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"J_,' _",t>,."., ",.'-"!' ," ,,;.. ;-1,' I I .;;: ,~Il ii' i , . ;, ", ' "',, ,.." ~" . ..'I'I ~ ,oj!, !, \/,"':,1,;::, ~ , ~ l~l\" I "I "'N .' ',,11 ''',I, ""U~,t. " ,:";;J~ ,'i( " !. ". " ' ., ',1, 'I ,:\. ,':'" I'" .. . ,:);','",:: . ;l.",q II' '.':rt.,'.::',: \,", '.'" I, ,/,.' I' .,,', ,. ',\1 ,., ,j,l: .. , ~ " " ,',II ',' "'I l' ,; Yll' " ',,{, ,,,' " '1',1:,:'" " '! ;'\,," .' 'I ~. "Ii ,. ,'.: ',I"I.,P', '"~ ".1. , '. " , .i " ,. ." I'. .1" II , 'I', " '\: ..,I " '" ., " " , \' /tl. "I\I'''l', ;, '11 I. " " ". ,,, ,:-'1, ',1, I '_ ",I' j,,1 ,']" ,;': !" ' '" II I. '.' ",,' .',",', ,I', ,,' d ,i," ,,'/,'; ,"', , ' ." " " " , . , ,. ,. ,. " ,I ,,~ , ." '., "'.'.:j' ,["" , i' .1 ,.",. " " , '';, ., '''I , " ;,',', (\'.'.'; ',.' I'" " \ ',-', 'I;'" I,' ,,\' ~ .- " I,l",'" ~, . ,i_' h "I";:: Ii'",.' ,. !' . , " ~ '" f.l h: rJ 1'-/- .2).1/, S INHERITANCE TAX RETURN ~\t~IDEN'{ DECEDfNT I (TO E!e FILED IN DUPLICATE I WITH REGISTER OF WILLSl COUNTY ((JUE a.! Yl~R ........ -~ ._-.... -; 'fll('~'iji.1ir'ifl'J:I~\Jlr'rr Amiiirj;'~;;";~:"';':":;'~' 15227 'l'errace Road I ~lechanicsburg, PA 17055 10/12/35 '" cumberland I '3. Rom"ln." Rolu," (fa, dolOl 01 duolh prior 10 12.13,1I:!1 ; I! (I Futuro InIOI(\,' COlllrromlw J .~. Fedoral e,'nlo Tor. (1m dC1hll 01 dllt!ll, llllor 12 11..821 Relur" R(lqulrod I I 6, Of ((,d"l1l {JII I T ('I'lllr, r I 7. DI:l:od('nl M(llnl(llJ,,_,d 0 liylnll T,u,' _ e. Towl Number of Snfe O"P'HIt Bn)(clS I IAlIelch (Up,. A "'/;,., (t\.IIClch (Or,. of rrl..Illj . IAU 'r;op.rilsPCi'.wr.,j(r:^Niii;ON;lili~iTiA'( TA'inN,oiiiiAYioNsifoij(o'iie ilTliicT"ifTCh ..'---'-~---'--~..._' : ~I":~.r'" ... ... .,,-,. ..-. _.. ........... ._.~.. -........_-.-..... ._..--~.;:(>>7~{Tfi,\T..ltl(fi,I(fij.5~..~-._.-...~.. -..-...--..-....----..... MARROW, Kevin L. I 21 Neponsit Lane !, lfIfPIIO",.iJIJMij"\ Camp Hill, PA 17011 I ! ~t '/."00 (\ + 111 RBI -.. 'Ill! NUMB!R , '. , C;"".~ 'J..~J, 'l~ '.'v,'JI' \~(lI.'.\\(lN\H.''';: lr r'U 1l~IlVAlll/, j,fPM,llolttl!(.i1 dvWUI Ot'Pf Ju.)Gvl lIAlikl~l1l1~~j. PA 11I'l'jO.:.o1 711 9'1.. JiUMB~R I 'i{i(~ !'iip';.' ~ ,l;..'~--il-,.:~f.fiij.~.'..KHu.,.\iGIJir;l~ml:\,i.. _u -. ! MARROW, Lois N. ~ ~i It :..,~ :,[ClJPIIY /;>Jvb' 'i 161-28-8300 In.'lI ()i 'j( qll : 5/9/94 :O.\lf Of IitklH w ... .!~ ~~~ :Z:~_J Ull.1>> .. <l r.l '1 SUpplollllJnl(d RnllH!l ; I~ 1 i i I 1.1 (:0 'ljllhll ">.I~ (n Urnil(l:! ttlf1!IJ ~~ OlQ "Z 82 je(7' 7) 737-1499 I', Ro,,1 f.II"1o l,d,oJ"lo A} ( 1/ ~ 510"\ "nd Bond, (~,hodul, 81 I 21 , I J, (101.1, 1I,ld ~',"kIJ'",'n",hil' Inluro.' (S,hudul" C) I 31 . . 11 MOlltlClOt:$ Ulld N':Jlo~ RO~(ji\lClblfJ l~chl1r1ulo DI I 41 . I. Co.h, BOllk OOpOlIt. t. Mlscollno.ou. Porsoool Properly I 5). $ ._19, ~6?..oo...... ISched,'lo Ei 6. Joinlly ON,,,d Prol'urly (5,,,,dolo FI I 6) , 7, 1"""1.,, 15chod"I. ('I'ISchud"l. LI I 11.. I B, T"lol 0'011 All'" (I,"ullir,.\ I,ll $ 7,873.00 q FUI1Moll',\pe,,,o., AdmlolslrollYo Call" Mlscollon.ou. I 91 ... __._..._.m ..... ..__....__ ...... , ~xpoos.. (5chedulo HI 110, O.bll, MOrl90go Liabllllio" Lleo. (5chedulo II POI....._............. ..._............... 111. 101,,1 Ood,,'loos 1101,,11100.9 & 101 111) ....!..._~!.~.~?_~..o..~......, 12, Nol Voluo (;1 f..'Ulo IlIno B mlnul ilno 11) 1121 .....$,....15,J.6.5...8.l...._._.. 1'13, Cho,a",blo and Go,uromoOl,,1 aequoll'ISchodulo J) 1131 __...._._________.. .... 14, Nol Voluu Sub lOCI 10 Tax IlIno 12 mlnu.llo. 13) (14L_$..::.15-1~ 5 1~~l7.=-:="-=- '--i 15.-~~~u~,~fll~~i ~..I~~~bl~~;.;;~o..~~.I~........,..--- ..,~5j-.:..-~i6-:5...ai-:_..- X ,06 a .....$.._ ~2....Q.Q__ ..... (Iocludo ,01,,01 from 5chodulo K or Schodul. M,) 16, Antounl 01110. 14 loxoblo 01 15% ,ole Ilnd"do ,,,Iuo\ from 5chedul" K or 5chodulo M,I ,17, P,incipullox duu IAdd lod,om lino 15 ood from Iino 16,1 i I e. C,odill Prior PC1ymcnl~ Dilcovnl .__ .-..-.-0.-.-...--.--.--.---..--.----..-. _. ..~... ....._......;_ .........__.._.. .. .._o____.._u_____. 2 o ~ -' E ~ Ol $ 3,4?~,'..~L... _ I BI __.L~~,].38..~L......... 116) ___.. _..____ ___..X, 15 a ..J_____.___.._.__.. z o ~ ... ::l .. :e o u S 1171..$....--.....9.22...00.--, . InlorOl1 1181 1191 , , 119 , I '1.0 .. If 1109 IB Is 9,oo'e, Iheill lillo Ii', onlo' Ih. dilleronee on lioo 19, Thi.1s Ihe OVERPAYMeNT, mil IIlino 17 i. 9,0010r Ihon li,o IB, .nler Iho dillo,oo,e on lino 20, This Is Ihu TAX DUE, A E:llor Iho infcro,' on Iho bCllanr.o clvo on line 20A. Cl10clt ho,o if you are relluollino (I rofund of out OVUfp"ymcnf. (20) 120AI (20BI II. f.II'er ,ho 10101 01 iinu 20 and 20A on lino 20B, lhi. 1\ ,1.0 BALANCE DUE, M"k. Chock Pavoble. !o: Rogl.,., oJ WIII'e Ag."t...... ............ _,'_..___"U -...... ."BE'SURS TO"AN'Sweii'ALL ClUISTIONSONRIVIUE SIDiAND TO .ICHICK.;;wH.... "." Ij.~d~~I-p;~~iii~.I~ ;~rp't~;(~I' ':;, l~f;;<j(1 r~ ii~n-I"I'hr;~~-;;~-~;~;;;{thi; ,llt~;;~~-i~cl~;jin.cj- O~C~~.lr-Cl ~yl~O-;Ch-f;~jvlo-i.~ nXii;~;;nll. and 1~'"ihObOil.~i my kn;;j~clglQ;;'d bell;[ il illruo, COHoel and comrlCdt1 I cleclCHo Ilwl :111 fOClI 0\1010 hClt boon fllrOrlNt (l11f\J~ mClfklll \lClluo. DflclCHolion of preparer (llhnr than the porsonal reprelanlCillve II baled on (Ill inlormClllon e,f which proporor hCll Clny knowlodOIl ~1r.N'i.iuiH't;if p[ij$6'~~-kfSI'()',~i~(t' tOR fIliNG Rll\l~r( . ....\OIlIlESS 21 NC'ponr,lt [,<1n9, GClmp Uill,PI\.nRl1 MI()P!)~ o.;r-........"...---.... Q , 1.5, - ..q I J o'Alr" ". .7. ~~\lTN [".' MARRO\'1 \K'ri^"':;;;f?":~;1 """;(1<1,'";(. u~ IUllh 1'"1 I ., . - ~i~ FU~~~~~~~:N~ES, COMMONWIAllH 01 P!NNIVWANIA ADMINISTRATIVE COSTS AND _ .. '~';_m1~~~Wc'f~l~urRN ___~~S~_ELLAN.~O_US_ EX~ENSES . _ __ . ~~._al'_ Prl,,1 or T~ ESTATE OP ---- JFiiTNUMBER MARROW 1 Loi s N. _._~-_.._------_.._._-----_._._._-------' --_. ITEM NUMBER A. DESCRIPTION Funeral EMp.nll" 1. NEIl.L FUNERAL HOME B. Admlnlllrallv. Cal'" 2, 3, 4, C. 1. 2, 3, 4, 5, 6. 7. e. 1. Personal Reprllentatlve Cammllllons Kevin L. Marrow Social Security Number of Persanal Representative: 179-50dl.158 Year Commllllonl paid __ 1 9 9 ~ Allorney Fell: James M. Bach Family Exemption Claimant Addrell of Claimant at decedent's dealh Streel Addrell City Relationship Stole Zip Code Prohale Fees Mlsullan,oul bp.n"" DiscovAr Charge Card Dr. Patel TOTAL IAlso enter on line 9, Rocopltulotlonl (If more Ipac. II n..d.d, In\lll addltlonallh.... of lam. III..) AMOUNT $6,094.00 $1,162.00 550.00 42.00 25.00 $ 7,873.00 ;) ,I (1 \ R~~::;~~~~'~:0~e:~~~Vl~.~~:94*' NOTICE OF INHERITANCE TAK l ACN 101 ~ !URlAU OF INDIVIDUAl lAKeS APPRAISEHEHT, ALLOWANCE OR OISALLOWANCE ~:~~~~~~ 11128-0601 =___~_ _:F DEDUC~~H~_A~~~,E_~_SH~~T__OF TAK ..~~_11-OH4 i:.stA' E uF "AARROW --- LOI~ - --- .. - FILE NO. - '1 'lJ4-071r DATE OF DEATH 05-09-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO VDUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAVHENT TO THE REOISTER OF WILLS. HAKE CHECK PAVABLE TO "REOISTER OF WILLS, AQENT" REMIT PAVMENT TOI KEVIN L MARROW 21 NEPONSIT LN CAMP HILL PA 17011 ~ REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r--= AMount Ro.lt~d l CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ R 'EV: i!ti;" EX"" AFP" i 0 ii: 94"i "iio'fi c r "ci F" i"N'HEiii i' ANC E" YAX" iili PRA" i ii Ei-tiiiT";"A L l"liWAN"CE" O"Ii'""""""""""".""""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MARROW LOIS N FILE NO, 21 94-0711 ACN 101 DATE 11-07-94 APPROVED DEDUCTIONS AND EXEMPTIONS I I 7,873.00 9. Funorol Exp.nl.I/Ade. COI I/HIIC, Exp.nl.1 (Sch.dulo H) (9) 10. D.bh/Horlgog. Llobllltlu/Llonl ISch.dule II (10) .00 II. Tolol Doducllonl Ill) 12. Nol Voluo of Tox Roturn 112) 13. Chorlhblo/Gcvorne.nhl Boquuh (Sohodule J) 113) 14. Nol Voluo af Elhlo Subjool to Tox 114) NOTEI If an a.....m.nt was i..u.d pr.viou.1Y, lin.. 14, 15 and/or 16, 17 and 18 will r.flect figure. that includ. the tctal of Ahh r.turn. a.....ed to date. ASSESSMENT OF TAXI IS. Aeaunt of Llno 14 ot Spoul.1 rot. 11SI 16. Aecunt of Llno 14 tlxoblo at Lln.al/Cla.1 A rat. (161 17. Aecunt of Llno 14 toxablo at Collalorol/Cloll B rol. (171 lB. Prlnolpll Tox Duo TAK RETURN WAS. (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Ro.l Eltlt. (Soh.dull AI 2. SIookl Ind Bondi ISohldulo BI 3. Clololy H.ld Stcck/Plrtnlrlhlp Intlr,"t (Sohldulo C) 4. Hcrlglg.I/Notl. R.ollvlbll ISohldul1 D) S. Cllh/Blnk DOPOIlll/HIKO. Plrlonll ProPlrty (Soh.Gulo E) 6. Jclntly OHnod Prop.rty (Sch.dull F) 7. Trlnlflr. (Sch.dul. Q) 8. Tctll Allotl TAX CREDITS I PAVHENT DATE 08-15-94 RECEIPT NUHBER MM912823 DISCOUNT (+) INTEREGT (-) .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( ) CHANQED 11) (2) (3)_ (4)_ (S 1 (6) (7) ,00 ,00 ,00 .00 19,765,00 3,473.83 .00 (8) 23,238.83 7.87~ (lD 15,365.83 .00 15,365.83 .00 15,365.83 .00 K .00, K .06, K . IS, 118) .00 922.00 .00 922.00 AHDUNT PAID 922.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 922.00 ,00 .00 .00 IF TOTAL DUE IS lESS THAN U, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) .' \,' j" ! I.J(.) RESERVATION I E.tlt.. of d,cld'nt. d~lng an or b.for. O.e"b.r It, 1982 .. If any future Int.r..t In the ..tat. J. tran.f.rr.d In Po'....lon or .nJoYI.nt ta CI... B (oollatlral) blneflclerle. of the d'Cldlnt aft,r the 'Kplratlon of Iny .'tat. for 11ft or for y,.r" th, Ca..onw'llth h.r.by .wpr...ly r"erv.. the right to appr.I., and a..... tran.f,r Inh.rltanc. TaK'. at the h~'ul Ch.. 8 (oollateral) rate on any auch future Inter..t. PURPOSE OF NOllCE. P'VHEN1. To ful'lll the r.qulrt..nt. of S80tlon 2140 of the Inherltanc. and E.tat. Tux Aot, Act 22 of 1991. 12 P.S. Slotton 2140. Detach the top portion of thit NoUee and .ublllt with your PIYlllnt to the Regilter a' Willi printed 011 tho raver.. lid.. --Hike chtck or Ilon.y ord.r PllYlbht tal REGISTER OF H!LLS, AGENT All pIYlllnt. r,c.lv.d .hall fir.t ~. ~ppll.d to any Int.r..t which Ilay be dUI with dny rell.lnd.r appll.d to the tux. REFUND (CRII , r.fund af a tax oredlt, which was not r,qu..t.d on the Tox R.turn, ~ay b. rlqu..tld by calpletlno an "Appllc.tlon for R,fund of P.nn.yhlanhl Inh.rltlnc. and E.tlt. laK" CREY-1313J. ApPlication. art avalhblt at th.OIl1<<1I of the R.gI.ter of Will., any of the 23 Rlv.nul District OffiCII, or by calling thl Ip.clal 24-hour answ.rlng s.rvle. nueb.r. far forM' ard.rlngl In P.nnlylvanJa 1-800.36~-20S0. outlldl Plnn.ylvanla and within local tlarrltburg arll (111) 781-8094, TOOII (717) 172-22S2 (Hllrlng hpalrtd Only). OBJECTIONS I Any party In Int.r'It not .atl.fled with the appral....nt, allawana. or dl.allowano. of deduction., or a.......nt of tax (Inoludlng dhcount or InterltU at .hown an thit Notlc. IIU.t objlct within .ixty (60) day I of rlc.lpt of thlt Notlcl bYI 'DNIH IS1NAllVE CORRECTIONS I DISCOUNT I IH1ERESl. -.wrltten protISt to the pt D.parhllnt af ll.v.nuI, Baard of 'PPlllll, OEPy, 281021, tlarrhburg, p, 11128-1021, OR --.lIctlon to have thl latter d.ter_ln.d at audit af the lIccaunt af the Plrlonal rtpr...ntatlvI, OR ..apPlal ta thl Orphanl' Court. Faatual .rrar. dllDov.rod on this a""'II.nt .hould be addrl'Ied In writing tal FA D.part~.nt of Rlv.nu., BUrlau of Indlvlttual Tax.., ATTNI Po.t '.....II.nt R.vle., Unit. DEPT. 280601, Harrltburll, FA 11lZ8-0601 Phon. (111) 181.6505. S.. palll 3 of thl bookllt "In.truotlon. for Inh.rltanoe TaK Rlturn for a R'Ildlnt D.cld.nt" (REV-lliOl) for an Ilxplanatlon of lld.lnlttratlvllY corrlctable error.. If any tax due I, paid within thr.e (3) cal.ndar 1I0nth. aftlr the dlctdlnt'. dlath, a five p.rc.nt (S%) dllcount 0' the tall. paid iI QlIowld. Int.r..t II charg.d beginning with flr.t day of d.llnqu.noy. or nln. (9) "Dnth. and one (1) day frail thl date of duth, to thl date of pay..nt. TaxlI which b.ca.. d,1 Jnquent b.fore January 1, 1982 blar Interllt at thl rat, of .Ix (6%) Plrolnt per annUli calculated at a dally rate of .000I6if. All taXi' which blcall. dellnqu.nt on llnd afhr January I, 1982 will blar Int.r..t at a rat. which wlll vary fra. oal.ndar y.ar to oal.ndar y.ar wJth that rate announcld by thll PA O.partnlnt of R.vtnu.. The applll:abl. Intorltt rlltlt for 1982 thraugh 1994 flrll !!!! Inter..t Rat~ Dally Intlr..t Factor Vllr Interltt Rate Dally Interltt Fflctor 1982 20% .000548 19&6 10% ,000274 19J3 16% ,000438 19&7 9% .000247 19&4 ll~ .000301 1988-1991 11% ,000301 19&1 13~ ,0003S6 1992 9% .000247 1993-1994 n .000192 ulnttr..t II calculatld a. followII INTEREST. BALANCE OF TAX UNPAID K NU"BER OF DAYS DELINQUENT K DAILY INTEREST FACTOR --'ny Hotlcl luued after the tax blco"" dlllnqu.nt will refl.ot an Jnt"..t calculation to flftun (15) daYI b.yond thl date of the U....n.nt. If pay..nt It IIIId, after thl lnter..t oOlput,tlnn date .hown on the Hotlol, addltion'l Int.'lIt .Ult b, allculat.d. GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAK ASSESSHENT wl'h ,ppllenblo lotor.,' b.lAd PO Infor..tlon '\/b.ltt'd bV till flnnnr.irll Institution. J. Inhtrlt.nc. tflll bleD"" delinquent ,)108 lIonthl nft,r the decadent', (hUe of dllftth. .5. A Joint ftccount 11 tfucnbll even though the deeel1lnt', "till. Wi'll Ilddllcllll n IIllltor of convenhncll. ~. Accountl llncludlnll thon held blltwlln husbllnd Ilfld wife) which the dllC8Chlnt put In Joint ""III" tllthln on. Vlaf prior to dllth nr. fullv tfl~ftbl. nl trnn,f'fl, 5. Account. ..tablhhed Jointly blllwlIlIn hUlbllnd find wife Illorl thn" anI '111M prior to d8/ltll nte not tlllCllblll. .... Account. he\d bv a dGlCDdant "In trUllt for" llnothnr or alhus nfe llIlCllbh fully. REPORTING INSTRUCTIONS - PART I - TAXPAYER RESPONSE u. IlOCK A - If Ihe Infor.llltton IInd cOllputntlon In thll notlclI IIr. corrllct IInd deductions IIrll not blllng chhutd, pillet on ")(" In block "A" of Jlart 1 of thl "Tlll(paYlr RIIPonso" Ulctlon. Sign two I;oplu oml "ublllt thUll with 'lour check for the aIIount of tal( to thl Righter of Willa I" the county Indlcllted. 'hi PA OIPflrtlllnt 0' RIYllnUe will 111111 an official llllu....nt IFnr.. RE~.15~a EX) upon rlcelpt of the return fro.. the RlgJ,tor of Will.. Z. BLOCK a - If thl! llllllt spllolllet! on thl, nottcll has bun or will ho reported and tnx "nlel with thll Ponn!ilyl'ltlnlft Inherltnnce Tal( Rtturn flllld by the decedent's repruontatlve, place nn "K" In block "a" of Jlllrt 1 of the "TlllIPllYor Ruponu" Ulctlon. SIQn onl copy una roturn to the PA OIPllrhent of Rllvenue, Bureau')f Indiyldunl Ttlllfilt, OIlPt 280601, tlnrrlsburg, P" 17114'0601 In the enyeloPI provided. 3. BLOCK C ~ If thl notlO::1 Inforllllltlon Is Incorrect and/or dllductlon, Ma baing clnlflled, chock block "c" and cOllplete Pllrts 2 And 3 ..r.r.orrtlnl1 tn tho In~t('urt'l'lfU h81111O. ~lon twn ..oIlIQ'I ilntl 1l1h",lt tho" with YOllr chllCk fnr the lllllount of ta>t PAVllble to thll Regl.ter of 111111 of the county Indlclltld. Tho p", Olpllrtlllllnt of Ravonua ..,111 js'ua nn offlcllll 8SUlSUlant (furlft Rt~'15':'8 EK) upon reCllpt 0' thl return fro.. tho Rlglster 0' 111111. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Entar thl date thl account orlglntllty was astnbllshad or titled In tho ,"lInnllr 1l>c1stlng /It dnte of dlloth. HOTEl For It deCAdent dying ntter lUl2182l Accounts whlf.h the docedant put In Joint flll"'et within ono (1) yur of death nff ta>tablo 'ully nl trnnsfor,. ItoWQv", thoro Is lH'l Ollclullon flOt to ol(cood $3,000 par trnnsforGO regnrdlass (If thll value of thl account or tho nu~ber of nccount, held, 1# a doubl. Ilthrl.k (NN) Itppurs be'oru your first nn!110 In the IlCldrau portion of thls notlco, the 13,000 Illlo1uIJon lllru1y hal bun dllductlld Irnll the nccount btll/lnco ns roportod by tho "nnnclal Institution. Z, Ent.r tho tutal blllance of the lIccount Including Intorast /lccrued to thl dtlte of death. 3. Thl plrc.nt of the nccount th"t Is tallnble for aach "Jrvlvor Is deterllllned <It followsl A, Thl percent ta)(abla for joint aouts estllblhhed moro thlln one YOM prior tt' tho dacodlnt's dlllthl 1 DIVIDED BY TOTAl NUH8ER OF JOINT OWNERS ()(UP1I1l A Joint 1II11t registered DIYIOED BY TOTAL NUHBER OF K 100 . PERCENT TAKABLE SURYI~ING JOINT OWNfRS In Ihe na~e of the docadllnt and two othor persons. 1 DI~IOEO BY 3 IJOINT OWNERS I OI~IOf.O BY Z (SUR~IYORSI . .167 X 100 . 16.7% (TAXABLF. fOR EACtl SUR~IVORI B. Tha percant ta>tllbll for Olsets cruhd within ana yur of tho docedlnt's duth or nccounts owned by thl detedent but held In trust 'or llnother Indlyldulllls) (tru.t bonllflclarlull I DIVIDED BY TOTAL NUMBER OF SURYI~INO JOINT OWNERS OR TRUST BENEFICIARIES X 100 .. PERCENT TAHADtE Enlllp!11 Joint account raglshred In thl O/UII of the decodlnt nnd two othor parsons lInd "tabllshod withIn onl yoar of duth by the dvc.dQnt. 1 DIVIDED BY 2 (SUR~IYORSI . .~O K 100 " 50i: (TAKABtE FOR EACtl SURIJI~ORl 4, S. Thl uount SUbject to t,,>t lIlne 4) Is deterMtnad by IlllltlplYlng the nccount blllnnclI Entlr the total of the d.bt. /InN deductions llstad In Pnrt 3, ~:... ;,;.~.....t tl'o',~',:':' :~!.'.. ;.' :~ .:~~.:...,~; ,~~ :., 'H"'~':""~;"'. ::'_~ ';..:.~. '", ':..i..,;.!:.:,,;. :'J. Enter thl ^ppro~rlatl tnll rnto (lln. 71 ns duter",lnad billow. (line 2) by tho perclnt tallabl. (llnl 3). 2, ,. .-,. .......... " ... .....-... .- ,~. :: ;,,~ ., A. for dat.. of duth occurring after 6/]0/94, tho tllll ('Iltlll 'or trnosfars to SpOUlII ora 81 'ollowsI 1. Ont.. of duth on or oft.r 7/1/94 Ilnd baforo 1/1/96 thD rote I. 3i:. 2. DQtu of danth Of! or afhr 1/1/96 nnd bofore 1/1/91 the rllto It l%. 3. Datu of duth on or r,fhr 1/1/91 nnd beforQ 1/1/98 the rntll I. 1%. 4. Date. of death on or nfter 1/1/98 trnnsfer. to spou.e. will bt alll~pt fro~ tal(. Nohl for dllt" of duth prior to 711/94 trons'ers to spou.as Itrll tllxnblt "t €Ii:. 8. Transhrs to llnanl dlllcandnnt, Including fnthar, lI'Iolher, son, daughter, gr/lndchlldren, "Jon' In-low, dllu;nter-In'lnw, ttGpchlld nod their InUI /IrQ tnllnbla at alII per'cent (6%l. C. Tranlfars to all othlrs Including hrothor, sl.tor, uncle, uunt, nephew <Ind nlecll are tal(nblo at ,iltOlln ptrcllnt (15%). D. If you Chango thl true rate, phose specify your relntlonshlp to tho dacadent In thl areu provldad. .. Thl a.ount of tal( due (llnl 8) II dlhr..lnld by "ultlplylng the dllount tnllllble (1lna 61 by the tall rnh Illnl n. CLAIMED DEDUCTIONS PART 3 OEBTS AND DEDUCTIONS CLAIMED Allowabl~ dehtl and d.ductlons orl deterMined nt 'allow,: A. YOu legally IIr. rflllpon,lbla for paYlllent, or thl estah subjoct to nd",lnl.trntlon by /I JUtrsonlll ropruentatlve I. Insulllcl.nt to pay the ctlductlble ItOllI, a. You nctually pnld thl dllbts afhr IIl1ath of the declldlnt nnd cnn furnl,h proo' 0' p"Ylllont. C, Debtl bllng clalllltd IIlUlt bl ItoJIIlzod fully In flllrt 3, If additional spllca Is naaded, UII plllln p/lper 8 In" .11", Prnof of paY.lnt IIny bl rltqUllhd by thll flA DIIPnrt",ont of RevenuI. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATIUN OR ASSISTANC~, CONTACT ANY REGISTER OF WILLS, PA DEPARTMENT OF REVENUE OISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327, TDDt (717) 772-2252 (HEARING IMPAIRED ONI.Yl I ( I '. f l . , " I I , ,'. ',', " I " 'i I ; , , . '" i>, ,) '. f I " " I ./ 1" I , "I j \ ., '( : \ , \ , ..I! I :'1 J \ )I Ill') " , .., 1"1 1 ~ ~ ~ ';3 ~ 1'1 lil :t: ~ ("I) - ~ r ~. }. j \ . ' , I /, , . ..' .... , '\,l.';l~) , 1\;) , , , . i:\, 1'-' , I, -"',- '1\' I I , I I,", "":l - " ,,":: - -= -, - . . : . ::: '"':' :.: - - "'" ';' ,~ , 1" I 1 i I I ," oS- (I I I I, ,.' ." , i I '"! I' , " " . .1 '. I ,~, I ' , , . , ..,.'......"'- 'U'_,"",~ JtU 41/".11'.1 '.;. PURPOSE OF NOTICE' To fulfill the r.qulr....nt. of Section 21~O of thl Inh,rltllncl and Eltat. TalC Aot, Aot 2Z of 1991. (72 PtS. S.otlon i!140J. P'YHEHT I D.tach thl top portion of thlt Hotlct and sublJt with your payftlnt to thl Rt;1"'r of Willi printed on the rlVlr.. lid,. .. Hike chick or AonlY ordtr payablt tal REGISTER OF Wlllli, AGENT, All paylllntl recelvld .hall flrlt b, aopll,d to liMy Intertlt which flay hi dUI, with IIny r...lndtr .pplltd to th, 'IX, REFUND (CA) I A r.fund of II talC crldlt, which wu not r,qu..Ud on tho talC r.turn, Il.Y bt ,.qullted by cOllplltlng an "Appllcltlon for R,fund of Plnn,ylvanJa (nh.,ltnncI l\rod E.tat, TaM" (REV-UU>. Application. IIr. auaUablt at thl OffiCI of thl Rtghter of W11I1, any rf thl Zl Revlnul Ohtrlet OffiCII or by olllllog thl 'Plelal 24.hour onlw.rlng "rvlet nu.b.r. for for.. ord.rlngl In Plnn.ylvanl. 1-800-362-2050, outlld. P.nn,Ylv.nla and within local Harr1lburg ern (717) 1&7.&094, TOOl (111) 712-?2~2 Hlnrlnp I"palr'd Only). OBJECTIONS I Any party In Intlr..t not tatl.fl.d with the appral....nt, allowanc. or dl'tllowanc. of d.ductlon. or a.......nt of tulC (Including dl.ccunt or Interllt) as .hown on thll Notic. .ay obj.et within .Ixty (60) dlY' of r.c.lpt of thll Notlc. bYI "wrltt.n prot.lt '0 'h. PA D.p"'..n' of R.v.nu., Board of AIlPnl., Dlpt, 281021, Harrisburg, PA HUe-IOU, OR ...l.cHnu '0 have 'h. ..atter dlter.Jn.d at the audit of 'h. account of th. Pllrtonal repre..ntativI, OR uapptt.l to th. Orphan.' Cc,urt 'ONIN- ISlRATlYE CORRECTIONS. Faotual .rror. dl.cov.r.d on 'hi. ........nt Ihould b. addr....d 1n writing tal PA D.part..nt of R.v.nu., Bur.au of Indlvldull TalC", ATTHI Po.t A.......nt R.vl.w Unit, DEPT. 280601, Harrlsbyrg, PA 1712&-0601 phon. (117) 187-6505. S'I page 3 of thl b~okllt "In.'ruo'lon. for Inhlrltancl TalC RI'urn for I R..ldlnt O,cldlntll IREIJ-1501) for an lutpllnatlon of Id.lnhtratlvlly correotabl" errort. UISCOUHT 1 If any talC dUI II plld within thr.. (3) cal.ndar .onth. aftlr the d'Cldlnt', d.ath, a flvl p.rc.nt (5%) dllcount of thl talC paid II allowld. IHTERESTl Intlrl.t I. chargld b.glnnlng with flr,t day of dollnqulnoy, or nln. (9) 1I0nths and one (1) day froll thl dltl of dllth, to thl dati of paY.lnt. Tal(~1 which b.ea.. dlllnqulnt b.ferl January I, 19ftZ bllr Int""t ot thl rata of .h (6%1 perClnt par annullt cllcu18tad at I dIlly rata of .000164. All taltll which blca., dlllnqulnt on or .fter January 1, 198Z will bur Intlrllt at II ratl which will vary frOI oallndar year to callndar year with 'hat ra'e announc,d by thfl PA O'ller'"lnt of A.vlnul. Th. nppllcabll Interllt rat.. for 1982 through 1991 nrll 'tIIr Inter..' Rntl Dftllv Inttrllt FlIctor 1981 1981 1984 1985 1986 - - lntarllt 20;: 16% m 15% \0;: I. calculnUd . 000~4a .000458 .000501 .0005S6 .000274 IU 'ollowll :tw Inhr..t Rfttl Dllllv Intlrut Fllntor 1987 l);: .000141 19&&-199\ 11% .00010\ 1992 1)% .000247 1995-1994 7% ,000192 1995 1)% .000247 INTEREST . BALANCE OF TAK UNPAID K NUHBER OF DAYS DELINQUENT K DAILY INTEREST FACTOR '.Any Ndtlcl I"uld aftar thl llll< hlcu." dlllnqulnt will rlflect nn In'".., cnlculntlon to flft.." (IS) day. blyond thl dati of tn, ........nt. If "aYlllnt I. Md. nftar th. Int.rllt co.puttlllon ,la,. .hown an 'hi Ho'lc.. ndrlltlof'llll Intor"t IIIU.t bl calculated. , '1'''1]'''1''\'''''1 "- ""'Il~"",'J",\,.I""ll'." (" '" ," .'\\tiii"'N":\\ll""I"~'~~'lf~~Ii,"G' I' J \:If,~~,:,II~P!'l'',I', 1'''',1;; (/11(1~," ','1;;~,}'-t"\'~r;l1'~~" tJl.l~ill 'j\l>}~I~I~~\J~{.'i<h \)~~ .t t. ~-lJ~1t\'.,l,.~IYI",'I,t.j ,.",l},.\ 1r/1r:-,"\ 'II/.,tl\',>,<.l,o}:,,'ll- '.'~ IILli'. 'J;;i,i..\,t j.. ~ ~ I . :1~""'~'\"'" ,:!,,,~,,l;i~',,l,d'\''.r', \"'l,I~\J \'..;1"1 H~ \1 f ).It,..~..~III. ~("I",I '",''' .'1l~'!.1' ;III"\h,O"'J 'it 'M ~L,(,.),I"III, ,,'(\"'!, 'tl" I ~ II' 'VI, ,,,V.! ~ I. "~I~i~',\h"""<i,\",..'., ,I'; ,<~. " :,.1\\",'\'., \.'/),1',',\'." <''', ,J 'i J'l ".'1- 'i ,t 1\' '1 llj\",t", J, '1'.->1. '-0'1 Ul .u'~ . '\<'I,'I&JI" '1,1", 'J I. I' I . '. ' , IL. ~.'" I" I M "" ' i ' , , J ' J ."1" ".r. " r "', ,<I' . .~ 'I"~ , \ ..... ";I~' ~\' \, I " l\} \~, '1\ l., JI-l11 ,\1 'I "I I '~, I ~ .j V, .1,', .1'\" l' I . J \ " } {I "~' '~I'~~fI"" ,:1111,\~/r\'~;'~"I',ihl' 1\'(" It''I\~''~1 "'1 0 ;\' ,\.', \~ 'J" "I I, "',.,' ", ..., , ,.,' "I :x: 'n "~ \}'i "I'~';' ~ t \\,11""- ',(lot, I',,: -';1",/; .~, '1-1 ~~. ;11,~ft\\~. .,,":j\',~:,,':"I,';:''.:'"'' '" :/,. "", Ii' l\~ ,,;,r,;, E-< "j ~}('ti' ;.'1\9 .'tM~("J '11'~tI...~,lf'",,', i.' / ~'.. ,"j! II; VI"loI,'l P: .: \il,ll' rft ',Il',:, l""('l'! '!:I, ,,1,;1'" "":\" " !',',~I\' r'l' ,) D -. "j:J.....t~ I ." ,,- 1"\1 I I'" ,I I .' t 0 , ~l''''T!'*i' 'I'" I ""MI'I ,"" ,\ :'/""",1 '~"'I"\I"'K' "d \, " '1'" 1''' I' " ,,, U 1\ ., ,".'''''01'1....' ",' I' ' "", '.' ,,\,t. J'~'lI''1,~~. C J'(!l":", I'il," ,','.' "\\:~J' /'~\:\!; \'\'i'~~I~<l"\J'~1'1"~_" ". 1""11' ,'( '\".', , '\", ,; ", "', "" ,': ... \ 1Il >< . I I~I :-'l\~j .-1.' , : ',' h," ,'" ,I I '" , /,', ,\, "I, 'I ," ,.1: ./" l' 1 ,,-, '\V"('J~'~ II"~' L', "\1' :.r'i'"'' II '.I!" J/~,I'j '\~r,,1 , ~ ~ f >~J ", ' , ~}(' . ,,'j j { ~ I ,,' '1/ "'JI'" I ....... '~/l ~ ~ U\I 'tn \\:'~ I"~ ',' 1', I, . IlII' ' I t I ,.'''' I'll H:> '", ~,,,, I ',' \,. ,I .,<"/,,, ",' ,,' ,1..,1'\, \," l'" I 3= 0 '1 ,l,t, \."\I."II,','N' "\1 "'d' ' l ',1'" ,.,'! U ~\;'. 1" '3 "~ ;"Iift"; 't, "',' " ,1,,11,},.'; Ilf~' 'fllj '"j (l.lllli/\ I"". " <II' "'t'l ~ 1. <l\ ~ ft "j \ J})~' "(Ii' I \, ,! Ii I,' t'~' L'"d 1~1\', 0 . (Ii( 'II/. ,to",;l ,I," ",I {, ~.. "', " 'I '. l,i'I' ',1'1 0 . i~'" '~"ill\i/!', ,\'\(,-.: 'l'lM', 'j.. <',' \\.' ,:11;,',,\, ",1""'i' ,}" Z "V J f cr, ~l '11, 'I," ..' I',.. .'1 ;,. "1l\( 4, '1 /, . p:: ~ "I; ''.. ( ,\.1\, I .1' I I ' " '. .. \ ,I., I 'I "'...:1 I ' , ',:t ~(; t ~~l' \ 1 If' . 1\ " " I' ,,' " ". ,,',,,, \'. ' . ...... . " :l'll\J, .,' llil ,,1'1; .,'j ".,,1, ( I" . '>':"', \' E-i ~ .~~ l'P ,,' 1""\ i ':,0 I'n'}",.,. 1 j 1-" , ~' , i-t '\ \, , '. I . '. 'I'''''' lJ.l It,,:-,, r, I It',' '.' (, , ,.1+" ,',' .I;", "f.\. ),,' U) 'I ~. 'I"' ,~t"'[', I ,II' 'l~'" '111'" j'" n H CO l.: :t,.,.. 'I)'.,', ",, 1'\' '\ . " \. '" '1:1 II' ' j' .' ,I ,., ~ 'm ". 'i' 'I"""'" "." I'" .' 'I" ",,"" '. '.\ ...... (',. ..1'1\ J}I,'j \ /','i"\1'1':""'< I) '~I "\"Il }L~ ,I 111,,)' " :"1\ W D ~',,,1!\ ,114\, ,1.. 1"'I~\"" lllj" ,I, (ll,~' ;, ,~' Ifj~\"l , p::: U J' '1, '~~ 'I'll' ,! /1 l' ( , " I :', J I (~ j 'I" :. HI' I Ji:, ~,' II, f 1 \ 1\,' I ., t~" ',,' , t .. (I , \~"', ~ ; 0"\ ' , .. '1,~, ' "" , '" ' , . -I'" \ I'll., '<-, II' II, '~\/i71' ~'~~ \l\'I!' i" '!d\1;'i.J1f",J!f ' 'I ',; i", < t~, 1 J'~ f" r ~"..f\/J'a"~ I~ ""/ '\1 i., "\,,' l , ",',11\'''''1''' I'" 'c'_. I,jot' t '", 1\\lj4',. "101""',.\)1 I .),\f" 'j 'I:, I'.. }~ Ill' ,r 1'1 \ \', II ' ,,1" ,'r ".!.'['" ;',."i ,. \' ,'\'/~jWli '1, /11'.' ,',1 ,'I:' '. ,,;" "r 'I." 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