HomeMy WebLinkAbout94-01061
.
PI.V.1S431 EX AFP (1-911,*
CO""ONW.EALTll Of PEHNSVlVANIA
DEPART"ENT Of REVENUE
II1REAU OF INDiviDUAl fAlCES
Ut!'l, ~ftuDUj
IIAARJSlURO, PA 11111-0601
/,. I /
..) ,_I"
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
NO. 21 - 9 '-1- I ~ (, I
94112233
04- 0; l).;
J
Rec.:ol:1;"i
RoUil, (j
I (1f
\/llIs
ESTATE OF KUGLER GRACE
5,S. NO, 19(,-28-8928
DATE OF D~ATH 01-16-94
COUNTY CUMBERLAND
'9~ ole 20 A 9 :30
01 I . MVERS . ~l
0:,' 20/l SAd.!
CurnUlJlENGlA ,II..
MARV L
PA 17025
REHIT PAVHENT AND FDRHS TOI
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
DAUPHIN DErOSIT BK . T hll provldld till DoPtrt""l '11th thl Inforutlon Iilt,d below which hu bun uutJ In tlllculltlnll the
pot.nUII t'll dUI. Thllr rlcord. lndlcah that It thl elllltll of thl libov, dlCldlnt, 'iou W'" /I Joint Owntr/b.noflchrv of thl, account.
If ~ou '..1 thh Infor..'lon I. Incorrlct, ph... obtain written r.orrtctlon fr08 thl f1nllnchl IMtltutlon, ..ttach . copy to thll for.
Mid rlhlrn It to thl IIbavQ .dd,.... Thl, "<;lcount h ."'01111111111 In ""r!,~(i~",.,. .d'h 111. l..hMlh",.~ T.. I '"'' of .It -:'''''~'':~..t;)lt~. ,:,1 ..~,.,: ..ho....;~,
OUlltlon, uy b" Inlwlrld by cll1lno (717) 7.7,U17.
COHPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Acccunt No, 0052970981 Dltl 04-U8-91
Elhbll.hld
Acccunt 81hncI 3,062,25
Plrclnt hobll K 16-,661
Aftcunt Subjlct to To. 510,39
TI. Rib K ,06
Pohntlol T.. DUI 30,62
PART TAXPAYER RESPONSE
II] L!.AILUAI TO RISPOND WILL RESULT IN AN OFFICIAL TAX ASll!SSHENT BAUD ON THIS NOnCI I
A. D Thl aboVI Inforutlon and talC dUI II corrlct,
1. You laV chooll to rult pav.lnt to thl RIglst" of Wllh, with two copl.. of thl, not lei to obtlln
a discount or ...vold Intltut, or )IOU uy ch.ck bOM "A" and r.turn Ihil notlcl to th. Rllllthr of
Wtill and an offlcht l"I....nt will bl IlIuld bv thl PA Dlplrt..nt of RIVlnu..
To Inlur. proplt credit to 'Jour account, two
(2) cop I.. of thl, notlc. .lllt acoo.plny your
paV.I.,t to thl Rlulltar of Will.. Hlkl thick
IIIVlbl1 tOI "Rlglttlr of Will., AYI~t".
HOlEl If tflM pay..nh arl lIad, within thrll
(1) 1I0nthl of thl dlCldlnt'. tllltl of dllth,
YOU .ay dlduot I ~% dllcount of thl tlX OUI.
An~ I"hltlhnol tal( dul will blco.. dlllnqylnt
nlnl (9) 1II0nthl .ftlr tho d.t, of d..th.
[CHECK J
ONE
PLOCK
ONL V -
B. 0 Thl aboVI lII...t hili blln or will bl reportld and tl~ paid with lhl Plnn,ylvanla lnhltltanel TtIC rlturn
to ~o flhd by thl dlCldlntl, raprtllnhtlvl,
C. 0 Thl ahovI lnforutlon I~\ncorrlot Ind/or dlbtl and dlductlon. ~It. paid by you,
You .Ult co.plltt PART l!J and/or PART 0 b.lo~,
Jf you lndivat. I different tax rate, pl.... statl your
rlllllonlhlp to dlCldlnt,
OFFICIAL USE ONLY 0 AAF
PA DEPARTHENT OF REVENUE
PART
~
T~X
LINE
nETUnt~ ~O~.~:'U'!'~.T:ON or
1. Dltl eltlblllhld 1
2, Account Blllnc. 2
3, Plrclnt T..lbh 3
4. A.ount Subjlot to TI. 4
5. Dlbh Ind Dlduotlonl 6
6, Aoount TI.lbh 6
7, TI. Rib 7
a. rex Du,. 8
T.'\:: r.~: JO!~'T.'Tn~'C~ f,CC:OUr:TO
r:'D
1
2
3_
4
x
5
K
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
PART
~
DATE PAID
I
PAVEE
DESCRIPTION
AMOUNT PAID
. &-0
TOTAL I Entlr on L1nl 6 of To. Coo.ulotlon I
.
Undlr .Inll tlll of .Ir jury, I dlclorl thlt Ihl loch I
ccoploll to thl bllt of oy kncwlldgl Ind bllllf.
~/s~
h.ve rlport.d abovI .re truI, carrect and
H~"'E ( 7 J 7 ) 7 3;l -..<. "f ~..3 __
WORK () 1~/1~
TELEPHONE NUMBER
OENERAL INFORMATION
1. FAILURE TO RES~DHD WILL RESULT IN AN OFFICIAl TAW A~'""~F~T ,,"" ",'11",\, In\"..\ "... ,. It"" ...11,,,
lub.ltl.d bv thl fll'l.nolll Instltullon.
to Inhtrlhnu tlIC beeD"" dlllnqulnt 1'111'1' lonthl after thl du.d.nt', dllt, of uU'h.
S, .. Joint ICcount II "ubi, Iy.n though thl deetdlnt', M" wit "ddld U II ntt.r of con....lnllnet.
It. Aocounh IJncludlng thlll. hlld bit".." hu.blnd and wlf,' which thl dlc.dlnt put In Joint n.... within one Vllr prior to
d..th Ir. fullY ta.,bl. '1 tr'I'II'.r..
!to Account. ..t"bltthld Jolntlv bltwlt" hu.blnd Ind wlf. .)rt than on. yur prior to duth Ilrl not taubl..
6. Accounts htld by . dlCtdlnt "In trult for" another or otl\.,1 IIr. tlNlbh fully,
REPORTING INSTRUCTIONS - PART
- TAXPAVER RESPONSE
I. BlOCt( A . If thl lnfor...tlon and co.put,tlon III 'hi notlcl /"1 torr.ot IInd deduction. ar. not bllng cl.I'ld, pllCI In ")("
In block "A" of Plr' 1 of tht "TIUCPIYU RIIPonn" nc:tlon. Sign two coplu and lubalt th.. with your chick for thl Iloun' 01
talC to thl RIgllter of Willi of thl county Indlclt.d. Thl OIPertlltnt of RIVlnUI will luuI nn offlel.1 ......u.nt
(For. REV-IS4' EMI upon rlcll"t of thl hturn frel thl Rlgllt.r at Wllh.
2. !lOCK I - Jf thl u", IPlclflld t'11 Hdl not lei hit blln er wltl bl rlportlld and th)( Plld with thl Plnnlylvlnll Inherltlnu
Tilt Rlturn fllld by thl dlc.d.nt'l rlpreUlntltlv., placl In "II" In block "I" of Pllrt lof the "TII)(ply.r RIIPonll" nctlon. SIR" on.
copy and r.turn to thl PA D'PlIrt..nt of Rlvlnu,l, Bureau of Indlvldual '111'1, Ollpt le060l, tlarrllburg, PA 111Zl-0601 In the
InvIlopl provided.
:. r",Oi=,,:: H Ut. I,':'~'::.. 1.-.~.)..:::..\1=' I~ Ir,,;:, :::~ ~:ln:j!c~ ~~';"'".c'~, UfO h"ln<;o 1'1101..,". cl\.c:~ hlnrk "r" ArId cOlllol..t, Pitt. ~ and J
.oc:ordlng to thl In.truotlonl bllow. Slgn two cop I.. Ind tubelt thl' with your ChiCk for thl II10unt of ta)( plYlbl, to ~hl R.gl.tlr
of WHit of the county Indlclt.d. Thl PA O.put..nt of Rlvlnul will IIIUI an offlcl.1 ""III...nt (for. Rf.V-l~U EXI upon r.cllpt
of the rlturn frol thl Righter of Wltl..
TAX RETURN - PART 2
- TAX COMPUTATION
liNt:
I. Entar the dlt. th. 'tcount originallY Will ..unlht"d or tltltd In thl lIannor ol!btlna"l tt...t.. n' ....th
flOTe, r.., " .:.....,;.11' "","11 .."II iUluolI "ceounu wnlctl It,. d.c.d.nt put In Jolnt M'" ..lttlJn on. III yilt of duth Ir.
hlClbh fulh III tran,flrI. Ilowlv.r, H,". 11 IIn lIIelullon Mt to IlCclld U,OOO pit trlnlfarll raglrdh.. of the ....Iu. of
the account or the nUlbar of Bccoun" h.ld.
If I doubh utltltk Inl appllrl b.fora your fltlt nlll 1n th. Iddr... portlon of thll notlco, th. U,OOO IICclu.lon
Ilr..dY hi' b~ln dlduct.d frol the Iccount ballnc:t II r.port.d by the fln~nclll lnltltutlon.
2. Entar the totll blltmc:. of th, Iceount Jncludlng Intarllt Iccru.d to th, dlt. of duth.
5. Th. pltc.nt of thl acc:ount thlt 11 tUlbl. for lIleh .urvlvor I. d.ttrtln.d u follow'l
A. Thl Plilrcln' tllC.blt for Joint ...." utabllthld .or. thin on. Ylllt prior to thl d'C:ldlntl, duthl
1 DIVIDED IV TOTal NUHIER OF
JOINT OWNERS
fM..phl A Joint ....t r'lIhhr.d
DIVIDED IV TOTAL HUMBER OF )( 100 . PtACEHT TAXUlE
SURVIVINO JOIHT OWNERS
In thl na.. of thl dlc.d.nt at'd two oth.r Pltlon..
1 DIVIDED BY 1 IJOIHT OIntERS) DIVIDED BV Z (SURVIVORS I . .167 II 100
16.7% (TAXAllE FOR EACH SURviVOR)
I. Thl porclnt taMlbl, fat ....t. crl.t.d within on. yl.r of the dleld.nt'. d.ath or account I ownld by thl dtclden' but h.ld
In tru.t for another Indlvldu.1l11 (tru.t b.nlltc I.r lull
I DIVIOEO BV TOTAL HUHIER OF SURVIVINO JOINT
OWHERS OR TRUST BENEFICIARIES
)( 100 . PERCEN' TAMAIlE
EM.aplll Joint account raglttared In the naa. of thl dleld.nt Ind two othlt pit Ion. and ..tablllh.d within ani Yllr of dllth by
thl d.UlIont.
1 DIVIDED IV Z (SURVlvOAJ) . ,50 Ie 100 . SOl: (TAXA8lE fOR EACI! SURVIVORI
4. Th. 1I0unt .ubJ.ct to taM (llnl 4) I. d.taralnld by aultlplylng thl Iccount balane, (11nl 71 by thl ptrc:tnt t.obll (Iln. J).
!to Entar th. totl1 of thl d.b" and atduc:t1onl 11Ited In ,,"rt ,).
6. 'hi IICunt tlllabl. (lJnl 61 II d.t.rlln.d b.,. tulltrlctlng tht dab" and d.ductlon, IIlnt ~l frol thl a.ount .ubJlet to talC <11nl 4),
1. Entar the .pproprl.t. tllC rlt. (11nl 1) al dltlralntd b.low.
A. 'rllntftr. to IJnll1 dueendlntl lncludlng 11thI', loth.r, hu.blnd, wlf.., Icn, d.ughtlr, grandchildren, .an-lo-llw,
dlulhtor.ln-lDw, .tlPchlld and th.lr luu. lire tftlClbh It .ile perunt (6%L
e. Trlo,f.r. to .11 othlrt Including broth't, Illtlr, uncl., lunt, n.phl" and nllcl Irl tllClbl. at flft.ln ptrC:lnt (ISI:).
C. If you chang. thl tlM uti, phil. ,plc:lh YO'lr relatlonthlp to thl dlc.d.nt In thl ".. provld.d.
.. 'hi ...ount of tu due (!lnl IS) It d.t.r_In.d by lultlphlnll the ...aunt tllCabl. 11 In. 61 by the tlllC rat. Oln. 11.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAI~ED
Allow.bl. d.btl .nd d.duc:tlon. art dl'lraln.d II followtl
A. Vou legllh lire r..pon,lbl. for PIY.lnt, or th. ..tat. lubJ.ct to Id.lnlttratlon b.,. II per.onal tlprll.ntatlvl II Inlufflchnt
to pay thl dldl/ctlblt It....
B. Vou .0tullly Plld thl d.bt. .ft.r dl.th of the dlc:.dlnt Ind can furnllh proof of p'Yllnt.
C. O.bts bllnll ol_llId IUlt b. It..l,.d fully In Part 1. II addltlon.l 'PICI II nllelld, UII plein ~.ptr 8 Ill" I( 11". Proof 0'
pIY.lnt "Y bt rlqul.tld by thl PA OIP,rt.lnt of RIVlnUI.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRV UNIT IN
ItARRISBURG AT (17) 787-8327.
n'W-1S43 !X AFP (1091),*
COMMONWEAL TH Of PENNSYLVANIA
DEPARTMEWT or RE\EHU[
IUREAU OF INDIVIDUAl rAKES
DEPl, 210601
HARAISlURQ. PI 11128'0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
Reeof(!. .1 \
HO:II':IIII I:
,; of
l/ills
ESTATE OF KUGLER
5,5, NO, 194-28-8928
JlATr. OF DEATH 01-16-94
COUNTY CUMBERLAND
GRACE
'94 Ole 20 ^ 9 :30
MVeRS
ClolI ' 200"S~{~ RD
Cumb QiI..lfIll E60J.,A PA
MAR V L
PA 17025
REHIT PAVHENT AND FORH' TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DAUPHIN DEPO!al 81< . T ha. prollld.d thl OIPlrtll.nt with the Inforllntlon 1 hhd bllow which hili b..n ulld In caleulatlng th.
pot.ntl.1 tl. dUll Th,lr r,cord. Indlcat. th.t at the dlllh 0' th, "boYI dle.dlnt, 'IOU wlr. I Joint own,r/bln.flclary of thll ICC:OUr,t.
11 you ,..1 ttlll Infer..tlon I. Incorreot, pi.... obhln wrlttln corrutl"n froll the 'Inllnclal InttltutJon, IIttleh . copy to thlt for.
and rlturn It to th" flboVI ..ddr.... Thl. account I, tallllbl.. Ifllcr.orrl~nc. with the Inhllrl1nf1cl 1.__ tlW, of Ill. rl)..on...,.lth of Illf'n."lv.nltl.
Qu.l1lonl IIV bl Inlwlrld bV cIUlna (111) 111-U27.
COHPLETE PART 1 B!LOW '-'-;-&lE REVERSE SID! FOR FILING AND PAYMENT INSTRUCTIONS
Acccunt Nc, 1,912705586 Doh 04-08-91
E.hbl hhod
Acccunt Solanco 10,260, 5B
Porcont ToXlbh M 16,667
A.ount Subj.ct to To. 1,710.13
Ta. Roh M ,06
Pctonthl To. Duo 102,61
PART TAXPAYER RESPONSE
CUI PAILURI TO RISpaND WILL R!SULT IN AN OPFXCIAL TAX ASSISSH!NT IASBD ON THIS NOTICI~
A.
To In.url proplr crldl t to your ,",ccount I two
(11 copl.. 0' thll notlc. flU" acco.p.ny YOur
I,ay..n' '0 'hi Rlglthr of Will,. "I~I chick
paYlbl1 '01 "Rlallhr 0' Willi, Agln'''.
NOTEl If taM poy..n'. nr. IIdl within 'hr..
(31 flon~h. of 'hi dlcldln,'1 dati of d'I'h,
YOU laV deduct. SX dltcoun' of thl tlM dUI.
Any InhlrHanCil tlM dUI will blcc.. dlllnqulnt
rdnl (91 lonth. aflu thl dl'l of dll'h,
[CHECK '_'J
ONE
BLOCK
- ONLY
o Thl ehov. Inforutlon ana till du, II corrlct.
1. You uy chao.. '0 rult pay..nt to 'hi R.glltlr of Will., with two copl.. of 'hit noUct to ob'.ln
. dllcount or .vold Inttrut, or YOU lay r:hlCk bOM "A" .nd r.'urn 'hit noUcl '0 thl Rlgltttr of
Will. and an official 1I1u....n' will bl !lluld by 'hi PA Dlp,rt"nt 0' Rlvlnu..
a. 0 Th, IIbov. a..." hal bun or will be rlported and till, ptld with thl P.nnlylvanla Inhlrltancl TIM r.turn
to bl fll,d by thl dlcld.n". rapr...nhU..,II.
C. 0 Thl abo..,. Infor~ttlCln I~ncorr.ct nndlar dlbto and d.ductlcn. wlrl paid bv vou.
Vou lult co.plttl PART ~ .nd/ar PART [!] bllow.
If you indin.t. . diff.r.nt tlX rat., pl.... .t.te your
roht Icn.hlp to docodont I .____
PART
~
TAl( R!TU:U; " COtlrUTf. nljll
LINE I. Ooto E,t.bll.hod
2, Aocount 8.lano.
S. P.rc.nt T.~.bl.
4, Aftount Subjoot to To.
5. Dobt. ond Doduotlon.
6. A~ount Tlxabl.
7, To. Roto
e, To. Duo
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
t:;/ TAX Ci~ J::NT"i~~:';' A:C::.JrJT~
1
2
5 X
4
5
6
7 M
S_
i'AIl
1
2
--
3
PART
[!]
DATE PAID PAVEE DESCRIPTION
t::m ~~t~,::~r.:cn' ~.L I
TOTAL IEnter on Line S of 1IlC ConplJtaUord . J . ~ If '1~....j ~ '\ _
perjury, I daal.,.e thet the flat. I h.ve reported above Ir. true, corr.ot end
fty kncwlodgo .nd boll of. HOME (( 7 n) 7'5.2 ,.2 -I" 3 10 /. " h L J
WORK) ~7
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIHED
AMOUNT PAl D
<-"~~: ;;
OENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULl IN AN OFFICIAL TAM ASSESSHENT _I\h npplloobh In','''' b.II..n Inlarlltl.n
,ubaltted bv thl fln.nohl In.tltutlon.
2. Inhlrltlnc. tllC bleD... dlllMutnt nln. lonth. "'ar thl tI,e.dlnt', dltl of dutil,
S. A joint lacount I, tlMlblt IVln though the dlced.nt', ntAI WI' ndd,d .. . Ifttt,r of convenl.ncl.
tt. Accountl (Including tholl held b.,wu" hUlband end wlf.l which the tlle.dent put In joint 1'1.... within on. VII" prior to
d,.th Ir. fullv tl_Ible II tr.n,'.r..
S. Aceount. ..tlbl \lhld jolnth bltwu" husband and wU. lor. thin on. yll' pr lor to flnth IHI not hubl,.
6. Account. held by . dlcld.nt "In trUlt for" Inothlr or othl" .r. h.'ble fullv.
REPDRTINO INSTRUCTIONS - PART
1
- TAXPAYER RESPONSE
I. IlOCI( A . If the Inforutlon Ind coaputatlon In the notlcl .r. corr.ct and dlduotlon. nrl not baing Clhl..d, rile. In "I("
In block ttAtt of Plrt I of the "TIIIPIYlr W..pon.... ..ctlon. Sign bo r.oplu .lId ,ub.lt th.. with YO\lr thick 'or th, ..ount of
tile to the Rlgl,tlr of Will, 0' thl county Indlcatad. rhl OIPart..nt of Rllllnul will IIIUI IIn offlohl ........n'
(For. REV. IS.' E~) upon rlcllpt of thl Rlturn frol thl Rtgl,tlr of Will..
2. BLOCK B . If thl a"I' 'PlclfIIQ on thll notlcl 1'1.. bun or will bl rlportld rind talC paid with thl Pann.yllllnl. Inh.rltancl
Till A.turn fllad by thl d'Cld,nt', rapr..anhtllla, ph" an ..~" In block "B" of Plitt t of th. "hIlPIVIr R..pon.... notion. Sign on.
copy and return to thl PA Dapartllnt of Rallanu., Buruu of Indlllldual T,lC", D,pt lll116111, tturl,burg, PA 111l1.0UI in th.
,nvllop. provldld.
, "~n,=l(" ~ " th. .."t'''1 l"lfnr,,"tIM 1'1 Incrrrollf'lt IIn.lInr rfll:lttrtlnn, II'. hAlnr rI~Ir'.rf, chlek b~llc~ "r" Mrf "oul..tt Porh 1- rlrlr1 ,
.ocordln, to thl In.truetlon. balow. Sign two copl.. and IUbllt th'l with yOut chack for tha III1Iunt 0' talC payable to thl RI"lattr
of WHit 0' thl county Indle.tad. Th, PA O,partllent of Rlvlnul will luu. an offl<dll ........nt (Fora REV-IH' EX) upon rlcullpt
of the rlturn frol th. R.gl.t~r of Will.
TAX RETURN - PART
2
TAX COMPUTATION
LINE
I. Entar th. date the flocount originallY w.. ..tablllhlld or titlld In thl .ann.r IICI.tlr,g at dati of duth.
NOTE I For I dlcldlnt dying aftar IU1UaZl Account. which thl dlc.dant put In Joint nlll.. within anI (1) Yllr of dllth Ira
talCabll fully.. tran.hr.. HOWlyar, th.rl I. an llCelulion not to IlCc..d U.111111 par trln.flr.. rlglrdll.. of thl valul of
thl .eceunt or thl nUlher of aceoun" held.
If, doubl. ..tlrt.k (U) appllrl blfora your II"t nUl In thl addr... portion ef thlt nollcl, thl .~,1100 IlCclu.lon
,Irudy hit bun daduct.d frol th. Meount bahnel at rlpertld by thl flnancl.l In.Ututlon.
t. Entlr thl totll bahncl of th. account Inoludlng Intl"..t ru:oru.d to 'hi dl" of duth.
S. Thl plretnt of thl Iccount th.t II tuabh for tach survivor It d.tarlllnld III follow'l
A. TM Pltclnt tUlbla for Joint untl uteb1lthld lore than ~na ~..r prior to thl d.ced.nt'. dllthl
DIYIDED IY TOW HUHIER OF
JOINT OWH€RS
ElClaplll A Joint ....t rlgl.'lrad
DIVIDED BV TOTAL NUHBER OF )( 1011 . flERCEln TA~nlE
SURVIVING JOIHT OWHERS
In thl nl'l of the d.cld.nt and two oth.r Plr.on..
I DIVIDED BV S (JOINT DWHeRI) DIYIDEn BY Z (SURIJIIJORS) . .161 X 100 . 16.]:( (TAXABlE FOR EACH SURVIVOR)
B. Thl p.relnt talCabll for ....t. erl.t.d within on. ya.r of th. dlc.d'n,'1 d..th or account. ownlld by thl d.c.dent but hlld
In tru.t for anothllr IndlvldullC.) (trult blnaflclnrl"'l
1 DIVIDED BV TOTAL HUH!ER OF SURVIVIHG JOiHT
OWNERS OR TRUST BENEFICIARIES
X 100 . PERCENT TA)(ABLE
[lClllphl Joint Iccount "glatar.d In tha nu. of thl d.c.d.nt IInd two nthar p;rton. Ind utablhhad Nlthln ani ~lIr of d."th b~
thl dleldlnt.
1 DIVIDED BV 2 (SURVIVORS) . .SO )( 1110 . SI1X (TAUBlE rOR EACtl SURVIVOR)
~. Thl I~ount ,ubJlct to talC (1lna 4) I. d.tarlln.d by ~ultlpl~lng th. account balnnc. lllna Z) by thl p.rQlnt tllC.bll (11nl 5).
S. tontlt tnl toUI1 of tnl aGDtI an'" daduuUon. U"au In Part 5.
6. Th. lIount tll(.bl, (llnl 6) I. datarainld bll ulbtractlng thl dabt. and deduotlonCl (1 In. S) frol thl lIount .ubJect to tu (lInl 4).
1. Ent.r 'h. appreprlftt, t.1C rat. (11nl 7) a. d.tlr~ln.d b.low.
A. Tran,f.r. to llnlll rl..etnd.nt. Including fathlr, lother, hu.band, wlft, .on, daughtar, grandchlldran, .on.ln~1aw,
dlughhr~ln-ltw, .tlPohlld rind thllr IlIu" arll tlllabll at .ilC p.rClnt (6%),
I. Tran.fer. to all otha" InclUding brothar, II.tar, U.'CII, aunl, n.ph.", and nllCI .rt talC.bll at flft..n parclnt (U%J.
C. If you chlngl thl till rlt., pl.... .peclfy ~our "htton.hlp '0 thl dac.dont In thll .,11 provld.d.
.. Tn. ,lKIunt of till dUI (1lnl III I. dltar_lnlld by lultlplylng th. alount tUllbl1l IIlnl 61 by thl till rat. (1\n. 71.
CLAIMED OEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allow.bll d.ht. Ind dlauctlon. .rl dlt.rAlnad ft. folloWll
.. You IlgaUy ara rIlPon.lbl. 'or pay.."t, or thl ..tat. lubJ.r.t t~ lldllnlltratlon b~ a p.,lonll tlPre..ntatlvl h In,ufflollnt
to pay thl daduotlbll Ihll.
I. You Ictu.lIy paid tha d,btl .ft.r <filth /)f thl d.c.d.nt nnd eln furnl.h proof of ply..nt.
C. Clbt. blln, clalud ault b. It..lnu fulh In Part S. If arldltlonl1 'P'CI I. nUdld, ull pl.ln p,plr a Ill" I( 11". Proof of
~.yalnt "y b. rlqua.'ld by thl PA D'Plrtllnt of RlVAnU',
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
TVPE OF ACCOUNT
A ~c ~:~~~~:O
TRUST
~. CERTlFl:ATE
REHIT PAVHENT AND FORHS TDI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
. ~1!~\".1.543 U' UP '.1-911 '*
CQH"OIMAL lH Of pn":SVlV'HIA
DEPAATHE.Hl Of '!EVI HUE
BUREAU or INDIYIDUAl lAMES
O[PT. ZI0601
11ARRlS1UAO, PI l1Ua'OUI
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
;0/- /:!~C)/y/
c)f;tJ / fg
ESTATE OF KUGLER
S.S, NO, 194-28-0928
DATE OF DEATH 01-16-94
COUNTY CUMBERLAND
GRACE
KUGLER
438 N 2ND ST
WORMLEVSBURG
JERRV 0
PA 1701,3
FI~!
ACN
DAT!
NO. 21-'('\ ('llolpl
94112217
04"07-94
DAUPHIN DEPOSIT 81< I T hll provld.d \hl OIlPutlllnt with thl lnforutlon 1I.Ud ullow which hili bun ulld In c.lcuhtlng thl
pot,nU.l t.x dUI. Thllr r.cord. Indlclt, thllt at th, duth a. thl IUOV. dle.d.nt, 'IOU ..er, II Jalnt Dwn.r/b'lI.flchry 0' thl. ICCOunt.
If yOU 'Nl thh Infor..'lon I. Incorr.ct, pleau obtlln wrlU.n corr.ctlo" frail th, flnanlll.. Institution, attach II COpy to thh for.
and r.turn It to thl abo1JI .ddr.... 'hi, account II tllllbl. In locntdlnCI with thl Inherlt.ne. Tile la..' of lh. Co..onwulth of Plnnlvlvlnll.
:IwO~t1;H',:o a". I... :;n~\jlr::t t::.' elll1tr~ P17l .'~1,,121.
COHP~!Te FART 1 BELOW . . . SE~ REVERSE SIDE FOR FI~ING AND PAYMENT INSTRUCTIONS
A...ynl N., 4912705586 DII. 04-0B-91
E,lobll,hld
A...ynl Bohn.. 10,260. 5B
P.r..nl To.lb1. X 16,667
A..ynl SybJI.I I. To. 1,710,13
T.. R.I. X ,06
P.lonll.1 To. Dyo 102,61
.pm TAXPAYER RESPONSE
IT] r FAILUAI TO A.SPOND lULL A!SUl. T IN AN OFFICIAl. TAX ASS!8SN!NT BASlD ON THI8 NOTICI J
. A. 0 Thl abolll I"'orllll' Ion and talC dUI II corrlet.
1. You IIY choo.. '0 rult paVRlnt to thl Reghttr of Wllh. with two copl.. of thl. notlcl to obtain
. dl.count or avoid Intlre.t, or YOU .ey ch.ck bo. "A" and r.turn thl. notice to thl Rlgl.ter of
Willi and an offlolal ........nt will bl IlIued bv thl rA Olpartllllnt of RIYlnul.
To In,urI prop,," erldlt to your account, two
HI coplll of thl. not Ie. .u.t tleco.pany your
pay'tnt to thl RIIII.ter of WillI. "like eh,olc.
~'Y'bll tOI "Rlgl'ter of Willi, AllInt".
NOTf.1 If t.;c Pllvunh etl udl within thr..
151 1I0nthl of thl dleldlnt', dati of duth,
veu lev dlduct a S% dllcount of the ta. dUI.
Any Inhtrltanel t.. dVI will b,eo.. d.llnqulnt
nln. 19J lonth. "'hr the dati of duth.
[CHECK ]
ONE
BLOCK
ONLY
e. 0 Thl IIboVI "lit hll bit" or will bl rlportld and tu Plld with thl Plnnlylvllnlt Inherltftncl TIll r.turn
- to bl f11.d bv th. dlctdt"t', tlpr..lnt.tlv..
C. fJ Th. lIbuVI lnfor.,tlon l~ Inr.orrlct norl/or dlbt. Md dlductlon. wer. p,ld bV VOu.
You ....t cOlpltte PART [D and lor PART [.!J bllow.
If you indio.t. _ dlfflrant t.~ r.ta, pl.... st.t. your
r.hllon'hlp 10 dloldlnl I ----
PART
[!]
TAX AP.TURN . COHFUTATION OF TAX ON JOINT IT RUST ACCOUNTS
LINE 1. D.1o E,Iob11ohld 1
2, Aocount a.1lnol 2
!, POI'.onl T..obl. ! X
~, A.oynl ~YbJI.I I. To. ~
S, Dlbt, .nd D.dy.llon, 5
6, A..ynl T...bl, 6
7, T.. RII. 7~
8, To. Dyo e
PA
PART
I!]
DATE
DE81'S
PAD
1
~-i',
4
5
6
7
o
AND DEDUCTIONS C~AIME~
PAID
PAVEE
DESCRIPTION
-1
TOTAL I Enlor on
Lin. S .f To. Co.publlon'
F ICIAL USE ON~V 0 AAF
RTH~T OF,~WENUE
:
-
;i !J
..~: ':'
~."'I
;.\.
iF..,
-
R
J~
l<<~
~
AMOUNT
i-
.
PAID
Undlr pon.11101 of plrJyry, I d..llrl Ihol Ihl floll
~~~dg. ond blll.f,
1 hlv, rlPort.d .bov. ar3. tru~ oorJ.l.ct and
HOI1L_i1; 7 ) Zr, - I fS J2._p'
WORK () ~
TELEPHO E NUMBER --
~ ,/ . ..
GENERAL INFORMATION
1. FAILURE TO RES~OND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT wi'" ..,11".1. In'''''' ....d on Inl....llo.
subtitt.d by the fln.~al.l In,tltutlon.
2. InhfrUInCl hie bleou. dlllnqulnt nln. lonthl ,fter thl dle,dentl, dltl of dllth.
1. Ai Joint Icoount 1. t.~lbl. Iv,n though 'hi dlc.dlntt, n... ~.. added I' . ..tt.r of cony.nltnel.
Ill. ~toount. (inoludlng tholt h,td betw.." hUlblnd Ind wUt) which thl dlCldlnt put In ,\tdnt n.... within on. vur prior to
d.,th Ir. fUllv t'Nlbl, It tr.n"'~',
I. Accoun'.' "tlblhhtcJ Jolntlv b.;twlln hUlb.nlJ .nd wlft 10rl thin ant yllr prior t'J dllth ar. not 'IMBbl..
6. Aocount. held bV . dlCld.nt "In trult for" Inothtr or othtr. "r. t.~.bl. fullV.
REPORTING INSTRUCTIONS - PART 1
. TAXPAYER RESPONSE
1. BLOCK Ai . If thl Inforutton Ind cOlpuhtlon In thl notlcl Ir. corrllll IInd deduction, flrll not being ohl.,d, phu In ")I"
In block "A" of Part I of ~h. "TlIIPIYlr Mupon,." IIctlon. SllIn two cop I., find ,ub.1t th.. with your chIck for thl a.ount of
till to thl AIIII,t.r of wtll, of thl count'll Indl~atld. Thl OIPart.lnt of RI~lnu. will 1..uI In offlcl.l ........nt
(For. REV-U'" EIU upon rlcllpt of the Rlturn fro" thl Rlghtlr 0' Wtll..
2. BLOCK B - 11 th. ....t ,ploHI.d on thlt notlc. hu bltn or will bl r.portld Ind hll Plld with thl Plnn.yl...,nl. InhlrltlMl
Till Rlturn ftlld by thl dlllldlnt', rlp"tlnttti\ll, pllCI nn "1(" In block "B" of Plrt I 0' thl "TeMpayer AIIPontl" ncUon. Sign onl
copy end "turn to thl PA Olp.r"lnt 0' "'V'"UI~ Iluruu 0' Individual Tllel', DIPt 280601, ttarrltburll, PA 1712'-0601 In thl
a"v.lopl provldld.
I. BLOCK C - 11 thl notto. Infor..tlon II Incorrect Ind/or dlductlon. Irt bllnll ohl.,d, chick block "C" end cOllpl.t. Plrtl 2 .nd I
"~"'Ilrul"w \U U1V hl.~luulll)f1. bl1l'W, Slun hfU copl.. 1M .uo.i~ Ii'.. wi,h your en.el( lor tn. I"'OU"' Of UM p.y.pl. to 'hll ~'lIi.tlr
~, Will. 0' the ccunty Indicat.d. Th. PA n.part..nt 0' R.v.nu. N1II I..u. In o"lclll a.......nt (For. REV-1548 EX) upon r.c.lpt
0' thl r.turn 'rol the Rtgl.tlr of Willi.
TAX RETURN . PART 2
TAX COMPUT A TI ON
LINE
I. Entlr thl dati the account orllllnllly was I.t,blllh,d or tltl.d In thl a.nn.r 1lIlltln~ ,t d,t. of d'lth,
HOTEl For a d.o.d.nt dying .fter 12/121&21 Aceounh which the dlcedt"t put In jl)lot na... within one (1) y..r 0' d..th erf
tOlllbl, fully II trant',rs. IloWIVIr, thlre 11 an 1M01u.lon not to IMclld 15,000 ptr tranl'lrll regerdl... of the "'lluI of
thl account or the nuaber 0' locount. hlld,
If. doubl. alter1lk (MIll 'PPllrs blfore your first na.. In the add".. portion of thit notlet, thl U,OOo uolullon
Ilrl.dy h., bl.n deductld froa the account baltncl a. rlPortld by thl financial In.tltutlon,
2. Enter the tctel bal.net 0' th. Iccount Inoludlng Intlr..t Ilc('ruld to thl date of duth,
I, Th. Plrc.nt of thl Ice aunt th.t it t.xlbll fQr tach Iurvl~cr II ulterlln.d II followll
A. Thl p.rolnt tlMlbl1 'or joint 1.lltt I.tabll'hsd ~ar. thin onl YI.r prior to thl d.cld.nt'l dl.thl
I DIVIDED IV TOTAl NOIlIER Of
JOIN! DWIlERS
EMlap111 A Joint ....t rllllltlrlrl
ulVIDED 4V TOTAL NlJNlER OF M 100 . PERCEN! TAMABLE
SURVIVINO JOIN! OWNERS
In the nl.. of the d.c.dlnt .nd two other perlonl,
1 DIVIDED IV S (JOINT OWNERS I DIVIDED IV Z (SURVIVORSI . ,167 M 100 . 16,/X mMA~LE FOR EACH SURVIVORI
I. Th' Plrclnt t...bll for ..I.t. orllt.d within on. ySlr of thl dlc.dlnt'. dl,th or account. ownld by the d.cldlnt but h.ld
In trult 'or lnother Indl\lJduaJC'l (tru.l b.n.'lclerl..)I
1 DIVIDED IV TOTAl NUNIER OF SURVIVINO JOIN!
OWNERS OR TRUST IENEFICIARIES
lC 100 . PERCENT TAXABLE
EMI~III Joint .ccount r'lIllttrld In thl nft.1 0' the dlcld.nt and two oth.r p.r.on. and ..tablllh.d wlthtn on. y..r of d'lth bv
th. dlcedlnt.
1 DiViDED IV 1. (sURVIVORS) . .50 X 100 . 50:< lTAlCAftLE FOR EACH SURVIVOR)
.. Thl ,.ount lubjlot to taM (11nl 4) 11 d.t.r.lnld by lultlplYlng thl account balanct <llnl l) b, thl p.rc.nt tt~.bll Cl1n. 11.
I. Enter the tot.1 0' thl debt! llInd d.r1(1tltlon' tl.t"d tr, Pftrt 1.
6. The Mount t"lbll Cllnl 6) It dlter.ln.d by lubtrectlng thl debt. and dlductlon. (llnl S) frol thl a.ount .ubj.ct to tllC Oln. 4),
7. ~ntlr thl appruprlltl tlM rat. (11nl 7) II dlt.r.lnld bllow.
A. Tr.n.ftrl to IInul duo.ndlnt. Including hther, 10thI', hu.band, wlfa, .on, dlughter, grandchlld"n, lon-In-II"',
dlUghtlr~ln-l.w, ,tlpchlld and thlir ll1UI Ire tallabl. at .hi perclnt (6%1.
I. Trlnlltrs to .U othlrs Inoludlng brother, 11Iter, uncll, aunt, nlphl... and nl,cI art tallabll at flft"n percent <15%).
C. If VOU chen;1 thl tlM r.t., pl.... ,plclfv your r.latlonlhlp to thl dlCldlnt In thl ar'l provld.d.
a. Tht tlount of tlM dUI ~lIn. I) It dlter.tn.d by Ilultlplylnll thl nount taMlbh nihil 61 by the tell rllt. Ulnl 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AlloH,bll o.bt. .nd dlductlonl ~rl d.t.ralnld a. '0110....1
A, You htllh .ra rupon.tbl. for Ply..nt, or the IIt.tl .ubj.ct to nd.lnl.trfttlon by a p.rsonal rtpr..tntatlul Ie In.ufflcllnt
to p.y the dlduotlbh It....
I. You aotulllY Plld thl dlbtl afttr d.ath 0' thl dtc.d,nt .sM tin furnish proof 0' p:3y.lnt.
C. O.bt. bllng ollllld au.t bl ltelllld fully In Pert). If eddltlon.1 .pIIC. II n..d.d, UII pl,ln poper . 112" M 11". Proof of
p.y..nt .IV b. rlqu..tld by the PA DIP,rtalnt 0' R.v.nul.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAX PAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327.
FIL! NO. 21..']lj.,,\(./t1
ACN 94112470
DATE 04-11'94
TVPE OF ACCOUNT
A ~ SAVING'
CHECKING
TRUST
_ CERTIFICATE
REHIT PAVHENT AND fDRHS TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
'RltV~D43 n-'\FP 1.1-91) '*
COHHONOEAllH OF PfNNSVlYANIA
Ot:PAIlTIENT OF MYEHUE
'URCAU OF INDIYIDUAl TAKE'
Ot:PT. /IOIDI
tlARlUIIIJRO, PA 171/1'0.01
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
IJ.- I~p ~/ 90
~ ~/#I;/i
EST^TE OF KUGLE~
5.5. NO. 194-20-8928
DATE OF DEATH 01-16-94
COUNTY CUMBERLAND
KUGLER
438 N 2ND ST
WORMLEVBURG
JERRV 0
PA 17043
GRACE
DAUPHIN DEPOSIT 81C . T hll provld.d thl o.,ut.,nt with the lnforlltlon 1 htld b,low which hu bl.n u..d In cllculttlng the
pot.ntlll '1M due. Th,lr r.oord. Indlct't thtt .t the d~.th of the abovI dlCldlnt, you wtr. I Joint owntr/benlflol.rv of thl. lecount.
If ~ou 'tl1 thl. Infor..tton I. Incorrlot, pl.... obtain wrltt.n corr.otlon fro. the flnlnolal Inllilulloo, att.ch . copy to thll for.
Ind r.turn It to the ebov. .ddr.... Thi. ICCOunt I, tlxlbt, In Icoordtncl wtth thl Inh.rltanct '1M llwG of the Co..onw..lth 0' Penn.vlvant..
Quut1;r,~ :I;:,: ~: :lnswua:f bl ;~111~, t?1:') lH-U:!:'.
COMPLETE PART 1 B!LOW N
Aooount No. 0052970981
FILING AND PAYMENT INSTRUCTIONS
N N SEE REVERSE SIDE FOR
Doh 04-00-91
Elhblhhld
To InlurI proptr oredlt to your Il;cooot, two
(2) coplu of thh not lei .u.t loco.lny your
Ply..nt tu the RIght.r of HUll. H.ke cheok
plyabll tOI "RIgt.tlr of Willi, Agent".
Aooount 80111110. 3, 062 . 25
Plro.nt h..bl. K 16 . 667
Alount Subj.ot to h. 510.39
h. R.t. K . 06
Potlll1t1e1 h. Ou. 30.62
~~ TAXPAYER RESPONSE
COIFAILURI TO A.lPOHD MILL RaaULT IH AN OFFICIAL TAX AISESIHINT IAI.DON THII HOTICI I
A. D The abOVI Infor.aUon end till due 11 corrlot.
1. You .IV choo.. tu rHIt Plv.ent to tht RIghtlr of Willi, with two coplu of thh noUOI to obtlln
t dhcount or IIvold Intlrut, or vou IIY check bolt "A" Ind rlturn thlt noUcl to the R.gltter of
WIlIt end en offlolll ........nt will bl luu.d by the PA O.plttH"t of R.v.nuI.
NOTE I If hit fl.v..ntl Ir. l,eM within thr..
(3) lonth. of the dlc.d.nt'l d.tl of dttth,
you IIY d.duct I SiC dlsaol.Klt of the till due.
Any Inh.dtlncl h~ dul will bleo.. ddlnqu.nt
nlM (91 lonthl .ftlr the dlt. of eMeth.
[CHECK ]
ONE
BLOCK
ONLY
I. 0 Thl above ....t h.. b..n or will bl r.port.d IN'd tllC Plld with thl Ptn".YlvlOh InhtrltWlol TIM r.tur"
to bt fUtd bV the dtlctdtnt'. r.pr...nhtl"'l.
C. D Thl tbo"'l Inforlltlon I~~ncorr.ot and/ok!\tbtll and d.duotlon. wlr. PIld bv you.
You w.t ctllPlltl PART ~ and/or PARr ~ bllow.
If you lndio.t. . dlff.r.nt t.. r.t., ~11.1. It.tl your
r.l.tionlhlp to d.o.d.nt.
PART
[!]
TAX Rl!TlIRN . COMPUTATION OF TAX llN JOINT ITRUST ACCOUNTS
LINE 1. O.t. Elt.blilh.d 1
~. Aooount O.l.no. ~
S. P.ro.nt T..ebl. S M
4. Alount 'ubj.ot to T.. 4
&. Debt. III1d D.duotlonl &
6. Aleunt T..ebl. 6
7. T.. R.t. 7 K
e. T.. Du. 8
PART
[!]
DATE PAID
~
!!mS AND
PAn
r
2
:5
4
5
6
1
8
D!DUCTIONS CLAIM!D
PAVEE
DESCRIPTION
t
TOTAL I Enhr
on Lln. 5 of h. C.IPuhtlonl
-.i
; ':"'~"
.-..,.~
. .
~J - J~
t'l,1 ~~
~ll ~ -
4loo
AMOUNT PAID
I
.
.-
Under p.n.ltill of p.rjury, t d.ol.r. th.t the fl.tl I
~.::~.l.dg. III1d bIU.f,
hlv' reported above Ira truI, oorrao
HOME ('~~ 1) -7:3 - 991
WORK () / '.tel
TEl.EPHO NUMBE
..
...
,
OENERAL INFORMATION
1, fAILUU TO UI'OHD WILL ~EIUL T IN AN OffiCIAL TAX UleslHENT wllh ...II01bl. lnt"..1 b...d on lnlor..tlon
.....111... h till 11""",,1.1 In.tHuU,",
I. Inhlrltenal 'IIC MelON' dtllnqu.nt nlnl ItOnth. ,ft" the dlcedent'.. dl" of dtllh.
I. A Joint "OCUli" ""lbl, IV.., thouth ,ht die,""", n... "u ackMd II . uttlr af cnnvlnl",cl.
... AClClOW\tI tlnaludJ~ tholl held blt"u" hUlbwtd end wUt) which thl d.",d,"t put In Join' ".... within on. utr prior to
dllth Ir. 'ullv tlMlbl, II tran,'.rl.
.. Acoount. "'IbII,hId JointlY b.tw-.n hu.b~ and wlf. lOr. then ant y..r prior to d,.th It. not t'M~I..
.. Acloountl hlld by . *ldMt "In tru.t 'or" ~th.r or other. Irl "Nlbl. fulh.
REPORTING INSTRUCTIONS - PART 1 - TAX PAVER RESPONSE
1. alOCK'. If thl Infar..Hon Mld CCllPUt,tlon In the nottcl .ra carrlet .nd dlduotlon. It' not btlnt tl.lnc:I, piN' In "MOl
In blOClk "A" 0' p.rt 1 0' the "lIMpIVIr A..pon.... lIotlon. Ilgn two copl.. and ,ubllt th.. with your Chick for thl MOUnt of
till' to thl R"ht.r of Willi 0' thl CD\W\tv tndlc.t.~. Thl DIPllrt"nt of RI....lnul will IlIu. In offlol,1 ........,t
('or. REV-1341 no upon r.nlpt of the A.turn fro. the Alghter of NUll.
Z. IlOCIl I - If the I...t 'Plolfled on thh notlc. h.. b,," or will h reported Ind tu p.ld with the PeM.vlvlWll. Inheritanc,
Tlx R,turn flll'd b... thl dIc,~t.. rfPrUtnt.t1vl, pllc. an "I(" In block "I" of Plrt I of thl "TuP'Vlr A..,on.." 1I0Uon. lion one
cOP'" end r.turn to thl PA Dlp.rt.lnt of A.v~nue, lur.YO of Indlvldu.1 T'M", D.pt 210601, H.rrl.burl, PA 17121-0'01 In the
.nv.lop. provided.
J. ILOCIl C - If the noUCI Jnfor'IUon II Inoorruot end/or d.duotlon. Ire belnll olll.ed, chick block "C" Ind oOIlllI.tI p.,t. 2 Ind S
."""I.Jl.." \\1 ~j.... ll'Io~,,^,\lllo" "_.,,.. Jl"" I.l", "u~I..~ .".\1 ."""I~ lI... .,I~j, J'UI.lI ,,1,...iI. IUI II,. ..U""I~ u, ~." ....If.uh h. ~IN R~lli_r
of Will. of the oountv Indlo.ted. Th. PA DIp.rt.ent of R.vlnUe wll1 I..u. In offlol.1 ........nt (For. REV-1S~' Eltl upon rlollpt
of thl r.turn fr~ thi R'll.t.r of Willi.
TAX RETURN - PART 2 - TAX COMPUTATION
LtNE
1. Ent.r ttw dtt. thlltCCOU'lt orllln.lh ..II Ilttblhhld or tlUld In the "Mer ul.Un; .t d.t. of duth.
HOTEl For. dte.dtflt dvJnll .ft.r 12/121821 ^ccount. which thl dlc.dent put In Joint na... within ant (1) v..r of d"th .rI
t.ubl. fully " trlO.f.re. How.ver, there h an IMolu.lon not to 'Mcud n,aoo ptr trtn.fer.. "glrdl'" of the v.lut of
thl lCeount or thl nutblr of .ecount. h.ld,
If . doubll ..terllk (11M) ItPP'''1 b.fore your first n... In thl .ddr'Il' portlon of thh notlc., the u,uao lMolullon
11r.tdy h,. bien dlductld frol the .ccount b.lano. .. report.d b~ the flnlnol.l In.tltutlon.
Z. Enhr the totll b.leno. of the ItCCOl.M'It lnoludlng Intnut .cerued to thl n.t. of dllth.
J. ThI percent of thl 'CCOU'lt th.t II t.uble for .tch lurlilvor It d.terllntd .1 folloWll
A. ThI perclnt hllebl" for Joint ....h ..tlblhhld Ita" th.n one Vllr prior tn the d.e.dent'. duthl
I DIVIDt:D IV tOTAL HUHIU Of
JOINT llIlNlllS
b_lll A ~olnt .u.t r..lttered
DIVIDt:D IV TDIAL NUlfIER Of X 100 . PERCENT TAUILE
SURVIVINCl JOINT DlINEAI
In thl n... of thl d.c.dlnt and two other p.rson..
1 DIVIDt:D IV I (JOIXT OWNERSl DtVIDt:D IV c (SURVIVDAI) . _161 X 100 . 16.IX (tAXABLE FDA EACH SURVIVOR)
.. The p.rcent tllllbl. for ....t. er..t.d within nnl .....r of thl dlc.dlnt'. d..th or account. owned bv the deoldlnt but hlld
in tru.t for IInothtr InctlvldullC.) (tru.t binlflobrlull
1 DIVIDt:D IV TOTAL HUNIER OF SURVIVINCl JOINT
OllNERI DA TRUst IENEFICIAAIES
X 100 . PERCENt mULE
EXlIIPllI Joint lHlc:ount rlllttlrld In the nMt 0' the dlo.dlnt .nd two other per.on. end ..tlblhhM wIthin OM Vllr of duth bV
thl dlHlldtnt.
I DIVIDt:D IV Z <SURVIVDAIl . .So X 100 . SDX (lA,mE FOR EACII SURVIVOR I
~. ThI ~t subj.ct to hM (line 4) II d.tlr.l~ by ItUIUphlng the Iceount blllnc. (I1n. 2) by the percWlt hN1b1l (11ne J),
S. E'l'\hr thl tohl of the dttIh w cwtllCtll)M lilted In Pllrt '!.
.. ThI MOUnt ta'oClbll (11M 6) h dttlrllntd b... .ubtr.otlnt thl d.bh w d.dUotlon. (lint 5) frOll thl MOtI"It lubjHt to tlk (lint ~).
7, Enter the IIPfll'Oprl.tl tlk r.t. Olne 7) II dlt.rllMd b.low.
A. TrWl."rs to lIn..l dI.c:tndlllt. Including f.ther, ftOthlr, hu.bandJ wlf., .on, dlUQhter, grtndchlldrln, lon-In-I...,
chluthttr-in-lew, .hpchlld end th.lr InUl era t'KIIMJI. .t .lk pero."t (6):1,
I. TrIM,'.re to.11 othlrl In(.ludlng brother, .hter, Uflal., aunt, ",phiw end nl.c. Ir. "Mlble .t flftll" perc.nt (l1;(),
C. If YOU ehlntt thl tlM ret., pi.... .peolfv your rehtlon.hlp to thl dto.dtnt In the "" provided.
I. The IIIOIA1t 0' tlk dull Cllnt 8) II dlterllned b... eultlplylnll thl MOUnt tlllabl. (lJnI 6) bv thl till rlt. (line 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. debt. end dlduotlon. orl det.r.lntd .. follow'l
A. You l"IIIV .r. r..pen.lbl. for peVI.nt, or the ..t.te .obJ.ot to .d.lnl.tratlon b... . p.r.an'l rtpr...nt.tlv. I. In,u'flel,"t
to P'Y 1h1 deduotlbl. It....
I. You ~tu.lly plid thl debtl .fter de.th of the dK.dlnt .nd un furnllh proof of PIYHnt.
C. Debtl IMine clllMd lU.t b. ItNlred full... In Pllrt S. If .ddltlonll 'P'C' II nt.dld, u.. pl. In PlPlr 1 lit" N U". Proof of
PIV""t .IV 1M r.ct\~..tld bv the PA Oeptrt..nt nf A......nue.
. TAXPAVER ASSUTANC!! .
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACTANV
RI!61STER OF WILLS. FA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUR!!AU OF INDIVIDUAL TAXESJ TAXPAVER INQUIRV UNIT IN
. '. HARRISBURG AT (71 '1l 187.nn. .
/ 'f) I
.0 '/,)I ,-'
/ " ',. /
NOTICE Dr INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
or DEDUCTIDNs, AND ASSESSHENT or TAX DN
JOINTLV IlELD OR TRUDT ASSETS
1/
C
/
~V.1548 EX AFF (10.93* i
COHHONwflt TIt Of prkNSVllJANU '.
rn:PARIHEH' or JlfYfNUE I
lIUlfEAU or INDIVIDUAl TAKES I
DEP1. U0601
ttAIIRISlUAO, IIA tllla'OMI #
I DAT! 02-06.95
ESTATE OF KUGLER
GRACE
A OATE OF DEATH 01-16-94
COU'HV
CUMBERLAND
FILE NO. 21 94-1061
S,S/D,C. NO. 194-2S-892B
ACN
94112217
JERRV 0 KUGLER
438 N 2ND ST
WORMLEVSBURG PA 17043
REMIT PAVMENT TOl
REGISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE, PA 17013
C::=]:;nun_tRi~II~.d l
I-~'_~_~~_._--=~_I
,
/
CUT ALONG THfS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... /
Ri.v:is4.s.EX..AFp..ilb.:9ii....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLV HELD OR TRUST ASSETS
DATE 02-06-95
ESTATE OF KUGLER
GRACE
A DATE OF DEATH 01-16-94
COUNTY CUMBERLAND
FILE NO, 21 94-1061
TAX RETURN WAS,
S,S/D.C. NO, 194-28-892B
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
94112217
FINANCIAL INSTITUTION, DAUPHIN DEPOSIT BK 8 TR CO
ACCOUNT NO,
49127055B6
TVPE OF ACCOUNT, (Xl SAV I NGS ( ) CHECK I NO ( ) TRUS T ( ) TI ME CERTI F I CATE
DATE ESTABLISHED 04.08-91
Account Balance
Percent TaKable X
Amount Subject to TaK
Debts and Daductions
TAKable Amount
TaK Rate X
TSK Oue
10,260.58
0.166
1,710,13
,00
1,710,13
,06
102,61
NOTE, TO INSURE PROPER CREDIT TO
VDUR 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 TOI
"REGISTER OF WILLS, AGENT,"
TAX CREDITS:
L__
~~WENT -r--~EuCJ;~RT -'l__-_-~f~~_~-~n~f...--~TI'_-~- AMOUNT PAID
12.20.94 AA022617 I 1.28- I 102,61
I I
AT THE RATES APPLICABLE AS OUTLINEO ON THE iBALANCE OF TAX DU! 1,28
REVERSE SIDE OF THIS FORM r-----xNfER!ST -------:02
r--.'fOTALDuf---- -.._- 1.30
1__. ._._ ___n__a.___________._.__. __<
. IF PAID AFTER THIS DATE, SCE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN II, ND PAVHENY IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" , CR) 1 VOU HAV BE DUE A REFUNn,
SEE REVERSE SlOE OF TillS FORH FOR INSTRUCTIONs, I
P\JIlPOIE OF
NOTICE'
10 fulfill thl r.qulrt..nh of Slotlon U"O 0' Uti Inhlrltftnol and Eltlt, hx Aot, Aat 22 of 1991. 02 P.S.
StoUon 2140),
PAVI1EHT,
D.tlch thl top porUon of thlt HoUol ftMd .ublllt with your Pltv..nt to thl Rlght.r of WUII prlntad on th,
rlv"n tide.
~. Hak, chick or .~n.v ord.r p'~'bl. tOI RE01S1ER OF WILLS, AGENI.
All Ply..nt. recalVtd ,hell fJr.t b, .pplled to any Inter..t which ..y b, dUI, with any r...lnd.r eppllld to thl tiM,
REFUHO ICRI,
A r.fund of a \1M cr.dlt, whloh wu not r.quuted on thl talC raturn, ..y b, r.qullted by co"pl,tlng an "Applloatlon
for R.fund of P,nnlylvanl. InheritancI and Ettat. Tall" (REY-UU)' ApplloaUon. ar. aVIlhbh lit thl OffiCI of
thl Rlol,t.r of Willi, any of thl 25 Rav.nuI Dlltrlct O"lc,. or by calling thl 'Plol..1 Z4-hour en,wlrlng .lrvlcl
nu.btrl for for.. ordarlngl In Plnn.ylvtlnla l.aOO-56Z-Z0S0, outtld. Plnn'Vlvanla IInd within local
Harrhburg area (117) 787-81194, TOOl 11111 l1Z-Z2SZ tIIe.rlng I.palred Onh),
OBJECTlONSl Anv Plrh In Int"..t not IIthfled with thQ nppralt'''lnt, allowanc. or dltal1owl!lRce of d.duotlon. or lUlI....nt
of tlM (Including dltcount or Inter..t) .. .hOHn on thl, Notle. illY obj~ct within .IMty (60) dlv' nf rltllpt of
thl, Notlc. bVI
.-wrIU.n prllt..t to th. PA Olp,,\lII.nt of R.vlnu., 80lrd 0' Appealt, niP\' ZIIOZI, Harrltburg, PA 171l1-IOZI, OR
--.llctlng to hlY' the ..attlr deter.ln.d at thl ludlt of the account of thl Plr.onal r.pr...nt,tlv., DR
"'ppul to thl Orphln.1 Court
AOHIH-
IITRATlVE
COIlRECTlOHI'
FlotUl1 .rror. dl.coy.r.d on thl. 1I.......nt .hould b. .ddr....d In writing tal PA D'Plrt.lnt of R.v.nut,
lurllu of Individual TalC", ATTNI Po.t At......nt Rlvi.w Unit, DEPT. Z80601, Ilarrltburg, PA 11128-0601
Phon. (717) 787-6S0S. Se. plgl 5 of thl booklet ''In.truotlon. for Inh.rlhlnc. TalC Return for a Ruld.nt
Utc.dent" (REY-ISOl) for nn 'lCplan.tlon of adalnl.trltlvlly corrlctabll .rror..
DISCOUNT I
If any t.M due I. Plld within thr'l (]) cal,nd,r .anth. .ftlr the dlced.ntl, d,.th, a fly, p.rclnt (~~)
dltcaunt of thl ta~ p.Jd I, allowld.
IHTEREIT I
Intlr..t I' charged blglnnlng with fir,t day of d.llnquenoy, or nlnt (9) 1I0nth. an~ ani (Il day
frol thl detl of d'lth, to tht date of ply..nt. 'ellll which b.cn.. dlllnqulnt b.foro J.nuary I, 19U
bur Intuut et thl ret. of .h (6;:) plrc.nt p6r aMU' c!llcull!ltld at a dally ratl of .000164.
All tlICI. which blc", d.lInqulnt on or nftar January I. 19&2 wUI blllr Intlrut at a ratl which will vlrv fro.
Clhndlr vur to cllllndar Yllr with that rat. ennoullCld by thl PA nIP.rt_tnt of Rlvlnul. Th. awalalbll
Intlre~t r.t.. for 1912 through 1995 .rll
~ 1nttrt.t Pltl Dallv Jnhrlll Fletor Xur Int",,1 Rrroll IlAlh Inhr"t Faator
1911 20~ .000S1rt8 Ilfe1 If X ,000Z47
1961 16~ .0001rt.58 1988-1991 11% ,000101
19a~ 11:< .000501 llf9l 'IX .OOCZCt7
I9aS llX .000356 1995.1994 'X .000192
1966 101- .000274 1095 9~ .0002(17
uIMar..t hi aalaolatld II followlI
INTEaEIT . IALANCE OF TAX UNPAID X NUHIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
uAny Natlo. iUUld IftU the tlM blaa... dlllnqulnt wtll rlttlot an Int"..t al!llculotlon to flU"n (lSI diva
b,yond th. dllt. of thl 1I.......nt. If Ply..nt It ..dl afhlr the inter..t aoitputatlon d,t, ,hown on the
HotlCI, nddlUcnll1 Intl"lt .u.t bl allalllalld.
" .....'
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ESTATE OF
KUGLER
FILE NO/SSN 21
COUNTY CUMBERLAND
DATE OF ASSESSMENT
ACN
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO
THE REGISTER OF WILLS I.ISTED BELOW
GRACE A
94-1061
03-20-95
94112218
REGISTER AS WILLS
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PURPOSE OF
NOTICE I
To fulfill thl requlr..,ntl of Station 2140 of tht It,h.rlt_MOI and Est,t. Tu Act, Act Z2 of 199L 172 P,S,
Slotlon 21,.0).
PAYItEKr I
Dtt.ah thl top portion of thl, Notlel Bod sub.lt with VDur ply'tnt to tht Rlgllt'r of Will. prlntld on t",
rlv.rll ,Id..
-. Hike chIck or nonlY ord.r payublt tOI REOlSTER OF WJ~lS, AOEHT.
All paVIII"h roc.lvld Ihlll flr.t bt Ilpplltd to IIny Int,rut which "IV bt dUI, with IIny r..alndtr lI~plJ.d to thl tlX,
R!FUHD (eRl,
A r.fund 0' I tax cr.dlt, which wa. not r.quI.t.d on tht tl. r.turn, ,ay bt r.qu,.t.d by co.plttlny tn "Applloltlon
for A.fund lJf Plnnlvlvanla Inh.ritanol and Elbt, 18M" (REY-15UJ. "ppllestlont IIr. llyaUablt fit tht OffiCI of
thl Rlglst" of Willi, any of thl Z~ A.v.nuI District Of,lcI' or by calling the 'Pleln! Z4'hour nn.w.rlng ..rvle.
nu.b.r. for for., ord.rlngl In Plnn,vlvanla l-800-!61"lOSO, outlld. P.nn.vlvlnla nnd within loenl
Hlrrhburg ar.. (717) 717-8094, TOOl (7171 n2-21S1 (Hurln" hpalrld Onlv>'
OIJECTIOHSI Anv party In Int.r..t n~t satisfied with tn. eppral....nt, 8110wane. or dl.altowan~. of dlduotlon. or a.......nt
of talC (lnoludlng dhcount or Intlr",\) II .ho~m on thlt Hotlc. "'v obJ.et within .hetv (60) dlv, of reCllpt of
thh NoUe. bVI
uwrltUI~ prot..t to the PA V.partu11t of R...,lnuI, !laird of ApPllll, D.pt. 11lOZI, Harrl.burg, PA 17111'1021, OR
...hotlng to have the "atter deteraln.d lit the audit of the account of thl perlonlll rlPrtllln\atlvl, OR
uapput to thl Orphen.' Court
AOHIN'
IIlRATlYE
CORRECTIONS I
~'otu.l .rror. dllcav.red on thll I.......nt .hould be .ddr....d In writing tOI PA D,plrt"l"t of RIVlnUI,
IUrtlu"f Indlvldult TalCII, ATTNI Po.t AU.....nt Revllw Unit, OEPT, 210601, tlard.burg, PA 11121'0601
Phon. (717) 717-6505. SII page ! of the baokllt "In.truotlon. for Inherltlnel TIllI Rlturn for a Auld'nt
C.o.dlnt" tREY-ISOI) for IIn IICnllnlltlon of ndqJnl.trntlvllv oorrlotable .rrort,
OIStOlMT I
If .nv talC dUI I. paid within thr'l (51 calendar ~onth. aftlr the d.old.nt'. d'I'h, a flv. p.relnt (SX)
discount of thl tlM paid I. 1I110Wld,
INTEREST,
Intlr..t I, eh.rgld b.glnnlng with flr.t day of dlllnqulncv, or nln. (9) JIIIonth. find en. (I) day
frail the dati of duth, tc tho dati of paYl'llnt. TaICII which blea.. dllllnqulnt b.torl January 1, 1912
blar Int.r..t ftt the tat. of ,IIC 16%) plretnt plr "nnu. oalculatld at a dally rat. of ,000164,
All \aIC" which b.ealll dlllnqUlllt on or IIHQr J"nuaty 1, 1912 will bur Intlr..t at a rat. which will vir V fro.
e.hnd., YI., to eal.ndar vlar wlth that rnte """ounc.d by th. PA Departll.nt of R.....nu., 'h. appllclbl.
Int"..t rat.. fat 1932 throll;h 1995 ar.1
't.W Int.r.., Rl!lt. DalJ... Int.rut FlIctor 't.W Intltut Rate UUI' InUr.d Factor
1982 lOX ,000S"8 1987 'X ,0001'"
19U 16X ,000438 1988-1991 11;': ,000301
19U lIX ,000.\01 1t;l9Z 9X ,000247
I9IS 13;': ,000lS6 11)93'1994 ]X .000192
1916 lOX ,000174 1995 9X .000201
ulnt".., I. a.lcvlat.d a. follow'l
INTEREST . BALANCE or TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
'-Any Notlcl J.tuld aft.r the t.IC b.eat.. d.llnqu.nt ~III rlfl.et an Int.r..t c'loulltlon to flft..n 11i) dlv,
b.yond thl d.tl of thl a....u.n\. If fllYllnt I. "ad, after thl Intlrut eOllput.tlon dati .holln on the
Notlet, Iddltlon.1 Int'tllt Ilu.t ht calculated,
~p, t7!. ,,:0
11 lU8
(C' )
'(I' ;;1: ~':' d
~ t" '"i'j
" .i
~ "
, "
t.: I ~ .; j
:~,' 'I'
. ('; .-. iii' C,
.pl. e
>;:l .....
-..J
PIJIlIlOtlIlW
HOTlCl.
To fulfill I"" "qulr._I. of IlOlIon 1110 of I"" l"""rll..... end lIt.to '1M A.I, Aol II 0' 1"1. (72 P.I.
...11 on III 01.
PAVlIlNT.
DollOh I"" lop porllon of Ihh HoII.. end .lAl.II with ,OU' P'_' I. ''''' RIII.,or .f Mill. p,lnl" on I""
r.v.,.. .1de.
.. Make chick or IOnIV order plylbll tOI REGrSTER OF WILLI, ADENT.
All Plvwentl recti V" .hlll flrtt b, applied to MY Int.,ut which MY be due, with MY '''llndtr 1PP1led to thl '1M.
RfflJjD (CRI.
A r.fund of . tlM or,dlt, which "I' not r.quelted on thl tlM r.turn, .'v bl rlqueltld by cOlPl,tlna an "AppllOltlon
for R,fPond 0' P""'lylVII1I, Inhlrlhncl tnd Elt,t, fill" CRI!.V-UU), Applloatlon. Ir. IlIvIUeblt It the QUla. 0'
the A....'.' 0' ..Uh, W'l:t of thl ZS RlvtnUt Olatrlot D,Ue.. or by ClIUlnt thl .peal,. Z4.hour M....rln. .uvlal
nulbtr. for for.. ordering! In Plnnevlvlnl, 1.IOO-J6Z-Z0IR, out.lde PIOn'Vlvant. and within loa,'
Hlr,rhllu'. or.. (717) 717-1094, 1001 (117) HI-US! (Heorl"" lopol," On",.
OIJECTlOHII "'Y Plrtv In lnt.rut not ..thfted with thl IPPr.hlHnt, .Uow.nCl or dl..Uotllnc. of cMduoUon. or ......Mnt
of t.M Clnoludlnt dhcount or Int.r..t>> II .hown on thlt MoUe. lev abj.ct within .1Mh (60J dlY' of reo.lpt of
Ihlo HoU.. bVl
.-wrltt., protut to thl PA D.,.rtHnt of A.vtr'lUe, laird of App,.h, Dept. 211021, Htrrllbur., PA 17UI-1OII, OR
--.INtlnt to hlv. the ..tt.r at.relned .t the IUdIt of the 100N't of the per'OMI rlPr.llntIUvl, OR
~-."..\ to thl Orphlnl' Court
AOlllH-
IITRATlVI!
CORRECT1DH11 Flotutl .rror. dlleov.rld on thll ......IInt lhould be tddr...1d In Nrltlh' tal PA Dtp,rt-.nt of RIVenut,
lurnu of JncUvldutl T,ICII, ATTNt po.t A.......,t R,vlew Unit. O(Pf, 2.0601, Hlrrllbur.. PA 1711.-1601
~ (717) '.'-650.. '" p.,. S of thl bookl.t "In.truotlonl for Inhlrltencl T.M R.turn for I A..ldlnt
Decedent" UtIY-1I0U far.., Iltpl"'IUon 0' ldelnlttrltlv.lv corrlotlbl. trrorl.
011tOUH1.
If IInW tlM duI II plld within threl (3) all.ndtr IOnU., .ft" thl decedent'. dMth, . ftv. peraent (IX)
dl.oount of 'hi tlM p.ld I. Illowtd.
INTfllllTr
Int.rl.t I' ohtrttd bttl""l", with flr.t d" of dellnquenc" or nine (.) IOnth. end one (I) day
frOll thl d.tl of dnth, to thl eMt. 0' P'VNnt. TalClI which bto.. dlllnquent befarl JlfAHIrv I, 191'
bI.r Int.r..t It thl rat. of .IM C,~) p.re.nt p.r ennui elloul.tid It . d.ll, rltl of .000164.
All t,M" which bee... delinquent on or "t.r JlnUlry 1, 19.2 will bI.r tnt.r..t .t . rltl whloh will ~Iry frOl
o.lender Vtar to e.land.r y..r Nlth thl' r.tl announced bv thl PA DIp.rt...,t of RIVenue, ThI .,,110.-1.
Int.rl.t r.tl' 'or 1'" throuth 1..1 .rll
'tilt Inb'.lt Rill 0,1111 Il'ltl,~.t Fu.tor
\Dr
Il'lt".It Alt.
D,11\1 Intlr'tt Ftetar
"II
1.11
\9"
1911
I'"
."Jnhr..t
lOX ,DOOMI
lOX .ODOUI
IIX .000101
IlX .0001"
lOX .000l7~
II o.lO\lI.tlel ., 'Ol1CMlII
1917
1'''''''1
199'
1991'1994
1991
9X
III
'I
IX
'I
.000l~7
.OOOUI
.ODDU7
.0001tZ
,000l~7
INTElIIT . IALAMCI OF TAX UNPAID X HUNIER OF DAYI DELINQUENT X DAILY INTllElT FACTOR
--An1 NttSOI IIIUId .ft.r the tDX becOll' delinquent will r.flNt 1ft lntlr..t caloul.tlon to fifteen C1Il dlV'
blvond the datI 0' thl ..........t. If 'IVMnt II HdI efter thl Interllt cMPUt.t1on eMt. thowt on thl
MoUel. IddIUDnlI Inter..t MI,t be a.leU!ltlel.
, ,
~~ .. ::0
'~
-~ .., ::t1111
,., "' (~.~. ~
n '.
~II C1t .. ':.\
\; ftj " ,.
'. :,
.1; ~
t,"1
~.; , ~!;:: ;:; "
"
(. .~ V;
~l'. I:' ()
--;.\ ,.,
-.J
PIJRIlO$E. Of
HOTlC! .
To fulfill ,he ,.qul'....'. of IocUon 21~0 of ,he Inhe,II..... end E.,.,. ,., Aol, Ao' lZ of 1991. t" P.I,
"ollon 21~0 I.
PAVII!NT.
Dlteoh the t~p portion of thl, Notlgl and Iubllt wlth your ply.."t to the RIII,t,r of Will. prlntld on the
rlVlr.. .Ide.
.. Mike chick or .only order pay'bl, tOI REGISTER OF WILLY, AQ~NT.
All ply..nt. rlcllvld ,hill flr.t bl applied to any Int.r..t which .ay bl dUI, with any r...lndtr appll.d to the tlM.
REfUND (CA) I A r.fund 0' . tlM credit, which WII not r.qulltld on thl tlK r.turn, "y be rlqunt,d by oOllPlIU~ In "Applleltlan
far R,fund 0' Plnnlvlvanl, lr~rlt'"c' Ind E.t,t, tlM" (REV.lJlS), Appllel'lon, Ir. aVIllabl' It thl 011 let of
thl RIII,t,r 0' Willi, any 0' thl 25 Revlnu. Dlltrlot O'flol' or by c.lllng the IPlol,1 24-hnur anlw.rlng I.rvle.
~rl fClr for'l orar!r\il1 In P.nnlylvlM111 l-aoO-S6Z~2050, outside PennlYlvanla and within loc.l
H.rrllburl ar.. (711) 787-80t4, TDD. (711) 772-Z252 (Ke.rlng I.,.lr.d Onlv),
OIJl!CTJOHtl Anv Plrtv In Int.rllt not l,thUad with thl appr.hMtnt, aUo-.lnCI' cr dlllllcwanc. cf deduGtlonl cr ......Hnt
of t.x (Including dllcount or Int.r..t) ., .hown on thll Notlo. lay obJtot within .Ixty (60) d.ve o' r.celpt cf
thlt NoUo. bVI
-.wrltten prot.lt to the PA D.part..nt of R.V'nuI, 10lrd O. App..l., D.pt. 281021, Hlrrl,burl, PA 17128-1021, OR
....lectlng to h.v. the I.tt.r cIIttrllned f't thl aucJlt o' the IOcount of thl p'rlCIt\II rtpr...ntatlv., OR
--199111 to thl Orphanl' Court
AIIlIIN-
IITRATlYli
C_CTlOHt.
Factual .rror. dl.cov.r.d on thl. ......-.ot .hoUld be Iddr"I.d In writing to: PA DIp.rt..nt of R.venut,
l~r.1U of Individual T.M.., AT1NI POlt AI....-.nt RIVllw Unit, DEPT. 210601, HarriSbUrg, PA 171'1-060.
Phone (711) 187-6501. S~ Pili S of thl bookl.t "In.tructlons for InherltlOO' TIM R.turn for. RI.ldlnt
Deotdtnt" (REY-lIOl) for 111 .lCplan.Uon of adlllnlttrttlv.b corrlotlbl. errorl.
DIICWlT I
Jf Iny tax due It Plld within thr.' (l) cal.nd., lonth. Iftlf tM dee.cllnt'. dnth, . flvl Plrcent (u)
dllcount of thl tlM p.ld II allowed.
INURI!IT.
Int.r..t I. charlld bltlnnl", wIth flrlt dlY of allnquenoy, or nln. (,) IOnth. .nd one (1) dlv
frOll thlt d.,. of dllth, to thl Atl of pIV.."t. lIx.. which bto... delinquent blfor. JtnUlrv I, 1982
bI.r Int.r..t .t the r.t. of .IM (6X) p.rc.nt p.r tnnUI o,lcul,tld It . d.lly r.t. of .000164.
All t.M.. which bIG... d.llnqutnt on or .ft.r Jenulry 1, 1982wl'l b.lr Int.r'lt It . rltlwnloh will vary frot
olllndtr Yllr to oll.ndlr y'.r with thlt r.t. announced by thl PA DIP.rt..nt of R.VInUl, ThI ~llclbl1 '
Int.r.,t r.t'l for 1982 through 1995 .r'l
191'
1911
19"
191'
19,.
--Int.rllt
20:<
IIX
IIX
IIX
lOX
II ollculettd I'
,ooml
.OOO~II
,000101
,0001"
,000'1~
folio.,,,
l.Ur Intarut Rata DlIllv Intara.t F.".tDr
1911 9X .00U'~1
1911-1991 IlX .000101
199Z 9X ,Om~1
1991'1994 1X ,00019Z
I"' 9X .000Z~1
~ Intar..t Alt, DIllv Int.rl.t Flctar
IHTERElT . BALANCE DF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY IKTERElT FACTOR
--Any Motlo. Iltutd .ftlt the tlM becOM' delinquent will rlfleot In Int.rllt o.lou1.tlon to flftHft CIS) dlVt
beyond thl dlte of the ......ant. If pIVlllnt ls elde .fter thl Int.,lIt cQllPUtetlon date thoWn on ttM
MotlOI, IdcUtlon,,' Int.rut ...,It be olloulet.d.