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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.21~q<l' 763
ACN 94131479
OAT! 07-26-94
TVPE OF ACCOUNT
N ~ SAVINGS
CHECKING
TRUST
CERTIFICATE
REHIT PAV"EHT AND FOR"S Tal
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PAUL
.....' RE\'- l543 EX AFP (1-911,*
CDI.tD."'UlIH Of PfHH1YIVAH1A
Ot:PAlllIENl Of Rl!YEIU
BUREAU Of INDIVIDUAl UKf.1
Ot:PI.2IUOI
IWlAlIIlIlG, PA 11111"0601
ESTATE OF VARNER
5.5. NO. 183-12-1483
DATE OF DEATH 04-29-94
COUNTY CUMBERLAND
VARNER
1254 MAINSVILLE
SHIPPENSBURG
JACK
RD
PA 1"/257
DAUPHIN DEPOSIT BANK' hu provhMd the; alplrt.."t wlth thl Infar..Uon IlIttel bllow which hu bun u.~ In cllcul,Ung thl
potlnU,l hie due. Their record, Indlcet. thltt at thl d.ath of 'hi abOY' dtc.dent, you ",.r. I Joint owntr/btntflcllfY of thlt accOU'It,
If YOU f..l thh tnfor..Ucn II Incorrect, pl.... obl,ln ..rHtln correction frol tM financial Inttltutloo, .Utch . copy to thh for.
and r.turn It to IhtI ,bOIlI eddr.... Thlt acoount 11 hllclbl, In ICcordancl with the Inherltance Tax lltW' of the COllllOnw..1tn of Penn.ylvanh.
OUenlofll ..y bt lIN'l'wtIr1d by clUing Ill/) lO/.UU,
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILIND AND PAYMENT INSTnUCTIONS
Aooount Ho. 0067369022 D.h 05-30-89
Eshblhh.d
Aooount B.hno. 1, 301. 28
P.ro.nt ro..blo K 50 . 000
A.ount Subjlot to Tox 650 . 64
10. R.t. K ,06
Pohnthl T.. AU. 39.04
PART TAXPAYER RESPONSE
CUI FAILURI TO RISPOHD WILL RISULT 1M AN OFFICIAL TAX A8S18SMIMT IASI' OM THIS NOTICI I
A. ~ Tht above lnforutlon end taM due Is corrtCIt.
I. You lay choo.. to r..lt PIV-.nt to the Rlgl.t.r of Willi, with two topl.. of thl, notlel to obtain
II ditcount Dr avoid Int.r..t, or you lay chick box "A" and r.turn thi. notlcl to the Rlgl,t,r of
Will, and an offlolal Il.......nt will bt I"uld by the PA DIPartt.nt of RevenuI.
To In.ur. prop.r crldlt to your account, two
Il) cop I.. of thl. notlcl IUlt acco~eny your
pay..nt to the R,ghhr of Wlllt. HI'kt chick
payable tOI "Rlgl,t,r of Willi, Agtnt".
HOTEl If hlle pay'tntl af. ud, within thr..
(!) lonthl of tht dlCldlnt', date 0' d.,th,
you .ay deduot II 5X dlsoount of the tax due.
Any IMer Hanel talC due will b.cotM d.lInquent
nlM (9) .onthl aft.r the date of de,th,
[CHECK ]
ONE
BLOCK
ONLY
B. [J Thl abovl ....t h~. blln or will bq rlport.d and talC Plld ulth the Penn.vlvante Inherlt.nc. T.lC r.turn
'0 bo fll.d bV the d.c.d.nt', rlpre,entatlv"
c, 0 ThI above tnforHtlon I~ncorr.ot and/or d,bt. and ~tlonJ w.r. p.ld by vou.
You ItUlt cotlPI.t. PART ~ and/or PART [!] bllow.
If you Indlo.to . dlff.r.nt h. r.h, plo... .ht. you.'
r.l.tlon.hlp to dloldlnt,
OFFICIAL USEONlV 0 AAF.
PA DEPARTMENT afT REVENUE. .
PART
~
TAX R!TURN . eOMPUTATION OF TAX
LINE 1. O.t. Est.bll.h.d 1
2. Aooount B.I.ne. 2
5. P.relnt T...bl. 5 K
4. A.ount Su~j.ot to T.. 4
5. D.btl and O.duotlons 5
6. A.ount T..obl. 6
7. T.. R.to ./....lL
8. T.. Du. 8
ON .JOINT ITRI19T ~r.r.IlIlNT~
PAD
1
2
3
II
5
6
7
e
DEBTS AND DEDUCTIONS CLAIMED
.
PART
[!j
DATE
PAID
I
PAVEE
DESCRIPTION
AMOUNT PAID
~
TOTAL IEni.r on Lln. 5 of T.. Co.put.tlon)
t
I
-~
Und.r p.n.ltl.s of p.rjury, I d.ol.r. th.t thl f.otl I
eompl.t. to tho bost of .y kno.l.dg. and boll.f.
TM!~
hlv, rMport.d aboVI Ir.
HOME ( )
WORK ( )
TELEPHONE NUMBER
truI, oorr.ct and
DATE
, -
'....
GENERAL INFORMATION
1. FAILURE TO RES~OND HILL RESULT IN AN OFFICIAL TAM ASSESSHENT with ....11....10 Intorll' blOod on Inl.,ullon
Iw.lttld bw thl 'inlnOlal lnlUtutlon.
2. lmerltltlC. tlX bRa.. dtl1nquent nlM .onthl after thl ct.ced."t', dltl a' delth.
), Ai joint IOOCM.Wlt h 'IMll:ll, IV'" though thl decedent1, "... Nil Idt*l II . ..tter of conven I MlU ,
4, ACOOU'1t. (Inoludtng tho.. held bltw..n hu,blOd Ittd wlf.) which thl decedent put In Joint ".... wi "'I" OM ~"r prior to
death .r. fullY t'lC~l. II trln,'.r.,
5. Account. ..t~11Ihtd Jolntlv b.t~ hu,blnd and wlf. ler. t~ ~ y..r prior to death .rG not tllClbl,.
6. Accounh Mid b~ . dMlcMnt "In trutt 'p," IIl'IOther or athlr. Ir. tllClbl, fullV.
REPORTING INSTRUCTIONS - PART 1
- TAXPAVER RESPONSE
1. aLOCK A . If thl InforHUon Wld co~t.tlon In the notlcl Iro carrlo' and dlduotlon. .r. not being ol,IMd, PIK' In "X"
In block "A" of Plrt 1 of thl "'llIpIYlr R"ponll" uClUan. Sign two copl.. IInd tub,1t thl, with your chock for tM elOUnt 0'
tu to the R.gllt., 0' Willi of the COlX'lty Indlc.ted. Th. DQP.,tun\ of R.v.nu. will l..u.e an o)ffJclll1 at....-.nt
(For. REV.1541 EX) upon r.cllpt of the R.turn frol the R.gl,t.r of 14111,.
Z. BLOCK B - If the ....t .peclfl.d on thlt notlc. h.. bHn or will b. repartld and taM peld with tile "INuylv.nl. InhlrltllnC.
Tal( R.turn ,Illd by thl deeldent'. reprellnt.t1v., plee. an "XfO In block fOB" 0' Part 1 of thl "TupaVIr R..poo.... IIOtlon. Sign one
copy tnd return to thl PA Deptrt.lnt 0' R,vlnlM, Buruu of Individual taM", Dept la0601, Il.rrllburg, PA Hua-ottol In tht
Inv.lope provJdld.
5. BLOCK C - If the notice Infortatloo Is Jncorrlot and/or deduotlon. Ire tiling clalHd, ch.ck block "C" IInd callPhte Ptrtt Z and 5
lo"l,,:UnJlIIY \0 ~h., 11l"lu..~h".. uwlutIt. SI"" hlO copl.. ann .uo.lt (II.. witn 'Jour ChICk for (Otl Mounl or IBM Plylbi. 10 (hI klghllr
0' WIlIt of the COU'lb Indle.ted. The PA DIPart.ent of Rlv,~ will luue an offlclll .......tnt (For. REV-U4lI EX) upon rlc.lpt
0' the rtturn frot thll R.ghhr of NUll.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent., thl tlttl thl ar.coU'lt originallY wat ..tablhh.d or tltI.d In the UMer IMhtlng at datI of d.-th.
NOTEI For I d.cud.nt dying .ft., IUlz/IZI Account. which th4 dleldlM put In joint na... within onl ()) Yllr of death Ire
ttMabl1 tully II tran.hr.. tlc......er, thlrt II an 'Molu.lon not to exceld n,ooo ptr tran"lr.. rlgardl... 0' the w,luI 0'
the aceotl"lt or the nu.b., of IIccounh hlld.
If I doubll ..ttrllk (MM) app.er. b.for, your flr.t nUl In the Hid".. portion of this notlo., the t3,OOO tMolu.lon
alrlldv hat b.en d.duot.d 'ro. thl IHJcooot balanc. III rtPortld by the flnanollll In.tltutlon.
Z. Enttr tM tot.l b.ltnc. of thl IICCOU'lt Including Jnt.rut Ice rued to the datt of death.
). The p.rc.nt of the IICOOunt that II ta}lt.bl. for flItCh .urvlvor I. d.terllnld III folloWl1
A. The p.rcent tlllabl. for joint ....h .Itftblhh.d IOrt than onl y.., prJor to the d.c.d.nt-. dtathl
1 OIYIIJf:O BV TOTAL ....BER Of
JOINT OWNERS
EMuple. A joint ....t rcghttrld
DIVIDED IV TOTAL NtnlIER OF l< 100 . PERCENT TAl<ABLf
SURYIYINO JOINT OWNERS
In th. n... of the decldlnt and two oth.r p.rlon..
1 DIVIW:D BV 5 (JOINT OWNERS) DIVIDED BV l UlJRVtlJORS) . .161 )( 100 . 16.7% (TAXABLE FOR EACH S~VIVOfn
B. Th. p.rc.nt tallabl. for 1I11.tl or..t.d within anI yaar of th. dlcldlnt'. dtllth or ecoount. ownld bV th. dloadant but held
In trult for ancth.r IndlvJdual(.) (trUlt b.n.flolerl..)1
1 DIVIDED BV TOTAL NUMBER OF SURVIVIHO JOINT
OWNERS OR TRUST BENEFICIARIES
X 100 . PERCfHT TAXABLE
En.pll1 joint ICCO...,t reghttrltd In thl MIl. of thl dectdlnt tnd two other person. end utabl hhed within ani Yllr 0' death by
the decedent.
1 DIVIDED IV 2 (SURVIVORS) . .GO X 100 . SOi( (TAXABLE f'OR EACt! SUR'fIVOR)
It. The uount .ubject to tlM (1101 4) Is d.ttrlln.d by IIUltlphlng the account balenc. (1101 1) bv the PtrCtnt hubl. (lIn. 5J.
5. Enttr the total 0' the d.bt. and deductJon. IlIt,d In Part 3.
6. The ..aunt tlMlbl. <lInt 6) It d.ttrlllntd by lubtraoting thll d.btt anti d.d\Jctton. (IIn. 5) fro. the allount .ubJ.ot to teM Ulne 4).
7. Enttr thl ~roprlat. t'M "t. (IIn. 7l nl d.terlllnld b.low.
A. Trln.ftrs to lln..l de.cendant. InoJlJdlng 'Ith.r, IIOthtr, tlu.band, wH., 'on, dl'Ughttr, grandchlldr.n, 100-ln.l...,
dtuOhttr-ln-1Iw, .tepchild and thllr I..u. art tsMltb1. at 11M Jltrc.nt (6i().
I_ TrllW'tlftrs to .11 oth.r. Including brothtr, .ltt.r, unci., Itunt. n.ph.w and nl.tlt ar. taltablt It ,ift..n ptro.nt U5iC).
C. I' VOU chAngt th. tlX rat., pl.. I' .p.ol'v your r.latlonlhlp to the d.c.dlnt In the IIr.a provldld.
I. The MOUnt of tlM due IIln. a) It d.ter.ln.d bv IUltlphlng thl ...ount teMabl. <lln. 6) by the taM rat. Oint 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Al1owlbl. debh tnd d.tIuotlonl Irt dlttrlln.d at followll
A. Vou h".Uy ar. ruponslbh for pay..nt, or the utlltl .ubjlot to .d.JnhtrIUon by ft ptrlonal repr"lnhtlv. It In'ufUcllnt
to PIV thl dlductlbl. It..I.
B. Vou IKItUlllY p.id thl cMbtl a'ttr d..th Il' thl dlctcMnt ami Clll 'urnhh proof of plVllnt.
C. DRt. b.lng ollll..d .u.t be Itl.lud fulh In Part 3. If additional .p.ct I. ntlded, u.. pit In plp.r I lll" M 11". Proof 0'
ply.."t "Y b. r.qullted bv thl PA nlplrt..nt of R.v~.
TAXPAVER 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, TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
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R!V-1543 IX AFP (1-911,*
COHHONWEAlTH OF PfHKSVlVANIA
DE:f1ARHt:Hf Of REYftfUE
!tAlEA" OF INDIVIIl<JAl fAXES
DEPI. !I0601
:iARRtsllJtQ, PA 11128.0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILl!
ACN
DATI!
NO.21 '1/1- i'
94131478
07-26-94
'(i "
ESTATE OF VARNER
5.5. NO. 183-12-1483
DATE OF DEATH 04-29-94
COUNTY CUMBERLAND
TYPE OF ACCOUNT
N ~ SAVIJIGS
_ CHECKING
TRUST
CERTIFICATE
REHIT PAYHEHT AHD FDRHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PAUL
VARNER JACK
1254 MAINSVILLE RD
SHIPPENSBURG PA 17257
DAUPHIN DEPOSIT BANK I hu pro..,ldod thl CIPart.,nt with the Infor..t1ofl IlItlld bllow which hu bun u..d In calculltln; thi
pohnU,l te)( dUI. lhllr rKorth IndIct'. thlt at the death of thl above dlcld.nt, you Wtr. . Joint own,r/b,neflclarv 01 thh &COOU1t.
If you ,..1 thll Inforntlon I, Inc;orrlClt, pi.... obtain wrlltln COrrlQUOM frol the flnllnol.l Inltltutlon, attRch a copy to thl. for.
."~ 1'11'.11'" I' tt't fh. 11"0"" IIrl-iru, Thl- III'I'M"" I, h","hl, In ll~rt'trtl.".-:. with tht! lnh4r\tNW'1I 111\1' Ill"'''' the rn..nr'!w."lth of PAM.",lva,,\"
QUI.tlon. ClIY bl a"''''lred by call1n; 17l1l 161.nZ1.
COMPLETE PART l BELOW . . . SEE RI!VERSI! SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Aooounl Ho. 4937771906 Data 04-26-90
Eatablhhad
21,389,85
16.667
3,565.05
.06
213.90
TAXPAYER RESPONSE
FAILUR! TO R!SPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT lASED ON THIS NOTIC!
Accuunt Sllanea
Pero.nt Ta)(able
A.ounl SUbjaol 10 To.
To. Rata
Polanllal To. Duo
To In.url proper nrldlt to your account, two
IZI cop II' of thl. not lei ~u.t acco.pany your
pay..nt to thl Rlghtlr of Will,. Hakl ch..ck
payabll tal ~RI;I.tlr of Will., Aglnt~.
x
x
NOTE I If talC pay..nH: arl .ada \If I th In thrll
131 eonth. of thl dlCldlnt'l detl of dlath,
you .ay dllduct a S:( discount of thl ta>l dlll.
Anv Inhlrltanc. tax dUI will bleo" dlllnqulnt
nlnl (91 lonth. aftlr thl dati of dnth.
PART
ill
[CHECK ]
ONE
BLOCK
ONLY
A. 0 Thl abovl Inforeatlon and talC clu. 11 corr.ot.
1. You lay choo" to rnlt pllv..nt to thl RI;lItlr 0' Willi, with two cop I.. of thh notlcl to obtain
. dllcount or avoid Intlrut, or you 11I'1 chock bOlC "A~ nnd return thl. notlcl to thl Rlglltlr of
Wllh and an offlclll a.......nt ",UI bl Itluld by thl PA VIPlrt.lr.t of RIVlnul.
8. 0 TM aboll' aUlt hal bun or will bl report,d and tax paid with thl P'M,vlvanl" Inhlritance TalC r.turn
to bl fll.d bv th, dlc.dlntl, rlpr...nhtllll.
C. M Thl &b01ll Inforutlon It Incorrect andlcr d,bt, and dlductlon. werl paid by you.
You N,t CO~lltl PART 0 andlor PART m bllow.
PART
~
TAX Ri!TURN - COriFUTATION OF iAX ON JOINi/TRUST ACCOUNTS
LINE I. Dolo E,Iabll,had I
2. Account Sellne. 2
5. Paroanl ToXlbla I X
4. A.ounl Subjaol 10 To. 4
5. Dabl, and Daduollon, 5
6. A.ounl ToXlbla .
7. To. Rata 7 X
8. Tax Duo 8
.21i)~', L (I
PAD
1
2
3
4
5
6
7
9
DEBTS AND DEDUCTIONS CLAIMED
OFFlr.IAL USE ONLY 0 AAF
PA DEPARTHENT OF REVENUE
nn
.
If you indlc.t. D dlfftrlnt tU)( rat., pl..sl .tat. your
rahtlon.hlp 10 d,oadlnt I
PART
I!I
DATE PAID
<(V.') ,Loti If
PAYEE
I""" "'"'''' -" ,,, ,"
DESCRI PTION
AMOUNT PAID
I 0-'" e. '"
.
j''''''''''"
TOTAL IEnlar on Llna 5 of To. Co.pulallon)
Undlr penalti.. of ptrjury, I d.olar. th.~ the fact. I hlY. reporttd above ar. truI, correct .nd
oOMplala 10 tho ba.I of .y knowladga and ballaf.
HOME
WORK (
TELEPHONE
~l~~
ER S RE
GENERAL INFORMATION
1. 'AJLURI TO RESPOND WILL RlSUL T IN i\H O"ICIAL TAX ASSESSl1INT .1lh ..,11011I10 IntorlOl blOod on Inlor..llon .
oubolllod bv lho Ilnonol.l In.lllullon.
2. ImerStMO. tax beG... delinquent "1M ItOnth, .ft,r thl dectdM1tf. atl of duth,
S. A Joint IHIC1CM'1t 11 'aMebt, Iven thouQh thl dHedent'. "... "II IMkMd II . ..U" of convWlJltOCI,
4. Accotl'1h Clnoludl". tha.. Mid between hulbend and wUt' which the dMedent put In Jo1nt n.... within OM lfllr prior to
dMth In fulh tllClbl, It. trll1,'.rl.
I. Aoo~h ..tlbllthed Jo:nth bltWMl'l hu.bInd lOcI wlf. .ore th8n 001I :tNr prior to dNth ar. nut tllClbll.
.. AccCM'Ih hlld bv II deoltdent "In tru.t for" InGthlr or other. Ir' tlMabl, fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1, ILOCI( A .. If thl 1nfor..Uon ,net carput,Uon In thl noUllo Ir. corrlet end dtductlon' art not belng 0111Hd, pltc. In "X"
In block "A" 0' Put 1 of the "TIlIPlyor Rt.pon.." ..ctlon. SIgn two cop I,. and .ubIIJt th.. with yCMlr chick for the .~t of
tlM ~o the R.,hhr 0' W1111 0' the ClOunty Indluttd, The DIP"r..."t of Rty.nu. will IlIut en offlolel ....lIunt
(Fare REY-I~' EM) upon rlc.lpt of tM R.turn frOl t~ R.alltlr of Willi.
2. BLOCK. - If the III..t IPleifhd on thlt notlcl hit bun or will b. rlpo1rhd and tlllC p,ld with the P_nn,~IYanl. JnhlrUIM.
rlx Rlturn fll.a b~ 1M dec.d.ntl, rlprl..ntltly., pl.c. an "Xft In block "Bft of Part I of t~ "TIMpl~'r Rllpon.l" 'lotion. Sign one
eop~ end rlturn to the PA DIPart""t of RIYlnUI, 5urllu of Indlvldull TaKIs, Dlpt 280601, Hlrrhburg, PA 17128-0601 In the
InVIJopi provided.
5. ILOC~ C - If Ul4 notJel InforlltJon II Incorr..,t andlor deduotlons Ire b.ln" ohl.ed. chKk blook ftcft and COIP.\tt. Per" 2 wid S
ICllordlng to the InstruCltlon. btlow. Sign tWo) copt.. end .ubtlJt thell with your chIck for the altOUOt of tllC plvlbll to the Rtglltlr
o~ WJ1l1 of tho count~ Jndlct,.d. The PA Dlfltrt.."t of RIYtnUe will IIIUt In offiolal .......ent (For. REV-15U EIU upon rlCoJpt
of the return frOll the Reghttr of Willi.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter thl d,tl tM ICCOU'1t orlglnlUv WII ..tlbllthtd or tltltd In the ..nntr 'lChtlng at d.t. of dnth.
NOTE I For. deeldtnt d~lnglftlr l2/12/l'21 Accounts which the d.o,dont put In joint nl." within Ontl (1) Yllr of duth Ire
"Klttl. fullv II trIMuftr.. Howtlvtr, thert It en uclu.lon not to IMOlld '3,000 per tran.f.r" regudlllll of the vllut of
thl ICCQW1t or the nllMltr of fClenont. htld.
If a doubll llterllk (1111) OPPel,. bltar. your first n.. In the .ddrt.. portion of thh notle" the n,ooo tMnlu.lon
IlrlMly hit b.." deduot.d frOll the account bal.oc. II rtPortld bV the flnenolal In.tltutlon.
Z. Enter the totll ballnea of the 'OCOlA'lt InoJLldlng Intarut accrued to the date of dnth.
]. The percent of the INlcOW\t thlt II taxablt for altCh 'urylyar It datar.lnad II followlI
A. TM percent talC_I, for joint ....t. .,t.tJlhhed eore th., OM Yllr prior to the decld.ntl. eMathl
I DIVIDED IV TDTAL HUtlIER OF
JOINT DWNERS
EX&8PI'1 A joint ....t rlgl.t.r.d
DIVIDED BV TOTAL HUHIEA OF X 100 . PERCENT TAXABLE
SUlIVIVlHO JOINT OHlERS
In the nil., of the d.cad.nt and two other per.onl.
I DIVII)[D IV S (JOINT OWNERSl DIVII)[O IV 2 (SURVIVORS) . .167 X 100 . 16,n (fAXmE FOR EACH SURVIVOfU
a. TM pero.nt tlxabl. for ...... cru"d within on. yur of the d.e.d.nt'. duth or account. owned bv \h. lI.o.dlnt but held
In tru.t for tnother individual( II) (tru.t bln,f 10 Ilr lu) I
I OIVlDED IV TOTAL HUtlDER OF SURVIVINO JOINT X IDD . PERCENT TAUILE
OWNERS OIl TRUST IENEFICIARIES
EM...I" joint ltCeOlA'lt rlgl.ter.ct In tho n... of thl dletdent end two other parton. end ..tabl hhed wlthtn on. Vllr of d..th bv
thl decedent.
I OIVIDED IV 2 (SURVIVOIlS) . .50 X IDD . 50X (TAKABLE FOR EACH SURYIYOIU
~. The nount .l.tIj.ot to hx <lln. 4) It cft;terllln.d by INttlphlng thl lCleount ballnlll (IIn. Zl by the percent tllllable Ulnt 5),
5. Ent_1" th. totl. ul t;11 debt. al,J \Jt\JUl:lt!U,1I IhtllJ In Part 3.
6. The MOunt tax..,11 Uln. 6) h d,teraJn.d b)/ .ubtr.otlng th, dabt. end d.ductlon. Uln. S) 'roe the ..ount lubJ.ot to tlM (line it).
7. Enter the IIfIproprlata tllC rlt. Ulnl 7) It d.t.ralned bllow.
A. TrIM"'" to lIne,1 de'oend.,.. Including fethlr, ItOthar, hu.band, wU., .on, dtu8ht,r, grandchildren, .on-In-I...,
dtughttr-In-I..., Itepchlld and their IlIue 8rt tal(lbl, at .11( pflrc,nt (6;().
I. Tr.",flrl to all others InoJudlng broth", litter, unoill, aunt, nephlw and nl.el art tel(ablt .t flftlen pareant US:O,
C, If YOU ~hIn" the taM r.t., pl.... .paoifY your ralltlonlhlp to the dacad.nt In the .r.. pro~ldtd.
I. The NOunt of ~.lC due Utna 8) it d,ter.lned bv aultlphlng thl IlIOUMt t'Mebh (IIn, 6) by the tal( rate (IIn. 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AlIowabll dabt, and d~t1onl art d,taralnld II fo&lo"ll
A. You I"alh art r..pon.lbh for Ply..nt, or the Utlt. .ubjlot to .dltlnlltratlon by . p.rlonal repr"lntltlV. It Inll'Ulel,nt
to P.W thl deductlbll Hili',
I. You aotuellv Plld the d,btl aft.r d.ath of thl ct.Cldtnt and r.an furnl.h proof of paya.nt.
C. Debh belnt oltl"d w.t bl ....Iud fully In Part 5. U .ddltlon.. .paca II n..d'd, Uti plain paper a 112ft x 11". Proof of
Plw..nt "W bG rtqu..tld by the PA D.part..nt of RIYtnUI.
'...:,"
.. <<.... . . .TAXPAVER ASSISTANCE .
.... IP YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
..REGISTER OF WILLS, PA DEPARTMENT OF REI/ENUE DISTRICT OFFICE
ORCALL.THE BUREAU OFINDtl/lDUAL TAXES,TAXPAVER INQUIRV UNIT IN
....... ... .. HARRISBURG AT (717) 787-8327,
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10 fulfill lho r...I,_I. of "'lIon 1140 of lho Inhorltono. end E.I.I. I.. Aot. Aot U of 1"1. C7I P.I. '
IooUon 11m.
Dot""" tho top portion of thlo Noll.. end ._It with your p.~t to tho Rothlor of Will. prlnled on lho
rlverM .Ide.
.. ...... ohtok or MnI~ order Plvebl' 101 REOtlTEA Of WILLlj ADEHT.
A11 PIYMntl r.cllvN 1h11l Hr.. be 1PP1lM to Il'l)l Int.r..t 1fh1d1 ,.v bI due, with MY r...lnd1r 1PP1I1d to the tlM.
A r,hnt of . to credit, which Mil not r..,e.tld on tM tu raturn, MY be r.....ted by cOllPl,Ung In "AppHoIUon
for R,fundof Pennavl","l, Inherltanct ftnd E.1,t. '1M" (REY~lS1S). Application. ar. .v.ll~l. It t~ OfficI of
the R....t.r of MUh, InY of thl n R."..,. Dlltrlot Offlol. or by cllll,. the speclll Z"-hoUr 1I'I....rJne ..rvlol
nu.btr. for for.. orderl",l In PInn.vl"enS. l-100-I6Z-2010, out.lde Pennlvlvenl, Ind within 10011
Horrllllur, or.. (7171717'1094. TOOt C717) 771'ZUI CHoorl", 1....lro<l OnlY).
aUCTIONS I Any p.rty In Int.r..t not .,th'lld wlth tM IfIPr,hlMnt, aUOWIMI or dlnlloWlncl of deduction. or ........"t
of tlM Clnoludlf'll dllClO\l1t or Inhr..U .. Ihown on thh HoUo. NV obJlOt within .hctv (60) dlv. 0' rec.ipt of
Ihlo NoU.. bY'
."wrIUen Flrotlllt to thl PA Dep.rtHnt of RtvtnUl, aolrd of .",..11, Oltpt. 281021, Harrlsbur., PA 17121~1021, tlR
....IHtll'II to Mve thl ..U" Otter.lned .t thl IUdlt of thl leoumt of thl Plr.ORIl npr..ent.th., OR
...,..1 to the Or~*,.1 Court
API""'
1l1RATlYE
COIIRI!CTI0111'
PIICPUIfI'
11ITERl!IT,
FMtuel 'rr~r' dl.oov.rld on thl, "'I...ent should be Iddr...1d In writing tOI PA o.p.rtlent of A.vtnUl,
lureau of Indlvldull T.x.., ATTNI POlt A.....lent A.vl... unit, DEPT, Z10601, Harrllbur., PA 171ZI~0601
~ (717) 7.7~6101, 6tt P'" S 0' thl bookl.t "In.tructlon. 'or Innerltenet Ttx Atturn for I A.,ldent
~t" (REV-IIOI) for In .xpltnltton af edllnl.tr.tlv'IV aorreotlbl. .rror..
If MV tlX due 11 Plld within thrH (5) o.tWir IOnth. .ftn thl ",""tl. dI.th, . flYI percent CS:O
dlacount of the tlX Plld I. Illowed.
tnter..' I. wried bltlMlnt ..ith flrtt d1y of delinquency, or nine (9) IIOnth. end OM (1) dlY
frlM! thl dltl of dHth, to tM dltl of Plnttnt. TIX.. which bec8M delinquent before Jlf'lUlrw 1, 1911
bltr Int.rl.t It the rlt. of .Ix (6X) peroent Plr InnUI o.loul.tld It . dellv rltl of ,000164.
All tax.. whloh Mcl.. dlllnquent bn or Ifter JlflUIry 1, 1912 ..111 beer Intarllt at I retl whloh wUI v.rv frO.
olllndtr Vllr to c.lendlr VI" with thllt nt. ~ed by thl PA o.plrtHnt of R.v...... ThI applloaDll
Int.r..t rlt.. for 1912 through 1994 .r'l
'tul: Intere.t Rite Dell" Int.re.t Feetor YJIC Intlr..t A.tl D.t1" Inter..t Flator "
I
Itll lOX ,ooom "16 lOX . 000l7~
I9IS llX .00041' 1"7 'X .000147
19M m .000101 1....1"1 llX .000101
191. IlX . 00 0 lSl 1"1 'X .0001\7
1"1.1994 7X .000191
....tnt.r..t II a.loul.tld I' falllMfll
IH11alBIT . IALAMCB OF TAX UM'AIO K ~IEI OF OAYI OELINQUENT K OAILY INTEREST FACTOR
...,"~ NoUOI t..ued 1ft" tM tel( btcOM' delinquent will rtfllat '" tnttrllt allcullUon to ftftHrl UI) dlW.
beVond thl dlt. of thl ..H......,t. If PIVMnt I. ... ,fter the Int.r..t o~ht1Gn dltl .hawn on thl
Notlo., tddltlanel Int.r..t IUlt be CIlcullted,
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PURfIOIEOf
NOTICE,
To fulfill the r.qulr...nt. of S,otlon 2140 nf tht Inh,ritano. and E'tlt, l.x Aot, Aot 22 of 1991. (72 P.S.
S.oUon 11401. ,
PAVItfNT,
Detloh the top portion of thl. Hotlo. and ,ubmlt with ~our PI~"nt to the Rlgi.t.r 0' W111. prlnt.d on the
rev.r.. ,Ic...
-- HIk. chick or 'ont~ ordlr paYlbl. tal REGISTER OF WILLS, AGENT,
All PIY'lntl r,cIlvld .hlll flr.t bl IPPII.d to an~ Intlr..t which 'a~ bl dUI, with an~ re.alnder epplled to thl t,X.
RmllO leRl'
A r.fund 0' .tlM crldlt, which was not rlqul.tld on thl te~ rlturn, 'a~ b. rlqu..tld b~ COlplltlna In "ApPlio.tlon
for If.fund 0' Plnn'Ylvanl, Inhlrlhnol and E.tet. Tlx" (REY-UUI, Applloatlonl ara aVIlU.blt at the Offlo. 0'
thl Rlal.tlr of Will., anv of the ZS R,v,nue OJ.trlot Offlo.. or bv call1na the 'Plolel 24-hour an.wlrlng ..rvlol
nu.blr. for 'or. I orOlrlngl In PlnnlYIV,n11 1-800-362-2050, out.ld. Plnn.Ylvanl. Ind within 10011
H.rrl.burg Ir., (717) 71'-1094, TOO, (717) 772-2252 (Hlarlng I'PIJr.d Onl~l.
OIJ!CTIbNSI Any Plrty In Intlr..t not .ltl.fJad with the .ppr.I....nt, allowanc. or dl.ellowanc. 0' d.ductlon. or .,.o....nt
of tlX (Including dl.tount or Int.r'lt) I' .hown on thl. NotJol 'I~ obJlct wlthln .I~tv (60) d.~. 0' rlcllpt 0'
ttlh NotlCl bYI
-.wrltt.n prot..t to the PA D'Plrt..nt of R.v.nu" Board of App.all, D.pt. 2~I021, Harrhbury, PA 17128-1021, OR
-.ellctlng to have the 'Itter dltertlnld It thl audit of thl locount of thl per'onll rep"..nhUv., ON
,uapPIII to the Orphan.' Court
AllltlN.
IITRATlVE
CORRECTIONS,
FletUl1 .rror. d).oowlr.d on thl. ........nt 'hould b. .ddr....d In writing tal PA D,plrt',nt of R.vlnut,
IUrleu of Individual Ta~.., ATTNI POIt A".....lnt Rlvl.w Unit, DEPT, 280601, Hlrrhburg, PA 171211-0601
Phone (717) 717.6505. SI' plga 3 0' thl bookllt "In.truotlon. for Inh.rltanca Tax R.turn for a R.,Jdlnt
bleldlnt" (REY-ISOI) fer an .~pllnltlon 0' Idllnl.trltlv.ly corr.otlbl. .rror..
OISCbUHT,
If an~ tlx due II pald wJthln tllr.. (3) cII.ndar 'onth. .ftlr the d,cldent'. delth, I flv. ptroent (5:()
dl.count of thl tlx paJd I. Il!ow.d,
INTEREST.
tnterut 11 cherpd btlllMlnll with fJrtt dl~ of d.Unquency, or nln. (9) ,onth. and 0", (1) dlY
frOll thtl dltl of dl.th, to the dlt. of PI~'.nt. lIx.. Nhloh bICI.. d.lInqu.nt blfore Jenuery I, 1912
be.r Jnt.rl.t at the rete 0' .Ix (6:() p.rc.nt per InnU. calcullt.d 8t I dlll~ rat. 0' .000164.
All tI~.. which b.e"t d.llnquent on or aft.r J8f'lulr~ I, 1912 wIll bur lnter..t It e ratl which w111 Vlr~ fro.
e.llndlr Y..r to cal.ndlr Vlar Nlth that r.t. a~.d by the PA Dlplrt..nt of A.venuI. fhe IPpllclbl.
Int.rl.t rltl' 'or 1982 thrOUgh 1995 .rll
'tile Intlr.lt RAt, DIUv Int.r'lt r:.IIota~
XUr
(nt"... Rnt~
Dlllv lntlr'l. Flctor
1912
1915
191.
1965
1986
--Jnt,r..t
20~
16~
m
I!X
10~
h clloullttd
,0005U
,000.16
.000501
.000556
.00021.
II followlI
1'.7
1956 '1991
1992
I99H99.
1995
9~
II~
.~
1,~
9~
.0002.,
.000301
.0002.'
,000192
,00ml
. INTERE8T . BALANCE OF TA~ UNPAID X NUKBER OF DAY8 DELINQUENT X DAILY INTERE8T FACTOR
"-Any NoUOI lllula aft" thl tl~ blcot.. d.Unqu.nt will rlUlot an Jntlr..t cnleullUon to fl,t..n OS) diva
beyond thl dlt, of the a.......nt. If PIY"nt I. 'Idl Iftlr thl Intlr..t co.,utatlon dltl .hown on the
Hot lei, addltionll lnt.rlftt lU.t b. calaul,ttd,
,.