HomeMy WebLinkAbout94-00435
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R!\I-1543 EX, AF1 H-911_
COH~HWUl TH OF PEk~VLY.Hll .
DEPAR1HfHT Of 'EYfHUl
aUREAU OF IHDIVIDUAL TARES
DEFT. 2S0601
HARRISlUAO. PA 171Z8-0601
Ji/ - ,J / / - /
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
NO. 21.(/;)..r435'
94116603
04-20-94
TVPE OF ACCOUNT
M ~ SAVINGS
CHECKING
TRUST
CERTIFICATE
REHIT PAYHENT AND FORHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FILE
ACN
DATE
ESTATE OF CARR
S,S. NO. 188-12-3100
DATE OF DEATH 06-14-93
COUNTY CUMBERLAND
WINIFRED
C
OJ"
WELKER MELISSA
736 DELLE VI~TA DR
ENOLA PA 17025
PNC BANK hap provided thl DIPlrt..nt with thl lnforlltlon Ihttd bllow whiCh hat bltn uud In cIlcuhtlng the
pot.ntl_l tiN dUI. Thtlr rlcord. Indlcat. that at thl duth of thl abov' dlcldlnt, you w.r. It joint owntr/bln.flclarY of thlt Iccount.
I' you f..1 thll Infor..tlon t. Incorrect, pin.. obtain written corrlctlon frotl tht fln.nolal Inl\l\utlon, ettach II COpy to this 'or.
IInlt r.tllrn It to th. ftbove addl'ul, Thh account II tnllahl" In "ceordaMI wlth thl Inh.rjtancll T.x l"" of th. Co..on",..lth of P.nn.~IYanla.
Question. ..~ b. an'wlr.d b~ calling (717) 111'ISl7.
COMPLETE PART 1 BELOW . M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Acccunt Nc. 5140110474 Doto 02-01-70
Eltabllshod
Acccunt Bolonco 998 , ~ 4
Porcont Taxoblo X 16 , 667
A~cunt Subjoct tc To. 166,44
To. Roto X ,15
Pcbntlol To. Duo 24,97
PART TAXPAYER RESPONSE
COI FAILURI TO RESPOND WILL RESULT IN AN OFFICIAL TAX AS8ESSN!HT BASED ON THIS NOTIC! I
A. 'y::;rY'hl abovl Inforlltlon and tIIK due I. corrlct.
I~ 1. Vou ..~ chao II to r..lt pll~..nt to thl A.glthr of Will., with two copllJ of thlt notlc. to obtain
, . dhcount or avoid Intlrlllt, or you .ay ch.ck bOI( "A" and return thl, notlcl to the Rlglttl,. of
WlIlI .nd.n official ........nt will bl I..u.d b~ th. PA D.partllnt of Rlv.nul.
To In.url proplr cndlt to ~our .ccount, two
III cop I,. of thll notlcl ..u,t acco_pllny !!tour
pay..nt to the RIglthr of Willi. Haka chick
pa~.bl' tOI "R.ght.r of Willi, Aglnt",
HOTEl If tal< pa~"nU ar. Illude within thr..
(3) tonth. of the d,c.dlnt', data of death,
you II~ dlduct I ~i: dltcount of th. UK dIJI.
Any InheritancI tal( dUI will beco.. dlllnqulnt
nlnl (9) Montht aftlr th. dati of duth.
[CHECK ]
ONE
BLOCK
ON LV
B. 0 Tha IIbove ....t h.u b.en or will bo rlportld 'nd taK p.ld with thl Plo1Iuylv.nlb Inhlritanc. TaK r.turn
to bl fll.d by thl dlcedont" repro..ntlltlvl.
C. 0 Th. al.loYI Inforutlon l~",~Jrcorr'c' and/or d,bts and deduction. were paid by you.
Vau lut' co_pl.tl PART L:J find/or PART 0 bllow.
If ~ou lndlcltl I dlfflrlnt t1x ratl, pl.... .tlt. your
roloticnship tc docodont.
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PART
~
TAX RETURN - COHPUTATION
LINE 1. Ooto Eltobllshod
2. Account aallne.
3, ~orcont To.oblo
4, A.cunt Subjoct tc T~.
5. Osbts ond Doducticns
6, A~ount Taxlbll
7, To. Rob
e, Tax Ou.
OF "A;: ON JOINT /TRU3T
1
2
! K
4.
5
6
7 K
8
ACCOUi~TS PAD
1
2
3
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
PIRT
@l
DATE PAID
PAVEE
DESCRIPTION
AMOUNT PAID
t
I
TOTAL IEntor en Lino 5 cl To. Cc.putotlcnl
perjury, I d.chrl that thl fact. I hi". rlported abovI Ir.
~~ kno.hdgo ond boli_I, HOME ( ! I ) I
WORK ( , )' I "
TELEPHONE NUMOER
I
.
undor ponoltlos cl
'QOlIlolo tc tho but cl
~. '.. I I'
I ,,' ')1 . ,,),
. ~~~ SIGNATURE
tru., carrlot and
I
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAM ASSESSMENT with ."lleoOI. In'''''' OlUd on 1nlor..lIon
lubIlltt,d by thl fln.nel,l In.tltutlon,
2, lnheritlncl tllC bleo... d.l1nqulnt nlnt lonth. .fhr thl decld,ntl, dl" of d..th,
S. A joint account II hlllbl, .....n though thl dlc.d.n", nau w.. add.d II II utttr of cony.nllnel.
~. Account. (inoludlng tholl held blt"'lIn hutband and wlf.) which thl dlcld.nt put In Joint nau. within ontl yur prior to
d..th Ir. 'lith tlll.blt II trIMs'.r..
S, Aot/ount. utablhhcld JolnUi b.t","" hulband and wlh Ion thin on. yur prior to duth er. not tlMlbll.
6. Acco\",h ht.ld by . dectd.nt "In trult for" another or other. Ire talCabl. fully,
REPORTING INSTRUCTIONS . PART
1 . TAXPAYER RESPONSE
1. BLO'=k A - If the lnforlltlon and co.pulltlcn In thl notlcl art corrlet and d.ductJonl In not being el.I.,d, pilei In "X"
In bloek "A" 0' Plrt 1 0' th. "TeMPIYlr Rupon.." ueUon. Sign two carl.. and .ub.1t thlt with your ehlck for thl 'Iount of
hl( to thl Reghtlr of Wllh of thl county Indicatld. Thl D'Plrt..n1 of R.....nu. will IlIue an offlolal u......nt
(f'or.. REV-1SltS EK) upon r'Cllpt of thl Rlturn frol th. Rtghter 0' will..
Z. BLOCK B - If the u..t ep.clfl.d on thl. notlc. hat bun or will bl reported and taM plld with the penn.ylvanl. Inhlrlt_ne.
Tal( Rlturn filed by the dac.d.nt'. rlPrlllntatJvl, pllct In "X" In block "I" of Part 1 0' th. "ToMpey.r RIIPonn" notion. Sign ant
copy .nd r.turn to the PA D.pert..nt of R.....nu., Bur.lu 0' Indl...ldual TaXII, D,pt 280601, Harrhbur0, PA 17128-0601 In thl
Inv.lopl provided.
5. BLOCK C - If the noUcll Infortatlon II Incorrlct and/or dlductlon. ar. b.lng chlltd, ehlck block "C" and oOlplatt Plrtt l Ind S
according to tI'M In.tructlonl bllow. SllIn two copl.. and .ublH thlt with your ch.ck for thl .Iount of hx pIYlbl. to tht Righter
0' Will_ of the county Indlctt.d. Th. P^ D.part..nt of Ii.....nul will 1111.11 an C\fflclal ........nt (Fort REV-1544 EX) upon rtottpt
0' thl rtturn 'r~ the Righter 0' Willi.
TAX RETURN - PART 2 . TAX COMPUTATION
llHE
1. Enter thl dl" thl aecount orlgJnally 1111 uhbl1.hld ur tltl.d In thl unnlr 1)(1Itlng at d.b of dllth.
NOTE I For I dlcldlnt dying nfttr lUll/ell Accounte which the d'Cldlnt put In joint nUll within onl (1) ytar of dnth art
hnbiu fully II tranlfers. Howo...", tharl I, an IXclullon not to aMond n,ooo p.r tranlflr.. rl"ardl... of tht ....11.1. of
thl .ccount or thl nUlber of 'leeounts hllld.
If I doublt asttritk (1Ul) appllrt belor., your flrtt nl.t In thl l'lddrlll portion of \hh notlcl, thl n,DOO I)(olu.lon
Ilrudy h" baln dlduohd frol thl Iccount bahnc. at rtportld by thl financial Institution.
Z. Enter thl total bahnc. of the account Including Intarut accrutd to thl dati of dnth.
3. Thl ptro.nt 0' thl account that It tUlbl1 for 8Ich lur",llJor 11 d.terllnld at follow. 1
A. T~ plrc.nt tlxabl. for joint Ilsote IItab111hld lor. ~han on. Ylar prior to thl dtctd.ntl, dtathl
I DIVIDfD IY TOTAL NUHBER Of DIVIDED BY TOTAL HUHIER OF X 100 . PERCENT TAXAILE
JOINT OWNERS SURVIVIHO JOINT OWHE~S
EXlIIPhl A joJnt ....t reghtlred In thl na.. of thl dlc.dlnt and two other plrlon..
1 DIVIDED IY 1 (JOINT OWNERS) DIVIDED IY Z (SURVIVORS) . .167 X 100 . 16.7% (TAXABLE FOIt EACH SURVIVOIt)
I. Th' partlnt t1xlblt for Ulltt crllttd within on. yllr of thl dlc.d.nt'l dnth or lecount. ownld by thl dtc.dlnt but htld
Ih trult 'or .nother Indlvldu.Us' (trUlt b.nlflcllrl..)1
1 DIVIDfD IY TOTAL HUHBER OF SURVIVINQ JOINT
OWNERS OR TRUST Bf.HEFICI"RIES
X 100 . PERtENT TAXABLE
EXIIP111 Joint .ccount rllghhrld In thl nett of thl dlc.d.nt and two other pOrlonl and uhbl1th.d wlthJn onl yur of duttl by
the d.cedlnt.
1 DIVIDED IY 2 (SURY1VORS) . .50 K 100 . 50% (TAXABlE FOR fACti SURVIVOR)
4, Th' llOunt lubj.ct to tlx <1lnl 4) II dltortlnld by lu1tlplYlng the account bahne. (llnl ii!) by the perc.nt taMabJ. lIln. 1),
5. Enh, the te~:!l of th" d.bt! .nd d.duotlonl lhtld In Pftrt 3.
6. Th. .ltOunt taxabll (lIn. 6) It d.hrtlntd by IUbtractlng thl dlbt, and dlductlonl lIlnl 51 frol thl "tlunt ,ubjlct to tax Ulnl 4),
7. f.nhr the IPproprlltt taK rite (11nl 7l at d.taraln.d bllow.
A. Trlnlf,,. to I1n..l dllclndanh Including father. lather, hueblnd, wlfl. Ion, dlUOhttr, grandchildren, lon-In-Iaw,
d.uQhttr-ln.lllw, Ihpchl1d and thtlr IlIue art tallabll at 'Ill: perclnt {6%1.
e. Tranl'arl to all ath"l Including brother, Illtlr, uncll, aunt, nlph.w and nllcl art taKabll at flftlOn perctnt (IS%).
C. If you ch.ngl tht tll( rah, piau. IPlelly your rehUonshlp to t~t d.eadlnt In thl arll pro...ld.d.
a. The alount 0' t.x due (IInl 8) h dtttrlllnld by lultlplyln; tht lIount talllbll (1lnl 6l by thl taM ratl (1lnl 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AllOllabl1 d..btl and dlductlon. are d.tartln.d al folloWl1
A. You Ilg.lly Irl rllPonllbll for pfty"nt, or the ut.t. .ubjlot to edllnh.trat1on by " plrsonal rtpr...nt.t1vI It Insufficl.nt
to p'Y thl dtduotlbll Ittl...
I. You I!lotu.lh paid thl d.bt, aft" d..th of the d.c.dlnt and cen furnlth proof of pIYllnt.
C. Dtbtl bl!ng ci.lttd IUlt bl Itulud fulh In Il.rt 3. It additional IpaCI It nudtd, 1.111 phln paper a 112" xII". Proo' 0'
p.y..nt ..y bl raqullted by thl PA Dlpart..nt of R.....nu..
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REaISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRlSBURa AT (717) 787-8327,
Rl:V.1543 EX. AFP tl'911.
COIl/tON\jEAl TH OF PEHHSVlV'HII
DEPARTHEHT OF REVENUE
BI.<IE'" OF IHOIVIOUAl TAXES
OEP!. za0601
HARRUeURD, PI. 11128-0601
'II,
',\'\'
"
ESTATE OF CARR
S.S. NO. 188-12-3100
DATE OF DEATH 06-14-93
COUNTY CUMBERLAND
WINIFRED
I FILE NO. 21- '/4 -(")43::)
ACN 94116602
DATE 04-28-94
TYPE OF ACCOUNT
M ~ SAVINOS
CHECKING
TRUST
CERTIF1CA TE
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
I:
Ci,
CUI
CARR' C W
736 8ELLE VISTA DR
ENOLA PA 17025
REHIT PAYHEHT AND FORHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
fiNe 8ANK hll provided thl DIPart.ent wHh the Inforutlon Ihtcld b.low which h.. bien uud In calculltln; the
pOhnUII t'le dUI. Their record. Indlcat. that It the dlath of thl above dlCldlnt, yoU W"t I Joint own,r/blnlflohry of thh account.
If you ,..1 thh InforuUon II Incorrllct, ph... obtain wrltt.n corr.oUon frol the flnanchl Inltltution, l\tech . copy to tnll for.
Ind r.turn I t to the abovI add"... Thll account Is tunbl, In Iceardane, wi tn the Inll.r I hnce lex llw, of the Co..onw..l th of ~Inn.vlv'nll.
Qu",Uu,.a .,,'" 1.11 unlWI'IJ h, 'GIU".. (71;") ;"~7 3~~7.
COMPLETE PART 1 BELOW
Account Ho, 5140110474
II II II SEE REVERSE SIDE FOR
0.10 02-01-70
E.hblllh.d
FILING AND PAYMENT INSTRUCTIONS
Aooount Sllance
P.rcent r.Kabl.
A.ount Subjoct tc To.
To. Roto
Pct.ntl.1 To. Duo
998,64
16,667
166,44
,15
24,97
TAXPAYER RESPONSE
PAILURE TO RESPOND WILL RE8ULT IN AN OFFICIAL TAY. ASSE8SNeNT BASID ON THIS NOTICI
x
To In'urI pronlr crldlt to your account, two
(2) copl.. of thh notl':l .u.t Dccolpllny your
Ply..nt to thl R.ght.r of Will.. Mak, chICk
payabl, tal "R'liIlthr of Willi, Agflnt",
~
Nonl If tax paYI.ntl arl IUld, within thr..
(3) lIonthl of the dlcldent'l dah of dnth,
vou 111'1 dlduct It 5% discount of the till': dUI.
Any Inherlt.nce tax due will b'DO., dellnqu.nt
nln. (9) lonthl afttr the dati of duth.
PART
IT]
[CHECK ]
ONE
BLOCK
ONLY
A. ~~R1 Th. .bo.... Inforlltlon and telle dut 11 corr.ot.
, L:{ 1. You .ay choon to r..tt plyunt to thl R.glthr of WHit, with two copl.. of thll notlco to obtain
a dlloount or Ilvold Int.roU, or you IIlV chick box "A" and return thlt not Ie. to the R.ghter of
Wlill and In offlcte! U....Il.nt will b. Iluuod by the p, Dlpart..nt of Revenue.
IS. 0 The abovl aUlt hll b..n or will be reported and talC paid with the Penn.ylvllnla Inh.rltanc. hlC r~turn
to b. tiled by th. dlcadent'. r'l1r...ntlltlve,
C. 0 Th, nbav. Inforutlon I~ncorrtct end/or debts and d.ductlon. Wlrl paid bv YOU,
You IUlt co.pllt, PART ~ and/or PART CD b.low,
If you Indio.i. . tUff.rent tal( rat., ph... .t.h your
.ol.tlcn.hlp to doc.dont,
PART
~
TAX RETURN . COMPUTATION
LINE I, Dot. E.tobll.hod
2. AOQount 8.1.nol
3. Poro.nt To.oblo
4. Alount Subjoot to T..
S. Dobh ond D.duoHo".
6. A.ount To.oblo
7, Tox R.to
8. Tlx DUI
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 K
4_
S
6
7 X
a
OFFICIAL USE ONL V 0 AAF
PA DEPARTMENT OF HEVENUE
PAD
1
2._
PART
~
DATE
DEBTS AND
3
4
5
6
7
8
DEDUCTIONS CLAIMED
PAID
PAYEE
DESCRIPTI ON
AMOUNT
~
.
PAID
~
.
TOTAL IEntor on Llno 5 of To. Co.put.tlon)
.
.--
---,--
- .
Und.r ponolll.. of porJury, I d.clo.. th.t tho loch I
.~ht. to thJl b..t of .y knowhdg. ond boll.f,
J 'I
(I I( '.1 ',',
TAjPAm SIGNATURE
h.YI rlport,d IbOYI Ir. truI, OorrlQt Ind
HOME (."
WORK ( )
TELEPHONE NUMBER
,I"',
,
, .
GENERAL INFORMATION
1, FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAM ASSESSNENT .lth oppll..blo lntoro.t bo..d on Inforoollon
Nbtllllod t,. lho fln_lol Inolltullon,
Z. InhtrJt1ft01 hI( bMOIM. cMllnquent nlna lonthl .ftlr tho.l d.c.d.ntll d.t. of dllth.
S, A Joint DCIC1OlM1t I. ttubl, .v.n thouth tht dteleMntl. n'.. WII .dd,d II . IIthr of conYlnl.nel.,
~, AClcounh ClnchJdlng tho.. hlld ~twI.n hulbllld and wlfl) whJeh thl d.cldlnt put In Joint n.... within Ont Vllr lIr10r to
death Ir. iultv tlx.bl. .. trtnlflrl.
I, Accounh ..tebtlthed jolnth ~tw..n hUlblnd _nd wif_ lor. than en. Yllr prior to d..th IIr. not t.ubl..
6. AClcount. h4!d bv . d.eld.nt "In tru.t fer" Inoth.r or oth.r. Irl tlMlbll fUllv.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. ILOCK A . If the Infor..Uon and Coltflutltlon In the naUel ara carr.et .nd dactuoUon. Ir. not bllng "lllltd, plltCl In "M"
in block "A" of P.rt 1 of thl "lIMPlyer R..pan.... IICUan, Sign two capl.. end 'ub.it th.. with ycur eh.ck for th. a.ount of
hx to thl R.ghttr of Wllh of the county IndIClt.d. Thl D.plrt..nt of R.v.nul w111 IIIUI an offlclll au.....nt
(for. REY4}S41 E)() upon rlClipt of UlI Rlturn frol the R.ght.r of Will..
I. BlOCK I ~ If the I...t Iplolfl.d on thh noUel hal blln or will b~ rlpart.d Ind tax Plloi with thl PlnnlylV1nl, Inhlrlttne.
TIM Rllturn fUtd by thl dle.d.nt', raprlllntatlvl, pl.ol .n "MOl In blaok "I" of Plrt I of thl "lIMp.ytr RIIPonl." lIotlon. Sign ana
oopy .nd r.turn to th. PA D~lrh.nt of RIYlnUI, Buruu of IndlYhtulll T.x.., D.pt 280601, H.rrhburg, IIA 17121.0601 In th.
.nvllap, provided.
S, IlOCK C ~ If the noUe. Infor.IUo" II Incorr.ot ,nd/or d.duoUon. Ir. bllng Clll.ld, ch,r.k block "e" end cOlpl.tl Pertl 2 .nd S
ucordlnl \0 thl Inltruotlon3 bllow. SllIn \100 ooplu a,ld ,uL_lt thalli with your e~lIlek for th:J alllount of hK plYlble to thl R.ghtor
of WHit of the oounty indleltld. The PA nlPlrtltnt of Rlv.nut ~1l1 I..~ In offlolal ........nt (For. REY.U46 EX) upon r.celpt
of thti r.turn frOtll thl Rlllht,r of WIU..
TAX RETURN - PART 2 - TAX COMPUTATIOtl
LUll
1. Entar thl date thl loeooot orlolnlUv WII uhblhhftd or tltIld In th. I.,ln.r .ICItUng It dlt. of dnth.
HOTEl For. dleld.nt dvlng .fter lUll/all Aelcount. which the dleld.nt put In joint n.... within un. (1) Vllr of duth "I
t.Mlbll fulh .. trtn.fer.. Howlver, th.rl It .n 'Molullon not to .Mel.d U,OOO Plr tren.fer.. r'lflrdl... of thl v.lu. of
the .ceount or the nueblr of ftccount. h.ld.
If a double 'It.rllk (MM) Ipp..rl blfor, your fir.t nl., In the addr"1 portIon of thll notiel, thl tS,OOO 'lColullon
.Irlldv hu bltn ct.duot.d fr08 thl loeount blhnel ftI rlportld bV the flnanehl 'nltltutlon.
2, Ent.r thl totll balancI of the .eeount InolucUng lnhr..t looru.d to thl dati of dCllth.
S. Till p.reant of thl Icecunt th.t I. huol, for lIeh lurvlvor It d.hrlln.d u fOUOWII
A. The perelnt \llCel. for Joint ....u IItlblhh.d aor. thin onl Vllr prior to th. dleldlnt'. dlathl
1 DIVIDED IV TOTAL NUHIER OF
JOINT OllNERS
EMNPltI It Jotnt ....t r.ghtar.d
DIVIDED IV TOTAL NUNIER OF M 100 . PERCENT TlMAlLE
SURVIVINO JOINT OWNERS
In the nl.' of the dlCldlnt .f'td two oth.r plrlonl,
1 DIVIDEU IV I (JOINT OWNERS) DIVIDED IV Z (SURVIVORS) . ,167 M 100 . 16,'/X lTAMAlLE FOR EICH SURVIVOR)
I. The p.re.nt tt"tbh for ....te eruhd wlthln onl Yllr of th. dee.d.nt.. dl.th or .ooounta own.d bv thl d.c.dlnt but h.llt
In tru.t for anoth.r IndlvlctuIU,. (tru.t b.n.flel.rl"'l
I OIVIDED IV TOTIL HUNIER OF SURVIVINO JOINT
OWNERS OR TRUST IENEFICIIRIES
M 100 . PERCENT TlMlIll
ElCttplll Joint .ecount r.gltterld In 'h. "I" of th. U.e.d,nt Ind two o'h.r parlonl and ..tabU.hed wlthln on. yur of d..th by
the dleedent,
1 DIVIDED IV 2 (SURVIVORS) . ,SO M 100 . SOX lTAMAlLE FOR llCH SURVIVOR)
~, Till taOunt .ubJ.ot to tlM (line 4) II dlt.r.lnld ~v lultlplylng 'h. account b.llnel (lln. I) bv thl plrcln' tlMabl. (1104 ]).
5. Entlr the tot. 1 of thl dlbt, Ind d.duo'lonl 11.t.d In P.rt 1.
6, The ..ount t'Mtblt IlInll 6) II d.t.r.'ntd by IUbtr.etlng 'h. debt. and dlductlon. (IInl 5) frol thl lIount .ubJ.ot to taM tUn. 4).
1, Ent.r UII Ipproprl.tl t.x r.t. (line 7) II d.t.r.lnld btlow.
A, Tran.flr. to IIn..l dlla.ndlnt. Inoludlng fathlr, lather, hu.b"nd, wlfl, .on, daughter, grandehl1dr.n, .0n~ln.ltw,
daytht.r"Jn-Itw, .tlPehlld and thllr I..ue '''' tlMlbl. It .IM Plrc.nt (6iO.
I. Tr..n"er. to all o'hara inclUding bro'h.r, 1l1hr, unoll, .unt, n.phlw and nllol .rl tlM.bll It flU..n perclnt 115~)'
C. If you chant. 'Ill tu rite, plln. IPleth liour r,lltlonlhlp to thl dto.dlnt !n the "" proYld.d,
I, Th. ..ount of talC due I1lnt 6) II dehrllntd by IUltlplylng thl MOunt tllMlbl. (IInl 61 bv the taM ratl (I1n. 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabll dlbt. end dlduotlon. nr. dltlralnld a. fallo~'l
A. You '.gllly .rl rupon.lbl. for ply..nt, or thl IItlt. .ubj.ct to Id.lnlttratlan by I p.r"ml! rIPr..ln'l\lvR It In.uUlcllnt
to PIV the deduetlbl' It....
I. You .0tu.ll~ plld 'h. d.bt. Ift.r dl.'h of th. dle.a.nt .nd cln furnl.h proof of pIY..nt.
C, O.bU b.lng clll.ld .u.t b, It..lud fullv tn P"t 3. If addltlon.l .pacI II ntldld, Uti pltln piper a 1/2" M 11". Proof of
Ply..nt ..v ~ r.qu..t.d bv th. PA O.p.rtl.nt of Rlv'nue.
TAXPAVER ASSIST~NCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF R~VENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327.
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RECEIVED fROM,
i
ACN
ASSE~SMENT .,.
CONTROL Wi
NUMBER
AMOUNT
MELISSA WELKER
736 BELLE VISTA DRIVE
~411 oMS
.e.lt,""
'flf] ] t1t>o~
.~If . 'f"
ENQLA PA L7025
fOlD Hut
21-'lqq4-04:~5 SSN II:lB-12-3100
1m M)
WINIFRED M
CUMBERLAND
A F DEATH
. 06/11./93
REM^RKS . MEL 1 aSA WlZl.KEH
II TOTAL AMOUNT PAID
.49,'14
SG
. REGISTER OF WILLS
.'1
RECEIVED &y /)0;!(f{~'~k { ;/eV /h'/J
( . /", (/ In
MAr~y c, I.EW I B ,/.""./ .If ,,'~ /. .;. ,
FlI,lHS1Efi OF W1LUl .
SEAL
CHF:CKfI 14313
Aif,- --- ---. -:- ..". --... .-..... -... ."" '-' -..'- _..- ........
....- ..-..- -.... _...- ....- --- ...... -.--. ......- - ..--. -... ...,..~ "...- ,~..T --,- ..-
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To fulfill tho r..,lr_t. of lletlon 2140 of tho Inherit.... ond Elt.t, Tox lot. Aat 22 of 1991. (12 P.I,
SooUon 21401. .
Dot""" tho top portion of thlo Hotl.. end lubolt with .our P,._t to tho ROIlotor of WIlIo prlnt,d on tho
rly,r" Ildl.
... ..... check or,lOM)' ordtlr p.vltll. tOl REGISTER OF WILLS, AGENT.
AU p.penta rlo.lvld sMill flr.t bI IIPpllld to any Int.rllt which ..v be ckMl, with any reMinder applied to the tax.
I'UIl'Otli Of
NOTlCl!.
REFUND (CAli A r.f~ of . talC credit, which WII not rlquelted on thl taM return, NY M r.qullted by cOl!Phtlng In "Application
for A,fund of PIMIYlv,"1e Inhlrlt.ncl end Elt't. TIK" (REV~U15J. AppllolUon. Irt IV8l1lbll It thl OfficI of
thl Althtlr of WIU" BnY of thl 25 Revenue DlItr.lot OfficII Dr bY' cIUlnl tht 'Jl~1.1 24"hour en....rlng IIrv1e.
nu-blre for for.. ordlrlMI In PtnnlYlv..,h 1-100-562-2050, out.lde ptmllylYanlt Md within 10081
HlrrltbUrg .r.. (717) 711"'094, TOOt (717) 772-U52 (Hllrlng IllPllr,d onlY),
I.
I
OIJECTlOM$h Any p.rty In Int.rllt not ",thUId with thl appraltNtnt, .UOWInCI or dlnllutflncll of dMJoUon. or ......lInt
of t'K (including dheotrlt or Int.r..t) II' lhown on thh MoUel .ay objlot within .lKty (60) dlY' of rt<lllpt of
thll MoUot by!
....written prot..t to thli PA Dlpert..nt of RIY~, Bolrd of App..ll, o.pt. 281021, HlrrhbUrl, PA 11121"1021, OR
.....I.cUnt to hlv' thl ..ttar Otter.ln.d at thl audit of thl IccOW1t of thl personal r.pr..."t.tlv., OR
....IPPI.l to thl Orptwn.' court
,
Ii
I
IIlIIIH-
ISTRAUVE
ctlRR!CTlOMSI Faotull error. dheovlr.s an thh........"t shoUld bI addrl..ed In wrlUnl tol PA DlflertHnt of RIVtnUt,
BurlMl of IncUllldull TSKII, Ami POlt A.....Hnt Rllllew unit, DEPT. 210601, Hlrrhburg, PA 17128"0601
Phone 0'17) 7"-6505. S.. Pili :5 of thl boOkllt "In.truotlont for tnhtrlhncI TIlK R.turn for I RflIldtnt
DKedent" (REV-IS01) far IN't llephtMtlon of Ddlllnlltr.tllI.h corrlOtabl. errDrl.
t
,
DISCOlllfTI
If InY tlX due 11 paid wUhln thrH (5) calandar IHH1thl aftlr the; dlOedlnt'l delth, · filii ptrclnt UlO
dlleotrlt of thl tax plld 11 allond.
INTERtlT.
tnt.rut II ehlrQed btIIlmlnt with flrlt Gay of dltUnquanoy, or nlna (9) ttOI\thl Ind one (1) day
frOll the at. flf death, to thl dati of p.VItt"t. TlxlI .mlth bIG'" delinquent bafor. January I, 1912
bNr lnt.rllt at thl rata of 11M (6X) percant plr ennui calculatad at I dlllv rat. of .0001611.
All tPII which blo'" dell"""",t on or .ftllr Jll"IUlry 1, 1912 will bllr Interut at I rata which will ytry frOl
cllend1r ylllr to oallndar Yllr with thlt rate aMOUnOad by the PA o.p.rtMnt of RI"enlMI. ThI .,,110Ml1 '
Intar..t r.t.. for 1912 thrOUQh 1994 arll
'lUI: Int.r..t A.t, U"Uw Intlr..t Fl!lCltor XIII Intlr..t RIta D.Uv InUr.'! Fflctor
1912 20X ,000i'\1 1916 lOX .Doom
un 16X .000418 1917 9X .Doom
1914 m .000101 199-1991 m .000101
19I~ llX ,00DI~6 1992 9X .000247
199~-I99<l T~ .000192
-.tntlrllt II c.lculatld II follow..
IHTEREST . ULANCE OF TAX UNPAID X NU"BER OF DAYB DELINQUENT X DAlLY INTEREST FACTOR
..AnY NoUoI 1..* .ftlr thl taM beclo..' dlllnquent will rafl,ct In Intarllt ollClUlltlon to flftHn OS) dlV'
baYond thl det. of the ........"t. If PIYHnt h atdt .ft.r thl Int.rllt cC)IIpUt.tlon dlte lhoWn on thl
NotlOI, eddltlonll Intlrtlt MIlt b4; cllcullttd.
.,
;). I I
o
RIY-16D7 IX AFP (I-'ll,*,
C_AL III Of Pt:HNlVL VANIA
IlUAIITIlINT Ill' Rt:Vf:NU!:
IURfAU Of INDIVIIXJAL TAI(fI
DlPT. 210101
IWlIUIIUIlG. PA 17121-0601
ACN 94116602
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI 08-29-94
DATI OF DIATH
CARR
06-14-93
WINIFRED M
FILl NO. 21 94-0435
COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOU~ ACCOUNT, SUINIT THE UPPER PO~TION OF THIS FORN WITH YOUR TAM
PAYNENT TO THE ADD~ESS SHOWN, NAKE CHECK PAYAILE AND RENIT PAYNE NT TOI ,
CARR C W
736 BELLE VISTA DR
ENOLA PA 17025
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I
-l
A""""t R..Uhd
CUT ALDNO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ....
iliij: U1i'j"iit--AFp." n:",ir-" - .".lii".itliiiliiTXlici-YAx--ifA i'"iiiiirf " iiii " AcifouiiT"" -iliili..... ........... - -....
!~TATI! OF CARR WINIFRED M FILE NO.21 94-0435 ACN 94116602 DATI 08-29.94
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STAlED ACN IN THE NANED
ESTATE. SHOWN IELIIW IS A SUIIlARY OF THE PRINCIPAL TAM IlUE, APPLICATION OF ALL PAYNENTS,
THE CUR RElIT BALANCE. AND, IF APP~ICA8LE , A PROJECTED INTEREST FIGU~E.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT I 08- 01-94
PRINCIPAL TAX DUEl
24,lL
PAVMENTS (TAX CREDITSI,
PAVMENT
DATE
05-07-94
DISCOUNT (+ I
INTEREST (-)
,26-
2(,.97
AMOUNT pAIn'
RECEIPT
NUMBER
886061
:),1
1.!
INTEREST IS CHARGED FROM 05-08-94 TO 09-13-94
AT THE RATES APPLICABLE AS OUTLINED ON THE
REYERSE SIDE OF THIS FORM..
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
24.71
.26
.01
.27
N IF PAID AFTER THIS DATE, SEE REvERSE
SIDE FOR CALCULATION OF ADDITIONAL INTE~EST,
( IF TOTAL DUE IS LESS THAN .1,
NO PAYNENT IS REQUI~ED.
IF TOTAL DUE IS REFLECTED AS A "C~EOIT" (C~l,
YOU NAY IE DUE A REFUND. see REvERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
.-
.,
PAYII!HT.
Dtloch lho 10fI portion of thl. Noll.. _ IUboIl with VOIlr p..-I _ p'Vobl. 10 lho nMI ond oddr... prlnl..
on the rlv.r,. I1de.
All PIVMnh rlellivld ,hell U,., be appU.d to env lnttr..t which NY be dut with MV rlUJndlr epplltd to thl tlX.
RffUND (tA)! A r.fund of . tlM credit, which.,.. not r.qouttd on thl T'K Rlturn, ..y bI r,qulllteel by coepl'Uog In
"Appl1c.t1o~ far A,ftrld of PtmlvlvWll1 InhtrH1nC1 end E.tat. Tax" (ffEV-1SU), Appl1ntlon. Ir. IVIU.,l. .t
the OftlOI of tht Rtlltt,r of Willi, anv of thl 24 N.venue Dlstriot Offloll, or bv clllJng thl .peclll U"hour
Il'l....rlnu "rvlel nuIlbtr. for forn orarlngl HEW IN Pf~VLY'NIA 1.800.362"2050, nut, Ide Pem'vivant,
Ilnd .,Uhln thlloc_l Hlrrhbur. .nl (117) 717,,8094.
RfPLY
101
C1UIIUon. r",rdlng .rror. cont.ll'lld on thh nottee Ihould be Itdd"utd tOI PA OIfIlrtMtlt of Revenue, luralY
af IndJvldull TlXII, ATTH1 POlt ......UHOt R....I'" Unit, DEPT. 210601, Hurllburl, Pi 17121"0601, phone
1711) 111-6505.
If InY tlM dut it Plld within thrH (3) c.llndtr IIOnth. afttr the dec.dent'. dtlth, I fI.... plrc,"t (5;() dhClCMt
of the tllC plld 11 allowed.
DIICOUHT .
ImRl!ll.
Inter"lt 11 chlrged bqlMlng "lth flr.t day of dtllnquency, or nlM (9) .onth. and Me (1) day fr~ the dati of
dllth, to thl dltl of PIY'IMf1t. 11>11' which he... dellnquent lMIforl JftJlry I, 1912 bear lnterut It the rlt. of
.he (,;() parell'lt plr ~ c.lculattld at I dilly rltl of ,QOOI64. All t,XII which bee... delinquent on 8nd afta,.
Januery I, 1912 w111 belr Inta,.ut .t . rat. which will ....r)l' fr~ clllendar Yllr to cIlendar yrla,. with thllt r.ta
tnnCM.ftCled by the PA o.plrtHnt of R,venue. The 1PP1Ic~11 Intlr..t ratll for 1912 through H';., arl'
l!!! Intlrllt ".t. Dally Int.rnt Feetor !!!r Intlr..t A,t, D.lly Int.r..t FlGtar
1"1 lOX .aama 1916 lOX .000174
1911 I6X .aaam 1"1 9X .000147
19M IlX .aoom 1911-1991 IlX .000501
1"5 m .aOO1S6 1991 9X .000147
1991-1994 1)( .000191
--Intarllt II cIlcullted .. fallowlI
IHTEllElT . IALAHCE OF TAX UHPAID X HUHIER OF DAYS DELIHQIJElIT X DAILY IHTEREBT FACTOR
--An)l' Notlel haued ,ftar thl till becOlMlI OI11"....,t w1l1 r.flect In Int.rllt cllcullUon to flU.., (11) daYI
bev~ thl dltl of the IIHI..."t. If Plyont It HdI Iftlr thl Intlrllt COlPUtlUon dlt. Ihown on the
NoUCI, additional Inhr..t .,.t be calcullted.