow.no. of deductlonl or ........nt
of till (Including dltoount or In"ruU al .hown on thh HoUc. .,y objlct w!thln Ihcty (60) diY' of r,cllpt of
thll fll!11 lei bYI
-':wrUh'l prot..t to thl PA Dep"tlent of Rlvlnue, Board of ApPlal., DIPt. 261021, Harrisburg, PA 17121-1021, OR
...I....\lno to hlv, the 'IUar dl\lnlMd .t tha audit of the Iccount of tha plrllonll r.pra..ntaUva, OR
--""al to the Orph.ns' Court
ADMIN-
ISTRATIVE
CORRfCTIDNI,
FlCltull "rort dllcoVlred on thh ........nt .hould b. .ddr....d In wrlUng tOI PA Dlpart_ent of Rlv,nu.,
.ur..... of IncUvl~u.l Till'., AnNI Po.t AU'''Hnt R.vl... Unit, DEPT. 210601, HlrrhburQ, PA UIZ'-0601
Phone (717) 717-65OS. S"Plge S of the booklat "In.truotlon. for Inh.rltanClt Tall R.turn for I Ruld.nt
Dtoldtnt" (REY-ISO!) for In IIlPlln.tlo~ of Idllnl.tratlvllV corr.ctabl. .rror..
DllCllUNT'
If MV talCduI II paid within thrH (5) aaland" ItfH1th. .f"r the dlc,dlnt'. dllth, II flv. p.re.nt (5~)
dl.count of the tall plld I. allow.d.
INTERtilT'
Int.re.t I. anerttd be.lnnlng with flr.t day of dlllnqu.ncv, or nln. (9) .onth. and on. (1) daY
frOll thl etate of death, to the dlt. of Plv..nt. TIlllI which b.e"1 dallnquent bafore J.nuary 1, 1912
,ba.r Int.r..t at tha r.ta of .IK (6~) parelnt p.r ~ o.lcul.ted at e dailY rate of .000164.
AU tllla. whIch b.ca.. d.Unquent on or aft" January I, 1912 will bltr lntar..t at I rate Nhloh ..111 vlry frOll
cI!endlr Yllr to ollflndlr Y"" ..lth thlt rltl announced by thl PA a.part.."t of Rlvlnua. The appllolbl.
Int.r..t r.t.. for 191t through IY'~ Ir'l
'tuI: Inter..t Alll. 0.11" Interlll Faator XIIr Inter..t JlW U,U" Intlr..t Factor
1912 20X .000"' 1916 lOX ,000271
191. I6X .000131 1987 9X .000217
19M IIX ,00010) 1911-1991 IU ,000501
19" UX ,ooom 1992 9X ,000217
199'-1991 7X ,000192
--Int.r..t I. calcullt.d .. fOllow'l
INTERElT . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"-Any MoUoa luutd aftar thl talC bleo... dlllnquent will refl.ct IM1 Inter..t cllculltlon to flUlln US) dlv,
bayond thl dlt. 0' the ........nt, If plv.ent I' ..d. .ftlr the Intlr..t coaputatlon date .hown on thl
Hotlcl, Iddltlon.1 Int.r..t EU.t be calculated.
.' _....,._._...........~.... ,
-.....,
00 t::~
- ~
0.!1 .... ~a;;
(\', i'.; E? ~5 (~
I.) .-:,
1:- .' ,"c
l)O 0 :;, ~C1
.-
, r~
" ' '"
'1 (I) ~ ,0.
, ~. "
(:. ~ " I_'s
~n~ " j
(uo: ~ ~-
0:
PURPOSE Of'
NOTICE I To fuUll1 thl requlrHtnt. of Slotlon 21"0 of thl Inherltancl .nd Elt.tl Tile Aot, ht ZZ of 1991. en P.'.
laotlon 21~0)'
PAVHEHTI lIlt.ch thl top portion of thh NotlCt .nd tub,1t with VClur ply..nt to th. Rlght,r of NUll prlnt.d on thl
rtv,r.. "de.
o. HIk. chick or 10nlV ordtr paVlbl' tOI REO IDlER OF lUllS, AOENT.
All p.v..ntl rtcslv.d .h,l1 flr.t b. appll.d to InV Int.r..t which 'IV b. due, with any r...lndtr IPPlh.d to thl tllf,
R!FtmD (CR)1 A refWKt of , till credit, which WII not roct\Mtttd an thl tel( return, ..y b. r.qu.slsd bv co.phUng an "Applintlnn
for R,fund of Pllnn.yl....nl. Inh.rltencl .nd Elt.ts TalC" (Rf.V-I313>. Appllc.tlons art .....U.bh ., thl Offlct of
the R'lIhtar of Willi, .nv of th. 2~ A.....nu. Dhtrlot O"ICl" or bV Cl.lllng the .p.elll 2~-haur .nlwlrl~ IIrvle.
n\.-btrl for ~er" ordtlrInllI In Ptnnlvlv."l. 1.800-162.2050, outside P.nn.vlv.nt. Ind within 10c.l
HarrllbUrg .r.. (17) 717.8094, TDDI (711) 77Z"2251 (Htlrlnll Itpllrtd OnlY),
OIJECTlONS, Anv ptrtv In Inttr..t not ..thfhd with th. IPpr.tt...nt, .lIow.nc. or dlt.llow.nc. of d.duetlonl or ........nt
of tll( tlnoludlng dhcount or InternU .. Ihown on thh Hotlc. IIV obJlot within sbtv (60) d.vs of rec.lpt of
thlt NoUu bVI
uwrltten protnt to th. PA D.part..nt of R''''lrlUI, Bo.rd 0' ApPI.", DIPt, .'!810ZI, Herrltburg, PA 17128-IOZ1, OR
u.llallng to h''''1 th. utter dtttnlned .t thl Iturtlt of thl IOcount of th. perlon.1 r.pr...nt.U...., OR
UlPflul to the Drph.ns' Cour t
ADHIN-
III RATI YE
CDRRECTlIlMS.
ftctuII errort dhoovlrtd on thlt ".......nt Ihould bl .ddr....d In writing tOI PA D.p.r".nt of Rt"'lnu.,
Iturllu of Individual TIlllI, UTHI POlt A.......nt R....hw Ikllt, DEPT, 280601, Ilarrhburlll PA 17128-0601
Phon. (717) 787-6505, St. pq. 1 af th. bookllt "Inltructlonl for tnh.rltane. Till R.turn for. Auldlnt
Decedent" (REy-nOD 'or." ')ep1an,tlon of .dIllnlttretlvllv correetftblt errors.
DIICllUNT.
If In~ t.)C due " paid within 1hr.. (1) caltnd.r .onthl tfttr the d.c.d.nt'l dlath, . II.... p.rolnt (Sin
dhoount of thl till plld 11 11I0Wld,
INTEREST.
Int.rut It chargld b..lrwllnll with flrlt dlV 0' d.llnquenov, or nine (9) lonthl Ind one (1) dav
fro. thl d.t, of d..th, to thl dl'l of p.v..nt, Till" which bICI" d.lInquent b.fcra Jsnulry 1, 1912
bllr Int.r..t It thl r.t. of III( 16%) p.rclnt p.r Innus elloullt.d It I d.lly rat. of ,000164,
All tlMlI which ble... d.lInquent an er .fhr Jlnuarv 1, 198Z will baer Inttrllt It I rDt. whh:h will vary frOll
olttnder Vllr to ellandlr ~.ar w1lh th.t !".tt lMOuno.d bv thl PA n'JJart..nt of A''''lnut. lh. .ppllcllbl.
Jnt.r'lt r.t'l 'cr 198Z through 1..5 tr.1
1911
un
1914
1911
19"
"Int.r..t
lOX
I6l
III
m
10l
It ClIleul.t.d ..
.ooom
,000411
,OOOlO!
.000316
,000114
10UowII
lDr Inltr..t Rtll Dilly 1M".., F.ntor
1911 9l .000247
191& -1991 IlX .000501
1992 9X .000247
199] -1994 7X .000192
1991 9X .OOOZ47
'till tnttrtlt Ratl D.lly Intlrllt F.etor
INTEREtT . BALANCE OF TAX UNPAID X NUHBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
.-Anv Notlel l..uId ,fter thl tll( beoOlMl. 91lnquent will "lItot In Inter..t alloul.Uon to flfttln (11) dlY.
b.vond the dl'l of th. ........ot. If p.v..nt I. .Id. .ftlr thl Intlr'lt eotpUt.tlon dl" shown on thl
HoUe., add I tlon. I Inter..t lIlt.t be a.hul.t.d.