HomeMy WebLinkAbout94-00753
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RE:,,'o;Co3 foX AFP (8-941_
COKHOk~AlTH OF PENNSVlVANIA
DEPAATHf/'CT Of RfYEHUE:
BUREAU Of IHDIVIDUAL TAXES
DEPT. ZlG6Dl
Hl.RIUSIUAG, Pi 1711l.a601
MCCULLOUGH
23 S 29TH ST
CAMP HILL
JIMIE L
PA 17011
-.,
FILE NO, 21 - 'fJI- I { !1:;'
ACN 94135713
DATE 08-18-94
TVPE OF ACCOUNT
E ~ SAVINGS
C:IECKIND
TRUST
CERTIfICATE
RENIT PAYNENT AND FORNS TD.
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
ESTATE OF MCCULLOUGH
5,5, NO. 542-14-4334
DATE OF DEATH 06-04-94
COUNTY CUMBERLAND
JAMES
FIRST FEDERAL 5 I L AS ha, provided the Dep.rt8."t with the In'at..Uon 1I.ted balow which hn been u.ed In calcuhUna the
potential tax due. Thalr t~ord. Indlcat. that at the d..th of the above d.c.d~t, you w.r. a Joint owner/beneficiary of thl. ~count.
I' you '..1 thl. In'or..tlon I. Incorr~t, pi.... obtain written correction fr~ the financial InstitutIon, attach a copy to thl. for.
0..1 ....~u;.~ It ,to Lh," obov. ad.h..... Tltl. III .t.ltl\ I. t...,.l.l. I,', 1lI~''''1~\,"'' .Ith ,I.. rnt,,,,lt.~~" lex ".oJ-, r ~h. r~,;,;,.ltt, c.t r..'V,.:tIl'.anl..
Que.tlon. .ey ~ ~.w.r.d by celllno (111) 7'1~'S21.
COHPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Account No. 0233142928 D.t. 10-15-86
Eat.bU.hed
Account Bolonc. 131,278,80
Pe..cent T.lCabl. )( 100.00
A.ount SubJ.ct to Tox 131.278.8G
Tax R.t. X .06
Pot.nU.l Tox Du. 7.876.73
PART TAXPAYER RESPONSE
ill I. FAILUR! TO R!SPOND ifILL R!SUL T IN AN OFFICIAL TAX ASSESSHEflT BAS!D ON THIS NOTIC!
A. 0 TM above Infar..tlon and tax dull It carr'laCt.
1. You .ay chaa.a to r..lt p.y.-nt to the RIgI.t.r of will. with two cap I.. of thl. notice to Dbtaln
a dl.count or avoid Int.ra.t, or you ..y check box ~A~ end r.turn thl. notice to tha RIgI.ter of
Will. and an official .......-nt will b. I..ued by the PA D.p.rtaent of R.venue.
To In.ur. prop.r cr.dlt to your' account, two
(2) copl.. 0' thl. not lea MI.t acco~~y your'
p.y.ent to tha R.gl.t.r of Will.. H6ka check
p.yabl. tOI '"A80lIt.,. of WUII, Agent...
NOTtI If tax paYNnt. ere aacta withIn thra.
(S) sonth, of the decadent", date 0' d.ath,
you a.y daduct a 5~ dl.count a' the tax due.
Any 1,.;,.r1tllnCa t.x due will bacoaa delinquent
nine (,) sonth, .ftar the data of da.th.
[CHECK ]
ONE
BLOCK
ONLV
I. 0 TM abova ....t h.. baen or' wUl be r-..ortad end tax p.ld with the P....".ylv..,l. Inhtlrltanca T.. ratur'n
to be fllad by the decedent.. rapr'.entatlva.
C. !Xl The abova Infora.tlon I~ncor,..ct end/or d.bts end deduction. wara p,ld by YOU.
You MI.t cOllplata PART ~ end/or PART 0 bala...
If you indicate a diff....nt talC ...t., pl.... .t.t. ~ou..
..al.tion.hip to dacadant:
OFFICIAL USE ON LV 0 AAF
PA DEPARTHElfT. OF. REVENUE
PART
[!j
lAX kETIlRrl - CllH~lJIAnOH
LINE 1. D.t. E.tablllh.d
2. Account Balanc.
5. Pa..c~t T.lC.bla
4. A.ount Subject to Tax
5. Oebt. and Oeduction.
6. A.ount T.xabl.
7. Tax Rat.
8. Tax Du.
Or TAX Un .Jul:tn ,TIlUSi
1 10-1 "i_Rt';
2
5
4
5
6
7
B
.....(.!JUi;,5 l"l<il
1
2
3
1\
5
6
7
8
DEBTS AND DEDUCTIONS CLAIHED
17,1.?"e_OQ
x 1 0"
1'j 1: 271\.1\0
. "i;>1 "'.00
12(,0 (, ). CO
x .Or.
PART
~
DATE PAID
h-Q-9!J.
PAVEE
NCl.l "'unera.l Ilame
DESCRIPTION
Expenses
I
.
AMOUNT PAID
"21.<;.00
I J,'uncrol
TOTAL IEnter on LJne 5 of Tax Co~t.tlon)
Und... pan.lti.. of pa..ju..y, I declare th.t tha fact. I
\/1 co-.l.t. to tho b..t 0' .. knoNl.dgo ond b.ll.',
~t&iUREP,l (I Cu.et UA.l./q!.
h.y. repo..t.d above .... true, cor..ect ~
HOME (~71 ~:(-"-/~r
W~:~EP~O~ N~M~E ~a:('1?/
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with appllcabl. Int.r..t bued on tnlor..tlon
.ubIIl tteet by the flMMeI.. 1".\1 tutlon.
2. lnhllrltmc. taJC bM~. delinquent nine IIOnth. .ft.t the dec:.ant', dllt. af de.th.
1. A Jalnt ltCc:ount .. hnbl. ....wt though the d.ud."t', n... ..u .dd.d II . ..Un of convenl.nc:..
4. AccDt.W\t. (lnclucUna thu. held b.tween hu.bMd ... wU.1 which thl dee...... vut In Jalnt ".... within OM v..r prlo" to
d..th .t. fUlly tftMabl. II 'ten.I,r..
S. Account. ..tabll~~ Jolntlv b.tw-.n hu.b8nd Bnd wlf. ~r. t~ one v..r prior to d..th It. not t.xabl..
6. Account. ~ld bv . dlc.dent "In tru.t for. 8nOth.r or other. It. I..abl. fully.
REPORTING INSTRUCTIONS - PART 1
- TAXPAVER RESPONSE
1. BlOCI( A-II lhII In'or..t1on end COllp\lt.tlon In the nolln .t. cornct end d.dUctlon. It. not b.lng chl..d, plK' en ")too
In block "A" of P.tt 1 of the "T..p.v.r R..pan... tectlon. Sign two cop.., and .ub.lt thl' with Your chick 'or t~ e.ount of
tax to t~ Real.ta~ of Will. at the county Indlcatad. T~ Dapa~taant of R.venu. will I..u. an offlcl.1 .......ant
(Far. REV.IS~8 EX) upon rec.lpt of the R.turn fro. the R'al.t.r of Will..
2. BLOCK B - If t~ ..... .paclflad on th" notlea hili baan or will ba reported IWld tax paid with tha Penn.ylv."la IntMrltllllnCa
Tax Aeturn fllad by tn. daeadant', r,pr..."tatlv.. p)aca an "X" In block "B" of Part 1 of the "Taxpay.r R..pon.." ..ctlon. SID" ana
copy and r.turn to the PA Dapart-.nt of Rav~. Bur.au of Individual Tax.., D.pt 210601. HarriSburg, PA 17121.0601 In the
anv.lop. provided.
3. :~OCX C . :f th. nr.tl:. Inf~r~,~lon I_ Incorr.ct an4/a~ da:v:tlonc ora bal~: cl.I~'d. check ~laek -e* ~d ea-vl,ta P.rt. ! ~ ,
ItCcordlng to the In.tructlon. balow. SIgn two cop I.. and .ubtI!t tha. with your chack for the .-aunt of t.x p'Y"l1a to the Rea....r
of NIll. of tha county Indlc.tad. Th. PA D.p.rt,,"t of Ra~enu. will I..ua en o"lcl.l .......-nt (For. REV.1541 EX) upon rec.lpt
of the r.turn fro. the Raghtar of Wllh.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Ent.r the data the account orlgln.lly w.s ..t&bll.had or tltlad In the aannar axl.tlng at d.t. of d..th.
HOTEl For a d.c.dant dying .,t.r 12/12/1Z1 Account. which the d.cadent put In Joint na... within one (1) yaar of d..th .ra
t.xabl. 'ully .. tran.far.. Howev.r. thar. I. an axclu.lon not to .xc.ad IS.OOO p.r tran.f.r.. r.g.rdl,.. of the v.lue of
the .ccOW1t or the nuWar of accountl h.ld. 0 C
,
If . double ..t.rlak e-.) epp..r, ba'or. your flr.t n... In the addr... portion of thl. notlc., the IS.OOO .xclu.lon
.lr.ady h.. bean d.duct.d fro. thai account b.lanc. u r~rtad by the financial In.U tutton.
2. Ent.r the total b.lanc. of the accOW1t Including Int.r.st accruad to the data of d'ath.
S. Th. parcent of the account that I, taxabl. 'or .ach .urvlvor I. d.t.reln.d .. follow.,
A. Th. p.rcent taxabl. for joint ....t. ..tabll.had .ur. then ana y..r prior to the decadent'. d.ath,
, ,
1 DIVIJ)[D IY TOTAL tutBER Of
JOINT OWNERS
Exaapl.1 A joint ....t r.gl.t.rad
DIVIDED BY TOTAL foUflER Of X 100 . PERCEHT TAXABlE
SURVIVING JOINT OWNERS
In the n... 0' the d.c.dent and two oth.r p.r.on..
1 DIVIDED IY 3 (JOINT OWNERS) DIVIDED IY 2 eSURVIVORS) . .167 X 100 . 16.T" UAICAILE FOR EACH SURVIVOR)
8. Th. p.rcent t.xabl. for ....t. cr.. tad within ona y.ar 0' the dac.dant's d..th or account. owned by the decadent but held
In tru.t far another Indlvlw.1(.) {tru.t beMfIclarl..U
1 DIVIDED IY TOTAL HUHBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100 . PERCtNT TAXAILE
Exa.pl., Joint account r.glstar.d In the n... of the dacadant and two other p.rson. and ..t.bll.had within on. ya.r 0' d..th by
the d.c.dant.
1 DIVIDED IY 2 (SURVIVORS) . ,SO X 100 . 50% (TAXAILE FOR EACH SURVIVOR)
4. The MOUnt .ubj.ct to ... Ulna 4) 11 d.taraln.d bv 1IU1tlplylng the ltCCOW1t balanc. UIM 2) by tha p.rcent taxabl. Uln. 3).
S. [fltar the tatel of the .J.bt, anU dedUctions Ilst..d In Part 3.
6. The aaount ta.abla (line 6) I. d.t.r.lnad by .ubtractlng the debt. and deduction. (line 5) froe the a_aunt .ubj.ct to tax (1In. 4).
7. Enter the approprlata taM rat. (11M 7) .. d.t.r.lned b.low.
A. Tran.f.rs to lineal da.cendantt Including fath.r, .athtr, hu.band. wlf.. .on, daught.r, grandchildren, .on-In-Iew,
daughter. In-I.... .tepchlld and their Inua art taxable at tlx p.rcent (6%).
I. Tran"ar. to .11 ath.... Includlna brother. ".t.r. oncII, aunt. n.phew and nlac. are t.xabl. at ,Iftt., parcent OSlO.
C. If yau chang. the tax r.te. pl.... spacl,y your r.l.tlonshlp to the decadent In the ar.. provided.
I. Th. eaount 0' tax due elln. I) I. d.t.r.lnad by .ultlplylna the aaount taxabl. (line 6) by the ta. rat. (lIne 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. dabt. and d.ductlon. ar. dat.r.lnad .. fallow.,
A. You l.gally "ra ra.ponslbl. for p.y-.nt, or the a.tata .ubjact to adalnl.tr.tlon by . par.onal r.pr..antttlv. I. In.ufflclent
to pay the deduCtlbla It....
.. You actually p.ld the dabt. .ft... d.ath of the decadent and un furnish proof of P'YHnt.
C. Dabt. baing olalaad .u.t ba It.alzed fully In Part S. If additional .pac. I. ne.dad, u.. pl.ln papar 1 l/Z~ x 11-. Proof of
payaent NY b. raquutact by tha PA Dep.rtaant 0' R.venue.
:;;;'.;. TAX PAVER ASSISTANCE
IF'VOU NEED FURTHER INFORMATION OR. ASSISTANCE, CONTACT ANV
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
ORCALL.THE<BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327;
,
-r
.
THOMAS M. DEVLIN
ATTORNEY-AT.LAW
1802 MARKET STREET
CAMP HILL, PA 17011
PH 717-730-9878 I FAX 717-730-0359
August 29, 1994
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Richard Seneca
Commonwealth of Pennsylvania
Department of Revenue
Bureau of Individual Taxes
Dept. 280601
Harrisburg, PA 17128-0601
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Dear Mr. Seneca:
This letter is to request that you provide me with Revenue
form REV-1543. The purpose of the form is to account for the
cashing of. a Series EE United States Savings Bond with an issue
date of 12/01/91, A copy of the Savings Bond is provided with
this letter. I have estimated a payment of approximately $30.00
which I have offset by apportioning part of the available
deductions. The deduction is in the amount of $30.00, The total
deduction for funeral expenses is in the amount of $5,245.00.
That funeral expense description can be found on Revenue
form REV-1543 which I have enclosed to report an alleged trust
account 110233142928. The balance of the deduction is being taken
against the amount under that alleged trust account. I have
proceeded to file that TaxpAyer Response form to assure the
application of 5% discount. It is my client's wishes, however,
that I also file a request for a refund of the taxes paid under
that alleged trust account. Accordingly, could you please also
send me the appropriate refund forms?
Thank you for your attention to this matter, If you have
any questions, please do not hesitate to contact me,
TMD/bz
Enclosures
cc: Register of Wills
Jimmie Lou McCullough
7k:~~
Thomas M. Devlin, Esq.
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SERIES EE
'M"Il'" CU.I" .. "Alii
rJIIDN "IU' .10"
'!lI.!ilMMmllIDJ~~l!l~w.rMlmnl(~
UJ.lf.rml!;@.1'D~"ffi$
512 14 4334
12 1991
........
1;' JAMES MCCULLOUGH
23 S 29TH ST
CAMP HILL, PA 17011-4504
12/011'1 4'1100323 RIIIIK 0314281-8
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1:00009000?1:0 ~ ~ ~01,9 51:.00 ~ i! ~II'
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~ ~ ~ " ~/.:. . ~I ".. ~~in.-:,~;, I ,,0(, ,ii,',. h:.l:i:". :" 1( ;,
. i,l~" 1~"' / ,,' '$."~ "I;,.I-,1..,t...,:.J\ f,~'/':, '.:0 .
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RECEIVED FROM,
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AMOUNT
JIMIE L MCCULLOUGH
23 S 29TH 5T
94135713
.7,195.64
CAMP HILL PA 17011
'OlD Hili 'OlD Hili
ESTATE INFORMATION,
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e1-1994-0753
N
S5N :54e-14-4334
IR M
MAR
c y
REMARKS
ra TOTAL AMOUNT PAID
.7,lB5.64
REGISTER OF WILLS
MARY C. LEWI
REGISTER OF WILLS
J. E. MC CULLOUGH
SEAL
CHECK* Be09
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~REV-lS48 EX AFP (10-93*
COKHDHWEAlTH OF PENNSYLVANIA
DEPAATHENT OF REvtNU[
BUREAU OF INDIVIDUAL TAMES
DEPT. 210601
HARRISBURG, PA 1112.-0601
ir-
:;
cY
IL/-.;Ild -
NDTICE OF INHERITANCE TAX
APPRAISENENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONs., AHO ASSESSHENT OF TAX ON
JOINTLY "ELO OR TRUST ASSETS
DATE 10-11-94
ESTATE OF MCCULLOUGH
COUNTV
E DATE OF DEATH 06-04-94
CUMBERLAND
JAMES
FILE NO. 21 94-0753
ACN
5.5/D,C. NO. 542-14-4334
94001845
MCCULLOUGH JIMMIE L
23 5. 29TH ST.
CAMP HILL PA 17011
REHIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A"ount R...I U.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR VOUR RECORDS ....
Rifv:is4-i-EiC-AFP--rio-:9ii------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAI5EHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLV HELD OR TRUST ASSETS
DATE 10-11-94
ESTATE OF MCCULLOUGH
JAMES
E DATE OF DEATH 06-04-94
COUNTY
CUMBERLAND
FILE NO. 21 94-0753
TAX RETURN WAS.
S.5/D.C. NO. 542-14-4334
(Xl ACCEPTED AS FILED ( l CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
94001845
FINANCIAL INSTITUTION. SERIES EE BOND.
ACCOUNT NO.
495600323EE
TVPE OF ACCOUNT, (l SAVINGS ( l CHECKING ( l TRUST ( l TIME CERTIFICATE
DATE ESTABLISHED 12-01-91
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts snd Deductions
Taxable Amount
Tex Rate X
Tax Dua
30.00
100,000
30.00
30.00
.00
.06
.00
NOTE. TO INSURE PROPER CREDIT TO
VOUR 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
RECEIPT
NUMBER
DISCOUNT (+l
INTEREST (-l
AMOUNT PAID
.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION DF AODITIONAL INTEREST, .
IF TOTAL OUE IS LESS TNAN fl, NO PAYNE NT IS REQUIRED.
IF TOTAL DUE IS REfLECTED AS A "CREDIT" I CRI, YDU "AY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS, I
,DO
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PURPOSE OF
HOUCEI
To fulfill the rlqulr..,nt. of Slctlon Zl~D of thl Inherltancl and Est.t_ 'IX Act, Act ZZ of 1991. (72 P.'.
SICtlon 21"0).
PAYHEHTI
a.tlch thl top portion of thl, Hatlcl and lub.lt with your ply..nt to thl Alal".t of Will. printed on thl
nv.r.. .Ide.
-- Haka chIck or lonay order PIYlbl. tal REGISTER OF WILLS, ACENT.
All ply..nt. r,cIlvld shill flr.t b. ,ppllld to any lnt.r..t which ..y b. dUI, with any r...lndar .pplled to thl t.x.
REFUND (CR)I
A r.fund 0' . t.. cr.dlt, which w.. not r.qu..t.d on thl tlX r.turn, ..y be r.qu..t.d by cOlp.atlng an "Appllcltlon
for R,fund of Plnnlylvanl_ Inherltancl and Elt,t. Tlx" (AEV-IlIS). Appllcltlonl .r. IVlllebl, It thl Of,lcI 0'
thl Rltt,t.r of Will., any of thl 21 R.v.nul DI.trlct OffiCI' or b~ call In, tha .p.cl.l r~-hour .n.w.rln, .arvlc.
nu.b.r. for for.. ord.rln'l In P.nn,vlvanla 1-800-36Z-Z050, out,ld. P.nn.vlvanl. and wIthin local
ll.rrhburg .r.. (17) 787-a094, TOOl (711) 77Z.ZZ52 (H..rlng hp,lr.d Dnh).
OBJECTIONSI Anv p'rt~ In Int.r..t not ..tl,fl.d with the .ppr.I....nt, .Ilowanc. or dl..llowanc. of d.ductlon. or ........nt
of t.. (IncludIng dl.count or Int.r..t) .. Ihown on thl. Hotlc. ..~ obj.ct wIthIn .I.tv (60) d.V' of r.c.lpt of
this Notle. b~l
--wrltt.n prot..t to the PA Departaant of Rav.nu., Bo.rd of Appeala, O.pt. ZalOZ1, Harrl.bur" PA 171Z8-IOZ1, OR
--.Iectlng to have the ..tt.r d.t.r.ln.d at the .udlt of the .ccount of the p.rlonll repr...ntatlve, OR
--.ppeal to the Orphans' Court
ADHIN-
lSTRATlVE
CORRECTIONS I
f.ctual .rror. dlscover.d on thl. ....I...nt Ihould b. .ddr....d In wrltln, tOI PA D.part..nt of R.v.nue,
Bur..u of Individual T...., ATT"I POlt A.......nt R.vl.w Unit, DEPT. Z80601, H.rrl.bur" PA 171Z8-0601
Phon. (717) 787-6505. S.. paa' 3 of the bookl.t "In.tructlon. for Inh.rltanc. Ta. Return for a R..ld.nt
O.c.d.nt" (REY-ISOl) for an e.planatlon of .d.lnl.tratlv.lv corr.ctable .rror..
OlSCOUNh
If .n~ t.. due II paid within thrae (3) cal.ndar lonth. after the d.cad.nt'. de.th, . flv. p.rc.nt (5")
dIscount of the t.. paid I. allow.d.
INTERESh
Int.r'lt I. charg.d b.glnnln, wIth flr.t da~ of d.llnqu.nc~, or nln. (9) lonths and one (1) da~
frol the d.t. of de.th, to the deta of pe~.ent. T.... whIch blc... dellnqu.nt blfor. Januarv 1, 19.Z
b.ar lnt.re.t .t the t.ta of .1. (6") p.rcent p.r .nnu. calcul.t.d .t . dallv r.t. of .000164.
All t.... which b.c..e d.llnquent on or .ft.r Janu'r~ I, 198Z wIll ba.r Int.r..t .t a rat. which will v.ry fro.
cal.ndar ve.r to c.land.r v..r with thet r.t. announc.d b~ the PA D.parta.nt of R.v.nu.. Tha appllcabla
Int.re.t rat.. for 198Z through 1994 .r'l
'tUr Inhre.t Ret. Oellv Int.r..t Fector 'tUr Int.r..t Rllt. Dell", Inhr..t Factor
1'12 ..~ .oa051t8 1916 1D~ .000274
I'as 16" .000438 1987 .~ .000247
1984 1l~ .000301 198'-1991 11" .000301
1'85 1S~ .000356 199Z .~ .000247
1993-1994 7~ .000192
--Intlr..t I. calcul.tad a. followlI
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..An~ Notlcl I..u.d aft.r the t.. beco.e. delinquent will r.flect In Int.r..t calculation to flft..n (IS) dlv,
blvond the dlt. of thl a......ant. If pI~lent I. ..da .ft.r the Int.r..t co.put.tlon d.ta .hown on the
Notlc., additional Int.r..t MU.t ba calcul.t.d.
....
l '}l ,"~
,"'
li~ '
c.~
REV-1548 EX AFP (10-931.
CO""OHW[A\ III or PENNSYlVANIA
J DEP,ATKEN' or AlVlNUE .
t1UAEAU or INDIVIDUAL "I([S i . .
DEPI. leabOl
HARRISBURG, PA I1IZa.OftOl Ie
ESTATE OF MCCULLOUGH JAMES
NOTICE Dr INNERITANCE TAX
APPRAISEnENT, ALLOHANCE OR OISALLOHANCE
or OEOUCTION~. AND ASSEssnENT or TAX DN
JDINTLY IIELD OR TRUST ASSETS
DATE 10-11-94
E OATE OF DEATH 06-04-94
COUNTV
CUMBERLAND
FILE NO, Zl 94-0753 S.S/O.C, NO, 54Z-14-4334 ACN 94135713
MCCUL LOUGH JIMIE L REMIT PAVMENT TOl
23 S 29TH ST REGISTER OF WILLS
CAMP HILL PA 17011 CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
Alnount R.lIlit hd
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
R-{v=is4-S-Eif-AFfi-iio-:93i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLV HELD OR TRUST ASSETS
DATE 10-11-94
ESTATE OF MCCULLOUGH
JAMES
E DATE OF DEATH 06-04-94
COUNTV
CUMBERLAND
FILE NO. Zl 94-0753
T AX RETURN WAS.
S.S/D,C. NO, 54Z-14-4334
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORHATION
ACN
94135713
FINANCIAL INSTITUTION. FIRST FEDERAL S 8 L ASSOC
ACCOUNT NO.
OZ331429Z8
TVPE OF ACCOUNT. ( ) SAVINGS ( ) CHECKING (lO TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-15-86
Account Balance
Percent Texeble
Amount Subject to Tax
Debts ond Doductions
Texeblo Amount
Tax Rata
Tax Due
131,Z78.80
100,000
131,Z78.80
5.Z15,OO
126.063,80
.06
7.563.83
NOTE. TO INSURE PROPER CREDIT TO
VOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH VOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEV ORDER PAVABLE TO.
"REGISTER OF WILLS. AGENT."
x
x
TAX CREDITSl
PAVMENT
DATE
08-30-94
RECEIPT
NUMBER
91Z880
DISCOUNT (+)
INTEREST (-)
378.19
AMOUNT PAID
7,185.64
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAlO AFTER TillS OATE. SEE REVERSE FOR CALCULATIDN OF ADOITIONAL INTEREST, .
I IF TOTAL DUE IS LESS THAN n, ND PAYMENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
7.563.83
.00
,DO
.00
PURPOSE OF
HOTlCE.
PAYKENTI
REFUND (CR).
OBJECTIONS.
AOHIN-
ISTRATlYE
CORRECTIONS.
DISCOUNT I
INTEREST I
....
To fulfill thl rlqulr...nt. of Slctlon 21'0 of thl Inh.rltanCI and E.t.tl Ta. Act, Act IZ of 1991. (72 P.I.
Sutlon Zl4D).
Oltlch the top portion of thl, Hotlc. Ind .ubalt with your pay..nt to tha R.gI.t.r of Will. prlntld on the
r.var.. .Idl.
.. H.kl ch.ck or .0nlY order payable tal REGISTER OF WILLS, ACENT.
All pay.ant. rlc.lvad .hlll flr.t b. appll.d to any Int.r..t which aay bl du., with any r..alndar appll.d to thl t.x.
A r.fund of . tax cr.dlt, which wa. not r.qu..t.d on thl tax r.turn, aay b. r.qu.,t.d by coaplltlng an "Application
for R.fund of P.nn,ylvanl. Inh.rltanc. and Eltat. Tax" (REY-1515). Appllcltlon. ar. Iv.ll.bll at thl Dfflc. of
the R.gl.t.r of Willi, any of the 25 R.v.nu. DI.trlct Offlc.. or by c.lllng thl .p.clal 24-hour .n.w.rlng ..rvlc.
nueb.r. for for.. ord.rlngl In P.nn.ylvanl. 1-100-562-2050, out.ld. Plnn.ylvanll .nd within 10cIl
Harrisburg araa (111) 781-8094, TOO' (717) 772"2252 (Hurlng lapllred Only).
Any party In Int.r..t not .atl,fl.d with thl .ppr.I....nt, allowanc. or al..llowanc. of d.ductlonl or ........nt
of tax (Including discount or InterllU II .hown an this Notle. .ay abject within Ibty (60) dlY' 0' r.celpt of
thll HoUcl by.
--wrlttln prot..t to the PA Dlpart..nt of R.v.nuI, Board of App..I., D.pt. 281021, Harrl.burg, PA 17128"1021, OR
."'llcUng to hlv, the 'Itt.r d,ter.ln.d at thl .udlt of the Iccount of thl pltlonal tlPr...ntatlvl, OR
"apPIII to the Orphan.' Court
Factu.1 error I dl.cov.rld on thl. ........nt .hould ba .ddr....d In writing tal PA D.partalnt of Ravlnul,
BurlbY of Individual TaXI', ATTHI Po.t A.......nt R.vl... Unit, DEPT. 280601, Harrl.burg, PA 17128-0601
Phon. (717) 787"6505. S.. p.ga 5 of thl bookllt "In.tructlon. far Inh.rlt.ncl Tax R.turn far a R..ld.nt
O.c.dlnt" (REV-ISOI) far an axpl.natlon of ad.lnl.tratlvlly corract.bl. .rror..
If any tlx dua I. paid within thr.. (5) cIl.ndar .onth. a't.r thl dlcld'nt', dlath, a flvl p.rclnt (5~)
dl.count of th. tax paid I. allow.d.
Int.r..t I. charg.d b.glnnlng with flr.t day 0' d.llnqu.ncy, or nln. (9) .onthl and on. (I) day
fro. the data of d.ath, to tha date of pay..nt. rax.. which b.ca.. dlllnqu.nt b.for. January I, 1982
b.ar Int.r..t at the rat. of .Ix (6~) p.rcant p.r .nnu. calculatad at a dally rat. of .000164.
All tax.. which blca.. d.llnquant an or aft.r January I, 1982 will b.ar Intlra.t at . rat. which wIll vary fro.
c.llnd.r ~.ar to callndar y.ar wIth that rata announcld by thl PA D.part.ant of R.vanu.. Thl appllcabll
Intar..t r.t.. for 1982 through 1994 aral
'WI: Intar..t Aet. Dellv tntar..t Fllctor 'WI: Intara.t Aete Deily Intar..t Fector
19az 2n: .000548 1986 IU .000214
1985 16~ .00008 1987 .. .000l47
1984 11~ .000501 1988-1991 II. .000501
1985 U~ .000556 1992 .. .000247
1995-1994 7. .000192
"Inter..t h calculated .. followu
INTEREST = BALANCE or TAX UNPAID X NUNDER or DAYS DELINQUENT X DAILY INTEREST rACTDR
--Any Hotlc. I..u.d aft.r the tax b.co... d.llnqu.nt will r.fl.ct an Int.r..t c.lculatlon to fl't'.n (Is) day.
b.yond the data of the a.......nt. I' pay.ant I. .ad. aftlr the Int.r..t coaputatlon date .hown on the
Notlc., additional Int.r..t .ust b. calculat'd.