HomeMy WebLinkAbout94-00724
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NOTICE OF INNERITANCE TAX
COMItOHWEAllH OF PfNHIVlYAHU APPRAIIEKEHT, ALLO~ANCE DR OISALLOMANCE
Ol:PARltt!Nl Ill' RfYENUE OF DEOUCTION \i AND AIIEISKENT OF TAX ON
IUIIlAU Ill' INDIYIDUAl TAXEI JOINTLY ELO OR TRUST ASSETI
Ol:Pl. /10601 DATI 07-25-94
11ARf<11IURQ. Pl m/l-OlDI
ESTATE OF FARRELL SHIRLEV L DATE OF DEATlI 11-21-92 COUNTY CUMBERLAND
FILE No.~I.q"'l.1~1.1 S,S/D.C. NO. 172-26-3862 ACN 93040666
SULLIVAN MARTHA V
SUSQUEHANNA VW APT 316
20B SENATE AVE
CAMP HILL PA 17011
REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L A.ount R..lttod J
CUT ALONO THIS LINE .. RITAIN LOWER PORTION FOR YOUR RECORDS ~
iiiV': istii- iii- iiiiji- f 1 'ii: 93i" - _n - -- -. - - -.. - - - - -- n. -.. - ... n..... - -.." - - - -.. - - n........._.... n_'. ........ -"-
NOTICE OF INHERITANCE TAX APPRAISCHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLV HELD OR TRUST ASSETS
DATE 07-25-94
ESTATE OF FARRELL
SHIRLEV L DATE OF DEATH 11-21-92
COUNTY CUMBERLAND
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FILE NO. S.S/D,C, NO, 172-26-3862
TAX RETURN WAS, (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORHATION
ACN 93040666
ACCOUNT NO,
091082545
FINANCIAL INSTITUTION, CCNB BANK NA
TVPE OF ACCOUNT, (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 03-04-88
,
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I
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I
,
Account Belencl
Percent T~xeble X
Amount Subject to Tex
nebt. end Deduction.
Taxlb 10 Amount
Tex Ret~ X
Tax Due
24,465.80
50,000
12.232:..2..Q..
.00
12,232.90
,15
1,834.94
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEV ORDER PAVABLE TO,
"REGISTER OF WILLS, AGENT,"
TAX CREDITS.
PAVMENT
DATE
DISCOUNT (t)
INTEREST (-)
RECEIPT
NUMBER
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF pAID AFTER THIS OATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERES!. ·
I IF TOTAL DUE IS LESS THAN .1, NO pAYHENT IS REQUIRED,
IF TDTAL DUE IS REFLECTED AS A "CREDn" ( CRIl YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF TH19 FORH FOR INSTRUCTIONs, I
.00
1,834.94
124.36
1,959.30
INTEREs'r IS CHARGED FROM 08-22-93 TO 08-09-94
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FURM."
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PtJII!lOSl OF
NOTlCEl
let fulfill thl requlre.."tl of SectJon U40 of thl InhtrUence end Eltlt. Tlx Aat, Aat U of 1991. (72 PoS.
Itollon 2\101.
PAYltEN1,
OItaoh the top portion of thh HoUCI Md lubllt with vour ply..nt to the R.ght., of Wll11 printed on the
river.. ,Idlo
-- Hlkl CMck or ItOntV order p'Vllb1e tal RE01lTER Of' lULLS, AOENT.
All pIVNnt, recIlved ,h.1l fit It be .,.pU.d to lilY Interllt which ..y bt dUll with any re.llnder IppUId to the tlX.
REFUND ICRI I
A refl.nt of , tlM crldlt, which Nil not requuttd on the tlM return, eay bt "qulltld by cOIIP1,Ur'lg In "Appllcetlon
for Rlfund of PIOn'Ylvanla Inherltancl and E.tltl Tlx" (REY-U1!), AppUcaUanl arl avel1lbll It the O'flcl of
the R.,lIter of Willi, ar'lY of the U RIVetlU1 Dlltrlot OfftGu or bv oalllng tM IP.olal 24-hour ."Iwerlne ..rvlol
nuMMirl for for'l arderlngl In P.nnlylvlnla 1"100-562-2050, autlld. Ploolvlvanh tnd within 10011
Herrhburg Irll (711) 717-109., TOO' (711) n2-22&2 <Uulrlng I"PII"d Only).
OBJECTIONS I Any party In Interllt not ..tllft.d with the IPprah..."t, 1I1l0Wencl or dhllllowoJOeI of d.ductlonl or ......Mnt
of tlM (Including dllcaunt or Int.r..t) I' lhown on thll Hotloe ley obj.ot within .Ixty (60) dlYI of rtoelpt of
thh Notice bYI
--wrlttln pratl.t to the PA D.plrt..nt of R.v.nut, Bo.rd of App.el., Dlpt, 211021, Harrllburg, PA 11128-1021, OR
--ehctlng to hive the ..ttar dlter.lnld at thl IUdIt of thl Icoount of the per.onal repre..ntltlvI, OR
--oppell to thl OrphlnlO Court
ADltlH-
1I1RATlVE
CORRECTIONS I
FaotuII Irrar. dhcov.red on thlt ......Mnt 'Ml.lld be tddr...td In writing tOI PA DtPlrtHnt of RIVtrIUI,
lure.u of Indlvldull TIMI', ATTNI Po.t A.......nt Rlvl.w Unit, DEPT. 210601, Hartl.burg, PA 17121-0601
Phone (717) 787-6505. S... p." ] of the bookl.t "Inltructlon. for Inherltano. TalC Rlturn 'aI' a Ruldtnt
Decedent" UtEY-150lJ for In upllnatlon of Idllnhtratlv.h carreo~ab11 error..
DIICOUItI.
If MY talC due It pIJd within thr.. (]) clltndar aonth. I'tlr thl dlc.dent'. dllth, a flvl percent (nl
dltcount of the tlX p.ld h .lIowed.
IH1EREI!,
Intlre.t It chtrgtd beglMlno ",lth Utlt day 0' dlllnquNl<lv, or nine (9) IIOnth. and one (1) d.y
frat the dlt. of delth, to thl dati of pay..nt, TIXI. which bee... dlllnquent b.for. January 1, 1912
bllr Int.r..t It thl ratl of .11C (6~) plrn.nt p.r annul calcullted It I d.11Y ratl of .000164.
All tllCU whJch blo..e dllJnqusnt on or after January I, 19112 will bllr Interllt at a rete which will vary fro.
rl1tndar v..r to el1ender yllr with that retl amoune.d bV the PA D.part""t 0' hvtnUlo The I'Ppllclble
Jnt.r..t rlt.1 for 1912 through 1994 arll
'tIIr Int.rut R.I. D.llv Intern I Factor XW Intlre.t Rat. .QIJJ.x.lnllrllt Faclor
1911 m ,0DOS4I 1986 IDX .ODDI74
1915 16X . DOD08 1987 9~ .000147
19" m ,000301 1918-1991 llX ,0D05Dl
19U m ,0003S6 1991 9X ,ODDI4'/
1995-1994 1X .00Dl91
-.lntlrl.t II calculated a. 'ollowII
INTERElT . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTERElT FACTDR
--Any Notlel luUld Ifter thl tlX beco.... tJtllnquent will reflect an Intlrnt cllcu1aUon to flft"n (IS) dlv.
blYond the detl of thl ...........t. If PlYHnt II ladl after thli int.,ut Cotpllt,Uon dltl .hNn on the
Notlol, Iddltlon.1 Intarllt lU.t be ulcullttd.
_Of'
NOlIC~ I
PAI'ltENT,
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10 fulfill lho rlq"lr_h 0' Stotlon 2m 0' lho Inherit.... ond E.IoI, fiX Aol, Aol 22 0' 1"1. (72 P.',
Itotlon 2140),
DelICh lholop portion of this Nollo. tnd ..moll with y...r pI,""1 10 lho RtOIsI.. of WIll. prlnled on lho
rlY1r11 11.0
.... Hlkl check or ItOMY orcNr Plvlbl, tOI REOISTER OF WILLI, AGENT.
All Plrltntl rlCQJvld Ihl11 fJr.t be applied to InY Int.r..t which IIY be due, with InV r...Jndlr applied to the 'IXo
A rlflhl of . tax aredlt, which "II not r.quutltd on ttNI \Ix return, uy be requllt.d by cOIIpllUng In "AppllalUon
for Refund of PltMIVlv....l. IMirltln01 Ind Elbt. Tlx" (REV-UUl. Appllcltlanl Ire IVIUIbI, It the Off tal of
thl Rllhter of tUIlI, InY of the U RlvlnUt DhtrJot OfficII or by ClUing the ,pecle! 24-hour Inlwlring Ilrvlcl
nu.blrl for forti arderlngl In Ptnn."I"....t. 1-800-562-2050, out,ldft PennlvlvlOl. and ..I thin local
Htrrllburg .r.. (717) 187-1094, TDD. (717) 712.2252 (Ht.rlng I~.lred Only),
OIJECTlOHSI Any p.,t" In Interllt not ..thflR with thltpprlllNent, l110wMCI or dh.UaNInCI of dedu<lUon. or ......lfnt
of tlX UnclucUng dltcount or Interelt} II thwn on thh HoUcl "Y objlOt within ,hety (60J dlYI of rlollpt 0'
thh HoUa. bYI
'...rtttln protllt to thti PA OIPlrtHnt of R.venue, aOlrd of App..h, DlPt. ZI1021, Hlrrhburll, PA 17121-1021, OR
~-eltotlng to hlVI the 11\\., dltlrllned It ttlllucUt of the Iccount of the plrsanll rltPr..lnt.tlvl, OR
~-1PP'11 to the Orphlnl' Court
ADMIN-
111RATlYE
tDRRECTlONS ,
DIICOUlT,
IHTERfIT ,
Fectu.l Irrorl dllcavlred on thll .....I-.nt thould bI Iddr'llld In writing tal PA Dlplrt..nt of RIVInUI,
Burley of Individual TIXI., ATTNI Pa.t A.I.....nt Review unit, DEPT. 210601, Hlrrl.burg, PA 1712'40601
Phon, (717) 7.7-6505. S.. Pili S of the booMl,t "rn.tr~tlon. for InhttJtln01 TIM Rlturn for I Relldlnt
Decedent" (REY-150l> for In Ixp1M\1t1on of IdIlnlltrltJvll~ oarreotlbll IrrOrlo
If MY tlX due 11 plld within threl (S) clhndlr IIOnthl 1ft., ttwt deotdlnt'. dllth, I flvl percent (s:n
d.lcount of ttwt tlX Plld h IUowed.
Intlrllt 1. cherged btulnnlna with flrlt d.v of de1lnqutnGv, or nlnl (9) IOnthl end one (1) da~
frot the dltl of dllth, to the dltl of PI~lInto Tlx" which bee... dlllnquent befarl January 1, 19'2
bier Jntlrtlt It thl ret. of .1M (6;() percent per 101M cllculltlld It . dllb rite of ,000164.
All tlMII Which bIc... delinquent on or aft.r Jenulry 1, 1912 ..III bl.r Intlrllt It I rltl which will Ylry frOl
alltndlr Ylar to clllndlr Y.lr 'with thlt rlt. InrCHJnOtd bv the PA O,partaent of RIVenul. The appllalbll
Intlrllt rltll for 1982 through 1994 Irel
'We Interllt Alte Dilly Int.r'lt F'Glar ~ Intlrllt Alt. Dilly Inttrut FIG tar
1912 2DX ,DDml 1916 lOX ,000274
19" 16X ,DDDUI 19l7 9X ,000247
1914 IU ,ODOIDl 19II.l991 IU ,000101
1915 UX ,000156 1"2 9X ,000247
199'-1994 7X ,000192
--Inter'lt II cllou11tld II fal10wtl
IHTERElT . BALANCE OF TAX UNPAID X NU"BEA OF DAYS DELINQUENT X DAILY INTEREST PACTDA
4"An~ NoUCI ItlUId Iftlr the tlUC *0lIl' deUnquent wUI refleat In Intlr...t allculltlon to flftHn UI) dI~.
btvend thl d:ltl of the 11..llHI'Ito If PI","t It tide 1ft., thl Intlrut OaputRtJon dlt, .hown on the
Hotlol, Iddltlonel Int.rllt IUlt be cllculltld.
'...,..._, ,., ,... , "..
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MARTHA V SULLIVAN
SUSQUEHANNA VW APT 316
208 SENATE AVE
CAMP HILL PA 17011
COHHONW~ALTH OF PENNSVLVANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
NOTICE OF ASSESSMENT OF AHNESTV
NON-PARTICIPATION PENALTV AND
STATEHENT OF ACCOUNT
DATE
ESTATE OF
DATI OF DEATH
FILl NUHBER
COUNTY
ACN
*'
8UREAU OF INDIVIDUAL TAMES
INHERllANCE lAX DIVISION
Ol:PT, mlDl
HRIlRISPURQ, PA l71ze-D6DI
m.wm mCH,tU
05-13-96
FARRELL
11-21-92
70 0187700
CUMBERLAND
93040667
SHIRLEV L
.' I '/'1 ').'1' I
L
A.ount Ro.ltted
-
HAKI CHECK PAVABLE AND REMIT PAYMENT Tol
NOTE, To Inlurl propor orodlt to your .ooount, ""b.lt tho uppor portion of thll for. with your t.. p.y..nt,
CUT ALONO THIS LINE .. RITAIN LOWER PORTION FOR YOUR RECORDS ~
RE-\i:i60-iAH--ix.A.PP.j-04:9.'j.......--iNifiRir.ANCa..TAX.-STA.fEHE-HT-b-p-AC.Couiif.-.-...-...----........----
EllTATE OF FARRELL SHIRL~V L FILE NO. 70 0187700 ACN 93040667 DATE 05-13-96
THIS STATEH2NT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STA1EO ACN IN TH~ NAHED ESTATE, SHOWN BELOM
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS. THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST fIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-03-94
PRINCIPAL TAX DUE, __...._.,.... .....
178,15
PAVMENlS (TAX CREDITS),
PAVMENT
DATE
01-1S-96
RECEIPT
NUMBER
AMNP PEN
DISCOUNT (t)
INTEREST (-)
31.80-
AMOUNT PAID
,00
NOTE, THE 15:: AMNESTV NON-PARTICIPATION PEtlAL TV IS COMPUTED AGAINST THE LIABILITV
NOT PAID BEFORE JANUARV 18, 1996, THE FIRST DAV AFTER THE END OF THE TAX
AMNESTV PERIOD,
THIS NOTICE IS TO ADVISE YOU OF THE ASSESSMENT OF THE NON' PARTICIPATION
PENALTY. THIS NON-PARTICIPATION PENALTV IS APPEALABLE IN THE SAHE HANNER AND
IN THE SAHE TIHE PERIOD AS YOU WOULD APPEAL THE ABOVE REFERENCED LIABILITV.
PL!ASE NOTE THAT THIS NOTICE DOES NOT EXTEND THE TIHE PERIOD FOR THE APPEAL
OF ANV LIABILITV OTHER THAN THE NON. PARTICIPATION PENALTV.
. IF pAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN .1,
NO PAVHEHT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRI,
YOU H4Y BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
,00
178,15
71,11
249.26
INTEREST IS CHARGED FROM 08-22-93 TO 05-21-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM,"
AMN~STV NON-PARTICIPATION PENALTV HAS BEEN ASSESSED
~Q
11. ~
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PAYllfNl,
OItech the tOft portion of thh Hottel and lubllt with your PIVHnt IICM plylbll to the n... Met Iddrell
printed on the rlv,r'l llde.
If REIIOl:NI Ol:CEOl:Nl ..... ch.ck or Oon.. .rdar p..IIlI. tOI REGISTER DF WILLS, AGENT,
If NON-RElIOl:NI Ol:CEOl:Nl .... chock or ...... ordar p..IIlI. to, COttHONIIEAL TH OF PENNSYLVANIA,
All PIYHntl r~llved Ihlll be applied flr.t to 111'1 Int.rut which IIV be due with ItnV "..Inder 1Pr1l1d to thl tlxo
REFUHD eCR)1 A r,fund 0' I tax credit, which wa. not rlqut.tld on the TIM R,turn, IIV be rlqueltld bV aaept,tlng en
"App11cltlon for R.fund 0' Pannlv1vll111 Inherltlnc, Ind E.tlt, Tax" (REY~lS15). Appllcltlont ara Ivelllble It
the OfficI of the Righter of Wllh, MY of the U RtVlflUt Dhtrlct Offlc.. or f'rCIII the o.,lrtltntl. 2""hour
In.wrlng .uvlol nuMMr. far for. I arderlngl tn PIM'Vlvlrdl 1-800-562.2050, autlidtl Penn,ylvanlt
Ind within locII H,rr!lOOrg ar.. (717) 767-a09~, TOOl (117) 77Z~225Z IHurlng tlP,lrld only),
REPLY TOI QuuUon, r.gtrdlFlA errarl contalMd on thh rtOUCI should be .ddr...td tal PA OeplrtNnt of AIVlnul, lurl'"
of IncUvldua. TaxII, ATTNI Post A...IIMnt R....I... lMlt, Dept. 260601, Harrl,burg, PA 171%8"0601, ohone
(717) 717-65OS,
DISCOUNT I
If InV tlX due 'I Plld within thr.e (l) cllendar lontha aftlr the ~.dento. d.ath, I five plrcent (5~) dltoount
of the tlX Plld II 1110M1d.
PENAllVI
The 15;( tlM ..,.Itv non.ptrtlclpltlan pen,Hv II callpUted on the tntll o' the tax ..wt Intar..t 1I111Ied, end not
plld befarl JlnlJarv 18, 1996, the flflt dty ,fter thllnd of thli hlC lIM.tv Plrlod.
INTERfll'
Intlrllt h chtrpd beginning with Urlt dlV of dllInquenoy, or nine (,) ItOflthl Ind one (1) dl)' 'rOIl the dltl of
dllth, to. the dlte of PlVHnt. TeIl.1 which btc... dlllnqulnt !Mfar. JWI.rv 1, 1912 bur Inttrut It thl rete of
IJx (6;() percent per IMUa ellcuhttMi at I dllh rite of .000164. All tax.. which becl" dellnqutnt on end Iftlr
Jenulry 1, 19a2 will balr Intar'lt at e rat. which will vlry fro. clltndlr YI.r to celendlf v..r with thlt rlt,
InnOUMaId by the PA D.,art-.nt of Rlv.oue. ThI applicable lnt,rllt r.tll for 1912 through 1996 "11
Vllr Interllt Rita DillY Intlrllt Fectar Vllr Intar..t R.t. DIUv Internt FlHltor
19lZ ZDl ,00054' 1917 91 ,DOOZ47
1915 161 .000451 1911-1991 III ,000501
19l4 III .DOD5DI 199Z 91 ,DOOZ67
1911 III ,DDD556 1995-1994 71 ,DOD19Z
1916 101 ,DDDZH 1995-1996 91 ,DDDZl7
."Interllt I. cllcullttd .1 follawlI
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Any Hottel JIIUQd efhr the tu becOMI dllJnqulnt will reHeat In Intlrel: cllcullUon to flft,en US) den
blyoncl the dati of the ........"t. If PIYMnt II tide Ifttr the Inttrllt caput.Uon dGt, thcM1 on the
MoUe., IdcUtlone1 Intertlt .....t be CllClUh\td.
i5 ),/',. C,
MARTHA V SULLIVAN
SUSQUEHANNA VW APT 316
208 SENATE AVE
CAMP HILL PA 17011
COHHONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
~OTICE OF ASSESSMENT OF AHNESTY
NON-PARTICIPATION PENALTV AND
STATEHENT OF ACCOUNT
DATE
!SlATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
'*".
SUREAU OF INDIVIDUAL TAXES
INHERllAHCE TAX DIYISION
Ol:PT, 1I0ADI
HARRISIURQ, FA 11121-0601
tIV.IWIoIl ." IH.HI
05-13-96
FARRELL
11-21-92
70 0187700
CUMBERLAND
93040666
L A.ount Ro.lttod I
~AKE CHECK PAYABLE AND REMIT PAVHENT Tal
SHIRLEV
L
,j'! (1'1' 'u 'I
HOTEl To inoura propor orodlt to your oooount, lub.lt tho uppar portion of thlo for. with your to. pay.ant,
CUT ALONO THIS L.INE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifli:i60-7AH..ix.A.pp.i-04:9.'j----.....iNifERir.ANCE.-fAX.-STA-fEHE-Nf-o.P.AC-COUN-f......-..---.........-...-.
ESTATE OF FARRELL SHIRLEV L FILE NO. 70 0187700 ACN 93040666 DATE OS-1~-96
THIS STATEHENT IS PROVIDED TO AOVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE, SHDMH BELOW
IS,A SUHHARY OF THE pRINCIpAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF AppLICABLE,
A PROJECTED INTEREST FI;URE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-03-94
PRINCIPAL TAX DUE 1____,__ ______,________________nn____________,__
I,S34,94
PAVMENTS (TAX CREDITS),
PAVMENT
DATE
01-18-96
RECEIPT
NUMBER
AMNP PEN
DISCOUNT (t)
INTEREST (.)
327,54-
AMOUNT PAID
,00
NOTE. THE lSY. AMNESTV NON.PARTICIPATION PENALTV IS COMPUTED AGAINST THE LIABILITV
NOT PAID BEFORE JANUARV 18, 1996, THE FIRST DAV AFTER THE END OF THE TAX
AMNESTV PERIOD,
THIS NOTICE IS TO ADVISE YOU OF THE ASSESSHENT OF THE NON' PARTICIPATION
PENALTV. THIS NON'PARTICIPATION PENALTY IS APPEALABLE IN THE SAME MANNER AND
IN THE SAHE TIME PERIOD AS YOU WOULD APPEAL THE ABOVE REFERENCED LIABILITV.
PLEASE NOTE THAT THIS NOTICE DOES NOT EXTEND THE TIME PERIOD FOR THE APPEAL
OF ANV LIABILITV OTHER THAN THE NON, PARTICIPATION PENALTV.
. IF pAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LEtS THAN .1,
NO pAYHEHT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI,
YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTN~TIONS, I
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
,00
INTEREST IS CHARGED FROM 08-22-93 TO 05-21-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM,-
AMNESTV NON-PARTICIPATIDN PENALTV HAS BEEN ASSESSED
1,834,94
732,43
2,567,37
PAYtt!Nl,
O,tlCh the top portion df tnh NotlCI end .ub,1t "lth yoyr PlY..,,' l.dI p.YIGII
printed on tM "Vir" llde.
p~ m :n'ifi'
:3
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10
\0 the "... end addre..
If REIIOl:NT Ol:CEOl:Nl .... ,hKk or .on.v urdor p.v.bl. tOI REGISTER OF WILLS, AGENT,
If NOIl"REIIOl:NI Ol:CEDEHT Ilk. ,h.ok or .on" ordor p.vobl. \01 COHHONWEAL TH OF PENNSYLVANIA,
All PlYHntl recllvtd Ihtll be IPpllltd flr.t to any Inhrllt which "'1 be du4I with any rHllndlr appli.d to the '11C1
REFUND (CR)I A rl'und ~f . t,1e ~redlt, which "I' not reque.tld on thl TalC R.turn, "'1 bt requl.tld by ca~l.tlnt an
"Application for A,food of PlM1Y1v.nh InhtlrUanCI end E.t,tl TIM" (HEY.Ul!J, Appltclt1on. Irt IVII1IbI, It
the OffiCI of thl Reghtlr of W11l1, eny of the 2] R.venue Ohtdct OffiCII or frotl the Dtptrt.."tOI Z4~hou"
~1...rl"1 ..rvlcl ~rl for for.. orderlngl In Pennsylvania 14800-362-2050, out. Ide Penn.v1venll
end within locol Htrrllburll u.. (717) 787-8094, TOO' (117) 71242252 (tlurlng l.-p.lrtd only).
REPLV T01 Out.tlon. r.gerdlng .rrar. cant,tnld on thl. notice should b. addr....d tal PA Deplrt-.nt of Rlv.nut, Bur.au
of Indlvlduel TlXII, ATTNI POlt A.......nt R.vl... Unit, D,pt, 210601, Harrisburg, ~A 11128-0601, phone
(7)1) 71N5D5,
DISCOlJtTI
If 1l"IV till dul II Plld ..lthln thr.. (5) clltnChlr ~th. Ifter the d.eldtnt'. dllth. I flvl percent eU) dlleount
of the till Plld h .HoNed.
PENAL lY I
The 15)( tllC Nnub non-PIrUelpltlan plnalty II tlalputld on the totl1 of the tIUI. end Jntlrut .....IId, and not
Plld b.fore J."..,.r~ 11, 1996, thl first dlY aft., the Ind of the tax ......ty period,
IN1EREll,
Int.re.t I. charged b.ulnnlng with flr.t dav of dlllnquency, or nine (,) IOOth. Ind one (1) d.y frOl the dlt. of
de.th, to the dati of plyt..,t. Tall" which blc", d.lJn~nt btfor. January I, 1'82 bur Interut It thl r.t. of
I1x (6;() percant p.r aMlIII c.lculated at a d.lh rat, of .00016lt. All tllllI which biOi" delinquent on and Iftlr
Jenulry 1. 1'82 will bllr Interllt It a retl which will very frol Cllendlr yllr to callttdlr yllr with ttllt rat.
InnOUnOld by the PA Depart.lnt of Rlv.nu.. Thl applicable Intere.t rat.. fal 1982 through )996 ar.1
Vier Intlrut Rite Dlllv Inter..t FlCtor Vur Intlrllt Alt. DIllv Interllt FlCtor
1912 2DX .OD05U 1917 9X ,ODDm
19U In ,000458 1901-1991 l1X ,OQD3Ol
191~ m ,DDD3Ol 1992 9X ,DODm
1915 UX .DDD556 1995'19~ 7% ,DDDl92
19140 lOX .OOD27~ 1995-1m 9X ,Doom
h Interllt I. calcu1.ted I' fallo"'1
INTeREST . BAI~HCt OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any NoUCD luutd .fhr the till b.COHI dllInq\HHlt will refllct en lntlrllt calculaUon to flfttl" (Ii) dlYl
b4~ond the dltl of t~ ....I..."t. If pny-.nt I. .Ide aftlr the Int.r..t ooaputltlon dlt. lhoNn on the
Notlu, addition.! Inhrllt ...,It bt cllcul.ttd.