HomeMy WebLinkAbout94-00844
PETITION (<'OR PROBATE and GRANT 0(<' LETTERS
C:llllle oj ~~b~~~.P~~ No, __c2J~9.Jj".:__g"L--
al.l'o klllllVlI 11.1' _________________n____________ To:
--- ------~------ljf{:;:;;,~.;1 ~~,~I';~~~r (~t r!.~ls II;O~~~~le
Soe/1I1 S('l'lIrily N;,~--~--!}6--g.~"i:-~=:jo:i-~-''7 ComnHlnweulth of Pennsylvunlu
Thc pctltlon llf thc undcrslgncd rcspcctfully rcprcscnls thai: \
Your pctitioncr(s), who is/urc I H ycurs of agc or oldcr unlhc C.sCCULe. ....iG--------------------- numcd
Inthc lu~t \ViII of thc uhovc dcccdcnt d ltcd _._, ---- Dh1U.l.l.612.4,-- ~ ~ ----------. 19S\-S-
und codlcll(s) duted ----'61 - - ___n_"______ ___ -_ -- __n______________________
')
__..___._____.._______..__.____.___.____._.. _m___
__________.____.__._____._________u._. _ __.+_
__________n_..___ .____.____.....__.____.._ --.---.-...- .-.--..----
('lall' Idc\'anl drClllll'ilillll'l''i, ~',Iot, 1l'lllll\~'ialiilll, dl'illh Illl'\l'l'\lhll, I.'le.)
()cccndcnt wus domicllcd UI dcath in __.Q.~~~h.~~~1 ~'olln!y, I'c!!.nsyl~nip, wilh
~C: ~1~;'~~~lC' lal rcs'dcn~~llt~\~j)'ts!.?~~~~~~ Q~CO: .
(Iilil "Ul'l'l, 1Il1lnh~'r illld IlHlIll'ipallty)
ull~J~~~frfT~~~-~ly-mr~igldiC,~...-~@+-.-~~~~=~---=~~U :
Except ns follows, dcccdcnt did 1I0tll1urry, \VIIS nol dil'orccd alld did 1101 huvc n child horn or ndopled
:::.~~II~~~~~~::~1I1-ort~I~t2l~'-~(:~r~hl~t~;-\Vl(S 1I0lthc I'klilll Ol_l~kil~ng l~::~~~ver ndjudlcnle~
DccclldclIl nl dcath O\VIIC I propcrlY with cslimnlcd I'alucs lIS folloll'.s: I?> ,....
(If domiciled In I'u,) All pcrsollal propcrly $__..l~
(If not domkllcd in I'a.) Pcrsonnl propcrlY in Pcnllsyll'lInln $-
(11' 1101 domlcilcd in I'n.) I'crsonal properlY ill COUIlIY $-
YuIuc of rcul cslll1C ill PCIIII~I~~.nh;,.- $-.
sltuutcd liS folloll'.s: ______UI2:I'...il;;"-______ -----------------
--_._.---~_.--,----------_.,._--_...__..._.._~~_.----------
_.-._---.--_._-~_._---_._---_._-_._---_.._-------
. WHEREFORE, pClltioncr(s) rc~pcclfully r~lllC~I(~IC prohut of thc .Ilist will uud codlcll(s)
prescnted hcrc\Vllh alld the grunt 01 ICllcrL_n~~~____n___ --
(1~'''lllll1t'lllnry; mlll1llli,trllllon ',I ll.; l\llmlnlstrnlloll d,b,n,c.l.n.)
theroll,
.
11
e
'0-
.- ",
~11
0:.
'tl~
~'"
_t
.",
U~
~o
~
iii
~~.
__~-QJU2.lMW+__~~L..1 JJIo ~ S-
k~~~~r~~,~. '..~..110~-~~ -<.~=.~~~.:~~~.~--
-------------..
__h___.______
---..- .._-...---- -
"" ....-.---......- -
OATH ()I<' I)ERSONAI. REI)RESENTATIVE
COMMONWEALTII OF I'ENNSYLV ANIA } Sf!
COlJN'J'V OJ! ____G.UMIlERLAND_u____. .......
Thc pctltlollcr(s) nhOI'C-llIlmcd Sll'cur(.s) or affirm(s) Ihllt till' statcmellts IlIthc forcgolng pell
trllc IInd concctto th,' \",sl of till' kllowlcdgc ulld bl'litof of pClitiollc' ilOtl thul us pcrslll1lll r
IlItlvc(s) (If Ihc ublll'" dCCl'dclIl pctltlollcr(.s) will II' '1l1ld 1I'llly mlllli istcr th' estllle IICCO
SWO.I.'II. .10 01 affirmcd IIlId SUbS.WihC'.' * _.
h~forc I\lC Ihis . 3RD . duy of /
~~@fi1t~.~ f'~(J<<!}1'7 (l; (j;)dy'
, MAll"" C, LEWIS II{'~I\/{'I' P {/
II{~,;:).?J~-~
<,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
)
I 55.
)
I, iN I~LYN D. CA~l Pl3F.r..rJ , tha tutatrix
wholl na~1 il lignld to the attached or foresoing inltry.ent,'havina
been duly quallfled aceordlng to law, do hereby acknowladge that 1
ligned and exeeuted the lnstrument as my Last Wll1 and Teltamantj
that 1 Ilgnld lt willingly; and that I ,lgned it as my frll and volyn-
tary act and died, for thl purpoee. thlrlln contalned.
1"V!\TJYN
alY of
Sworn and alHrmed to and acknowledjed balore m. ~'"
D~ CAJ.1P/\j'lLL , the tlltat rix ,thh ~,'
JanuRY'Y , A, D" 1993.
/(/1(./ ,Ill'"
,
)'/ J'lJ.
-n...~/\-~
I
\
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUKBERLAND
)
I 55.
)
...-................ ,"
\ NOiAFlIAL ~EAL. \
AY f AKIN NoWY P~~\I\
~~~~;~~bU~L Doro, CU';'be;-la~~ ~~;~
My CtmmiQsion f'pll'el N~_.:......_...
. -.--.....-.----- - .-.'- -
We, the underslgned I J. ROBERT STAUFli'Em
and RUTH Aim F'ULWIDIilfi , the wienee..S who.. namll are
algned to the .ttached or foregoing Instrument, belng duly qyallfl.d
accordlng to law, depo'l and .ay that WI wlrl prl.lnt and saw the
tutat..!:.!A-, I,VI.:T.'n! n. ~ ^ HPIlJ'...I. ' .1gn and exa-
cyte tlle lnstrument II m/her Last IHh .and Teetament; that the
said t1l8t.t l'ix I EVI'~r.YN D. OAI:',PBELL _, executed it ..
XDtI/her free and voluntary aet for the purposes thareln axpre.sed;
thst each of us, In the hearing and sight of the teatat~' elgned
the Wll1 as wltnesses, snd that to the best of our knowledge, the
tuta"iy \188, at the time, elghteen (18) or more yurs of aga,
of lound mlnd, and under no eonstralnt, duresS or undue influence.
':, ( .J;!I d... ~ tJ, /~
;j (!L.r(;W/ (:/~~!2.. __....
Sworn and ~pbtcflbed to befor{/ c::.:r>fr. '/~ (/~ .. I :.1~~ ft...;",,,, \
~e thia "".J' day of
January . 1993.
/}%~ . 'I
I i.- /.
, (./.(i./~tl-
.'
,
,
1\ ..-
--~
X ( /'1
I
~t;_l<
--\
'.i!t NOi ARIAl. 5E i\L
. fAKIN tic,'." 'I Public
M^~IL Y1 Nb K,A Yel,., ,[,11';'\"\ Ie,":, C~J1\IY
Mccnan C1 Uf. .1',. 'q 1I.Jt'),',
My ccmm\"~\Of\ \).1111(" ~l" .
........"...-. .
".
, ,
.'
,.
,."
"
.
"
"
I. ,
"
~i .. f''''_le
(il \ 'II,
'" ,
,I
.. .I f,"
r:-\ "
, I ;\
,
1-:; :-1
"
, I ,"J
I .'
I,' U 'I:." t::
it .
('I" '_11 :.1
. (it,) "
l'
"
;"
,.
. ,
,I
1 ,
\\
I ~ ~!] ~ I
~
&l ~
~ ~~J
~
~
ell .
t:l
:j ~
~ ~
~
I,
"
'"
I,
"
I.'
'I
""
,
if.
"
j".1
"j.
"
",
..:':
;.',
~ '
,"
"
"
I'
..'\,
:,
.
:.
,
"
,"
",
I,'
.'
n
,"
"
r,
"
, '
,
,
20. If L1n. 19 I, g"o'" Ihon L1n. 1 I, onlor Ih. dllf".nco on L1n. 20. Thl. I. ,h. OVIRPA YMINT,
110
21. If L1n. II I. g"ol" Ihon Lln. 19, .ntor Ih. dIH".nco on lln. 21. Thl.1I Ih. TAX OUI,
A. Enter Ih. lnl'''I' on the balanc. due Qn lln. 21A.
8. Int" Ih.lolol 0' lln. 21 and 21... on lln. 218. Thll II Ih. BALANCI OUI.
Mok. ChICk Poyobl. '01 R.ol.,.. 0' Will., Ao.n'
"~, , ,~::<" _!"/'>- )><. III SURITO ANSWIR' ALl. QUBSTIONS ONRIVBRSB SIDIAND TO RBCHICK MATH,if-(~_'_.!IM
Under pinal II" of perjurYI I ~.dat. Ihall no", ')lomln.d tnll relurn, Including accompanyIng ,<hldul.. and lIol.menU, and 10 th. bill of my knowledge and blll,f,
I !rUt, corr.ct and campl.I.. I dlClar. Ihal all r.al .lIalt has b..n r.por1l1d a! IrUI mark.t valu.. O.clarollon of prepar., olh" Ih n Ih. p'rlanal rtpflllnlall'll I.
.. 1 lid on alllnlormollon f which pr.pare, hOI any knowledge. ( ~ _
~ION III 0" ON AI'O t . 'O~"UNO II11UIIN ..oouu \ OAII -, I
_ ~ V). q , \ d I " (( / ') )1 ~ t,~, i/, /I I III \ -I r JIL- /'';L ~ rJ 9 <)
, All" 0 II HAN RI,.UINtA I Sellgmln, Fl1tdmln npany". OA.t! II 'A II
I / -I / _ 209 S".I....vonue-C.mpHIII.PA 170/1 ('1 ' '/'1
'( 1-(t"'I',.f " - '., ,-t. _ EIN'23.27~7' I
, '
IlOO IX. 11'~'1
~
~I~
......
",15
~~
(J
c.
~~:'l~.q..
....,\;..0),.".
.~.u.-
/ (/- ).-5 s -
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
YEAR
NUM!ER
'OR DATU D' DIATH An.. 12/31/91 CHICK HIRe
II A SPOUSAL 0
POVIRTY CREon IS CLAIMIO
fiLl NUMBlR
1994-00844
ai
~
'"
COMMONW!AlTH 0' 'INNSYlVMlIt\
OIPAAlMINI 01 RlveNue
01/1110601
HARRIIIUIO, IA 11Il1.0601
ON' NAMl {lASI, 'I_SI. AND Mloo~t~
CAMPBELL, EVELYN D.
~OCIA~ SlCU_II.., ~4UIll' "
201,-30-6747
2/28/13
N(A
COUNTY COOl
OlClOIN1'$ COMP~.H ADO_. $
DATI Of DIATH
115 EAST ~IAPLEWOOD AVENUE
MECHANICSBURG, PA 17055
c,,,,, CUMBERLAND
AMOUN1IUClIV(O (te! IN$IRUC1ION$1
N/A
9/28/94
(I' AmlC....IIIIU~VIVINO II'OIJU'I NA,l,It (\AIr. III" "~10 1ol1001l1NIII"'1I
N(A
IX] I. O,lglnal Rllurn 0 2, Suppl.m.ntol Rllurn 03. R.malnd" Rllurn
(for dOli. of d.olh prior 1012-13,821
o .. llmllld Ellal. 0 '0. FulUro Inll,,,1 Camp,omh. 0 5. F.d"ol Ellall To. R.'urn R.~ulrod
I'or dOli. of d.olh oker 12,12,821
I&:l 6. OIC.d.,,1 DI.d ToIlOII [1 7, O.cod.nl Molnlolnod a Living Trull Q.... 8. Tolol Numb" of Sol. O.po.1I 60...
IAlloch copy 01 Willi (Allach copy 01 Trulll _
ALL CORRBSPONDBNCI AND CONPIDBNnAL TAX INfORMATION SHOULD BB DIRBCTBD TO,;' "'>I!t}~~
NAMe COMjI~ln MA1~INO AOOIlI5$
ARDELLA C DARLINGTON
m HiONI NUM'U
717 766-6015
601 HENRY STREET
MECHANICSBURG, PA 17055
~
I
1. R.al 111010 ISch.dul. "'1
2. ~Iock. and Bnnd. (Sch.dul. 81
3. Clollly H.ld SIQckIPar1n",hlp InlO"" ISch.dul. C)
.. Mortgagll and NolO. RIC.lyobl. ISch.dul. 01
5. Calh. Bonk OlpoliU & MhcIlloMoul Perianal PropIf'Y
(Sch.dul. II
6, Jolnlly Own.d P,op.rly (Sch.dul. FI
7. TranolOll ISchvdul. G) ISch.dul. II
I. TOlal Oroll All'" (10101 L1nll 1-7)
9. funeral hpln.", Admlnhlrollv. COlli. Mlle,llonlaul
I.p.n... ISch.dul. HI
10. O.b", Mortgag. llobllltlll, L1... ISch.dul. I)
11. Tolol O.ductlono 110101 L1nll 9 & 101
12. Not Volu. of e.lalO (L1n. I mlnu. L1no 111
13, Cha,lIabl. and Gov"nmonlol A.quII" ISch.dul. JI
t., N.I Volu. Sub.ct 10 Ta'ILlno 12 mlnu, L1no 131
15, Spou,al Trondor. Ifor d011l of d.olh ok" 6,30,9'1
S.. Inl'ructlo"I lor Appllcabll Perc.ntage on RIVI,..
Sid.. Ilnclud. volulI from Sch.dul. K or Sch.dul. M.I
16, Amoun' of L1n. 1. lo.abl. at 6% ro"
Ilnclud. va lUll from Sch.dul. K or Sch.dul. M.I
17, Amount of L1n. 14 lo.obl. at 15% rolO
Ilnclud. va lUll from Sch.dul. K or Sch.dul. M.)
18. Principal 10. duo IAdd 10. from L1nll 15, 16 and 17,1
19. Crodll. Spou,ol Poverty Crodlt Prior Paymonll
+
1191
120)
678.85
(151
1161 $226.283.36
1171
Ohcount Inll,..t
+ 678.85
)(,--
x ,06 ..
$13 . 577 . 00
. ,15 ..
I
s
1111
13,577.00
C111'(~ IU'H' .1 you (HI' IlHIUI',\tilHl u u:luml of ynur OVl!ffJnvml'nl.
12.898.15
{211
(21AI
12181
$12,898.i5
f
"~IIO""IIl"1 * SCHEDULE F L
tOMMONWIAITH Of PlNNlYlVAN'A JOINTLY .OWNED PROPERTY
IHHIRIIAHCI TAX RHURH ,
RlllalHI alnDWI _ ______ ___ _____ _._______ __ ___._ .__._____
-----------.--.---.----.-.-.------.-
, ,
fiLE NUMBER
1994-00844
urATE Of
EVELYN D. CAMPBELL
Joint 'onontl.11
~AMI_
A. ARDELLA C. DARLINGTON
ADDRISS
601 HENRY STREET
'MECHANICSBURG. PA 17055
..-.. -
___ _ RELATIONSHIP !9J!ICIDENT
DAUGHTER
8,
C.
Jolntly-ownod proportYI
ITIM LInER, DATE
fOR ' TOTAL VALUE DICD'S DOLLAR VALUI Of
NUMBE' JOINT MADI DESCRIPTION OF PROPERTY OF ASSET %INT, DICEDENT'S INTEREST
TENANT JOINT ,
-----.
" A 1989 635 SHS DELAWARE $12,147.55 50? $ 6.073.78
GROUP MUTUAl. FUND
2. A 1991 PNC BANK,- SAVINGS 22.888.51 50% 11 ,444.26
ACCTO 5030063857
3. A 1991 PNC BANK - CHECKING 4.524.01 50% 2,262.00
ACCTO 5070072344
MAIN & MARKET STREETS
MECIlANICSBURG, PA 17055
,
.
, ,
.
"
"
I
-- -
TOTAL lAlla e,,'.r on line 6, R.copltulatlonl $ 19.780.04
-- -- - ---
(II more Ipa,. II ne.d.d Inler' addlliono/,h.." 0' lam. Iln)
UVI)IlUI,'.UI
J SCHEDULE H
'1!;~~ FUNERAL EXPENSES,
COMMONWIAU~ 0' P[NNSVlVANIA ADMINISTRATIVE COSTS AND
"mIRIlANCI1AR mURN MISCELLANEOUS EXPENSES
R!!ID!Nl__D_!CIDf~1 ____.. __ _ ____. __ _ .. _____. __
ISTATI OF
EVELYN D.
ITEM
NUMBER
CAMPBELL
t PI.." ~.",.. T'Il"
] PILE NUMBER-
._______.______ _._. 1994~00844
DESCRIPTION
AMOUNT
A, Fun.ral bpensesl
1. GILBERT W. PARTHEMORE FUNERAL HOME, lNC.
P.O. BOX 431
1303 BRIDGE STREET
NEW CUMBERLAND, PA 17070
2. GRAVE PLOT - ROLLING GREEN CEMETERY
3. D & S CATERING - FUNERAL
$2,803.00
1,135.00
186.04
B, Administrative Cas"l
1. Personal Reprelentallve Commllllanl
Saclal Security Number af Perianal Reprelentallvel __.
Yeur Commllllonl paid
2, Allarney Fees 185.00
3, Family Exempllan
Claimant __. Relallanshlp _
Addrell af Claimant at decedent'l death
Street Addrell
Clly State Zip Cade
4, Prabate Feel- REGISTER OF WILLS, CUMBERLAND COUNTY 96.00
C, Mlsc.llaneeus Expen..sl
1. POSTAGE 29.00
2, TRAVEL EXPENSES 116.00
3, TAX PREPARATION 620.00
,
4,
5,
6,
7,
8,
TOTAL lAlla enter on line 9, Recapllulallonl S 5,170.04
(If more space Is n..ded, In..rt addltlonalsh.." of sam. II..,)
\
,\
".
"
Signed, sealed, published and deola~ed by the above
named, EVELYN D. OANPBELL. as ..nd tOl' he~ Last Will and Test8llloOnt,
in the p~esenoo ot us, who have subso~ibed our names he~eto as
witnasses, ,at the ~equ!lst ot said tefltntl'ix. in hel' pl'esenoe and
in the presenoe ot eaoh other.
')
/ i
7'
~,y~ fJ-v....J :h~H'~.J J
",
1..1
"
"
"
"
"
',." '
,I
I
"
i'
"
"
,
, ,
, '
, t,
,"
"
" .
"
, '
,
.'
"I'
"
, "
"
.,,'1
"
,
,-,.
, .1
'-'>' -,.
REV-1547 EX AFP (12.94*
COHHOHWEAlTli OF PENNSVlVANIA
DEPARHIEHT Of REVEHllE
BURf.AU OF INDIVIDUAL TAXE~
OEPT, 280601
IlARRISIUAQ, PA 17125.0~Ol
mAlT OF CAMPBEl'f'= FILE NO.
OAT! OF DEATH 09-28-9~ COUNTY CUMBERLAND
HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUaHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAVHENT TO TNE REGISTER OF WILLS, HAKE CHECK PAVABLE TO "REOISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
(.~ t, 7 {,
(' I
11/. J-j l"~ (',;'
I . t. - ,
l
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAK
ACN
ARDELLA C DARLINGTON
601 HENRV ST
MECHANICSBURG PA 17055
;-- )
\,/ J('
,/
101
DATE 03-20-95
=
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r-
A.ount Ro.i Uod
l
CUT ALONll THIS LINE .. RI!TAIN LOWER PORTION FOR YOUR RECORDII ~
REV: i547' iie" - A iijj " (i 2-:94 Y - NOY ic E" "0 n NHi1iif AiicE - "fAx" 'iippiIA" is EifiNT -,-- Ai. rciWAifc E - oR" -......".. - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CAMPBELL EVELYN D FILE NO. 21 94-0844 ACN 101 DATE 03-20-95
TAM RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONt ORIGINAL
1. R.ol E.t-to ISoh.dulo A) III
2, Stook. .nd Bond. ISohodulo B) (2)
3, Clouly Hold stook/Portnor.hip Intor..t ISohodulo C) (3)
4, Hortgogo./Hoto. Roooivoblo ISohodulo D) (4)
5, Co.h/B.nk Dopo.it./Hi.o, Porlonol Proporty ISohodulo E) (51
6, Jointly Ownod Proporty ISohodulo Fl (6)
7, Tr.nlhrl ISohodulo G) (7)
e, Totol AI.ot.
APPROVED DEDUCTIONS AND EXEMPTIONSI
9, Funor.l Exponlol/AdM, Co.tI/Hi.o, Exp.nlo. ISohodulo H) (9).
10, D.bh/Hodg.go LI.bUiU../Lion. ISoh.dulo I) nO)
II, Tot.1 Doduotion.
12, Not Voluo of To. Roturn
13, Chorit.blo/Goyorn..ntol Boquoltl ISoh.dulo J)
14, N.t V.luo of Eltato Subj.ot to T.x
NOTEI
If an 1....Bment wa. 1..ued prev1ou.ly, line.
r'flect figure. that include the tctal cf abh
ASSESSMENT OF TAXI
15, A.ount of Lina 14 at Spoul.l rata liS)
16, A.ount of Lina 14 ta..bla .t Lin..I/CI.II A rata 116)
17, Aftount of Lina 14 ta.oblo .t Coll.t.r.I/Cla.1 B rata 117)
18, Prinoipol To. Duo
I ) CHANGED
no
C ii 00 '0
-, . - I,ll
114;299,39
. DO 'i':
DO ".'
-'-=-
~
97 ,457,47 '---J
19"780.04
. , DO ;Cl
).th 18~,,'
;. .
. CJ
5,170,04
83,50
Ill)
(12)
(13)
(14)
:D
'lie
,II (I
\
(~31,536, 90
;. :>;3 ;<L
226,283,36
~
226,283,36
14. 15 and/or 16, 17 and 18 will
return. alBoBBed to date.
TAX CREDITS I
PAVHENT
DATE
12-19-94
RECE I PT
NUHB E R
AA022622
DISCOUNT 1+)
IHTEREST 1-)
678,85
,DO M ,03.
226,283,36 M ,06.
,OU M ,15.
(18)
AHOUNT PAID
12,898,15
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE ReVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
,DO
13,577,00
,DO
13,577,00
13,577,00
,DO
,DO
,DO
IF TOTAL DUE IS LESS THAN fl, NO PAVHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE QUE
A lEFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
\
"
j<
"
,"
"
RESERVATION I Elt.t" of dle.dent. dvlng ~n or blten Dlc..oer 12, liJl2 4" If tnv futur. lntlr..t In thl ..tltI It tr.".flrred
In pO.....1on or ."Jov..nt to C1I'1 . (coll,t.r,l) blnef'ol,rl.. 04 thl dle.dlnt .,t.r thl IwpJrltlo" of tnv ..t.t. 'or
11'. or for VI.r., thl Co..onw..lth her.by Ixpr...lv rl'trv.. thl right to appr.t,. and ...,.. trant',r Jnhtrltlnor.'.w..
at thl lIwful Cl... . (co11.t"lll f"t. on any such future Intlr..\.
PURPOSE OF
HOTICEl To 'ulflU the r.quir..tntl of S.ctlon lUG of the Inherltlnol and Eltet, Tax Act, Act 22 of 1991. 72 PtS,
Slotion 2140.
PAYMENT I attach thl top portion 0' thlt HottCl and tubtlt with llour ply..nt to thl Rluhter of WUlI printed on thl rIV,," lid.,
"H.k. chock cr .cn., crdor ..".10 101 REOISTER OF HILLS, AOENT
All Plv..nt. r,o,'vld .hllt 'lrtt b. IPpll,d to anv Jnt.r..t which ~ay b. due with any r".lnd.r Ipplt.d to thl tlX,
REFUND (eR)1 .. r.fund of II hlC or.dlt, which WII not rtqulltld on thl TalC Rlturn, .ov b. rlqulttld bv co.phUng In "Applloation
for Rlfund of Pann,vlYanl. lnhtrltanu and E.t,t. TIM" (REY.I3I3J. Appllo.Uon. art aYlllhnt. at the Offlol
of the RIght.r of 141111, anv of th. t3 R.YlnUI District Offloll, or by clUing thl 'Plchl 2tt.hour
Inlwerlng ..ryie. nu.bars fOI' for. I ord.rln~l In PlnnlYly"nl. 1.800.562-2050, outsldl P'MtlYlvllnla and
within looal Harrisburg arll t711i 7&1.8094, TOOl (1171 712-2252 (H..rlng I.palred OnlY),
OBJECTIONSI Any part~ In Int.r..t not .lItl.flld with thl appral....nt, 1II0wlnel or dl.allowanc. 0' deduotlon., or ........nt
of talC (tnolulUng dhoount or Intlrlltl III .hown un this Notlc. lust objeot within .lMty (60) daVI 0' rectJpt 0'
this Hotlol bVI
IDIIIN
ISTRITlVE
CORRECTIONS I
--wr1thn prot..t to thl PA OePlrt..nt 0' Ravlnul, Burd 0' App..ls, DIPt, 281021, ~arrhburg, PA 17128.1021, Oft
-'ellotlon to havI thl lIatter dlhr.lntd at audit 0' tht aocount 0' thl perianal r.pr...ntativI, "R
--.pp.al to thl Orphanlt Court.
Factull errors dluov".d on this a.......nt .hould b. .ddr....d In writing tal PA Dlpart..nt 0' R.Vlnue,
lur..u 0' IndlYldu.1 TIll", ATTHI Post A..e...ent RIVII~ Unit, Dlpt. ~.0601, Harrhburg, PA 17128.0401
Phonl (717) 707'U05. S.. pag. 3 of thl bookl.t "Instruotlonl 'or InhlrHlnol TalC R.turn for a Ruld.nt
D.cldlnt" (RI!V.lS0lJ for .n IlCphnaUcn of ltillnl'traUv'h correetablt "rort.
OISCOUNT I
IHTEREST I
If Iny talC dUI it Plld within thr.. Ul elitndar lonthl after the dlctd.nt'. d..th, a ,luI p.rc.nt (.~) dhoount of
thl taK plld 11 .llow.d.
Intlr..t it eharg,d blglnnlng with first dlY of d.llnqutncy, or nln. (9) lonthl Ind onl (I) d.~ fro. tht dlt. 0'
d..th, to thl datt of paYlllnt. TalliS Which bloa.. d,lInqu,nt before J.nuarv 1, 1982 bIer Inter..t It thl rttl (:I'
.111 (6~) p.ro.nt plr annul ~alculltld at . d.JI~ rstl of .000164. All tall. I whIch blo." d.llnquent on and I'tlr
Jlnutr~ I, 1912 ..Ul b..r Inter..t at D rata which will very frail cal.ndar Ylllr to oQ1tndar ~"r wHh that rite
announCld b~ thl PA D.part.,nt of Rlvlnul. The apPl1cabl1 Int.r..t rat.. for 1982 thrOUgh 1995 art!
~ Inter..t Rat. DIIU~ Inttr..t Fllctor ~ Inter..t R.ta DailY Inter"t Faotor
---
1911 lOX ,ooom 1981 9~ .0002~1
1m 16X ,000415 1951-1991 m ,000101
1m 1IX ,000101 1992 9X ,OO02~1
1m 11% ,UOO156 1991'199~ 1% ,000192
1956 lOX ,ooom 1995 9X ,OOO2~1
ulntlr..t II c.loulatld .. 'olloWII
INTEREST. BALANCE OF TAX UNPAID X NUNBER OF DAVS DELINQUENT X DAILV INTERESt FACTOR
..Any Hotlc. '..u.d .ft.r thl tllC nleO'I. dellnqulnt will r,fllot an Intere.t oRlculatlon to flft.ln (II) dIVI.
btyond the date of thl a.......nt, 1f Plv..nt 11 lade aftlr the Intlr..t co.put.tton d.h thown on thl
Hotlcl, fOelltlon.l Int.r'lt IIU.t bl cllcul.tld.