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REV-1543 ~~ AFP. 18-941_
CD"HOHW(Al'" Of PENNSYLVANIA
DEPARlttEHI OF REVEHUf.:
BUREAU OF INDIVIDUAL IAXES
DEPT. lBD601
HARRISBURG, PA 111:1.0601
/:J-35'-/0
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
I
.1
NO. 21 -15 - tftJ f
95119595
05-11-95
TYPE OF ACCOUNT
~ SAVINGS
CNEC~ING
TRUST
CERTIfiCATE
RE"IT PAV"ENT AND FDR"S TO.
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 11013
.,
ESTATE OF RUTH K HAWKE
5.5. NO. 113-14-4894
DATE OF DEATH 02-20-95
COUNTY CUMBERLAND
'''.' ",',','( L'" ,
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CCIBARBARA H MYERS'I
Im/O. 5212 TERRAffi RD
MECHANICSBURG PA
11055
RUSSELL NATIONAL BANK hi' provided the Deplrt.ent wlth the l"for.aUon IIltad balow which hu bun UIM In calculating the
potential ta. dua. 'halt racord. Indlcat. th.t .t the d..th 0' the abov. d.c.dant, you wara a Joint owner/bana,lclaty a' thl. Iccount.
I' you '.al thl, In'or.atlon I. Incorract, pl...a obtaln wtltt.n cort.ctlon 'to. the financial In.tltutlon, .ttlch . copy to thl. far.
and r.turn It to the above Mdr.'I. 'hll account I. ta.able In .ccordanc. with tha Inh.rltancl 'a. La.., a' the Coaaonwa.lth 0' penn.vlvanl..
~.\I""l' .., Lo. ..,._(.d b, ".1111111 1/"/' ,.,..)U.
COMPLETE PART 1 BELOW .
Account No. 05-98611
. . SEE REVERSE SIDE FOR
D.h 01-10-84
Eatablhhed
FILING AND PAYHENT INSTRUCTIONS
'0 In.ur. proplr cr.dlt to your .ccount, two
CZ) copl., 0' thll notlc. au.t .cco.pany vour
plv.ant to the R.al.t.r of will.. H__I ch.ck
p.y.bl. tal ""Raalst.r of Will', Agant".
PART
rnl
693.15
50.000
346.58
.06
20.19
TAXPAYER RESPONSE
FAILURE TO RESPOND ifILL RESUL TIN AN OFFICIAL TAX ASSESSHINT BASED ON THIS NOTICE
Account Balance
Pa~cant Taxable
Anount Subjact to
Tex Rat.
Pot.nti.l Tax Due
x
HO'EI I' t.. p.v.ent. .r. ..d. within thr..
C)) .onths of thl dec.d.nt., d.t. 0' dllth,
you ..y deduct. 5:C discount of the t.ll du..
Any Inharlt-.,c. talC due will beco.. dallnquent
nln. (9) Month. .,t'r the d.t. af d..th.
T..
x
[CHECK ]
ONE
BLOCK
ONLY
A. f'liilI' 'h. .bav. In'or..Uon end t.lC dUI Is corr.ct.
~ I. You ..y chao.. to r..lt p.yean' to thl R.alst.r of wills with two copl.s a' thl. notlc. to ob,.ln
I dlscoun' at .vold Int.r.st, or you ..y chick bolC "A" and r.turn thll not Ie. to thl Raal.t.r 0'
Willi and an offlcl.1 .........,t ..Ill be I..uad by tha PA D.p.rt...,t of R.venut.
B. c:J 'h. .bovl ....t he. b..n or will bl r.partad end t.lC p.ld with the Pennsylvania Inh.rltancl Till r.'urn
to ba 'lIad b~ the d.c.d.,.t.s r.pr..,ntellv..
C. ~ 'h. abov. In'or..tlon I~ncortact and/o~abts and d.ductlon. wer. p.ld b~ you.
You .u.t caapl.t. PART L!J and/or PlAt L!J b.low.
If you Indicat. a diffa~ant t.M ~at., pl.... .t.ta your
~alation.hip to dac.dantl
OFFICIAL USE ONLY 0 AAF:
f'A.DEPARTHENT OF REVENUE
PART
~
Tf<V ~PTlJ~'" - r.ll"'lII1TAT!llll
LINE 1. D.ta E.tabli.had
2. Account Balanca
S. Parcant TaMabla
4. A~ount Subjact to Tax
5. Dabt. and Daduction.
6. A~ount Taxabl.
1. T.M Rat.
8. Tax Dua
"I' Tax 0,.. ..Il1rNT.'Tp.l'9T f<,~,.n""'T!I
I
2
3 X
4
5
6
7 x
a
!W~
1
2
3
<I
5
6
7
8
CLAIMED
PART
~
DATE
DEBTS AND DEDUCTIONS
PAID
PAYEE
DESCRIPTION
AMDUNT PAID
I
TOTAL CEntar on Lina 5 of TeM Co_put.tlon)
I
.
Unda~ pan.ltia. of parjury, I daclara that the
~to tho b.lt of MY knowl.d.. and b.ll.f.
J.I. /J7~€~
SIGNATURE (/
fact. I have ~apa~tad abova are t~ue, cor~act and
HOME 17/7 1 7.i~'t 1.';UJ3 I
WORK C- 1.- ~ .22 45
TELEPHONE NUM R -;,{'rr -
...~.
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESS"ENT with ftpplluble Int.,..t b..ad an l"for.allon
.ub.ltt.d by the f1n~I.1 Institution.
Z. Inh.rltanc. t.. blco... delinquent nln. eonths .ft.r the dec.dent., d.t. of d..th.
J. A Joint Recount I. t.~.bl. av.n though the d.c.dlnt.. na.. WI' add.d a. a ..tt.r 0' conv.nl.nce.
,. Accounts Clncludlng It\o.. h.ld betw..n husband "net wife_ which the d.udant put In Joint n.... within on. vut prior to
d..th .r. fully t...bl. .1 tran.fer..
5. Accounts ..tllblhhld Jalnth b.h,.an hu.b."d IInd wll. .or. than on. y..r prior to d..th ar. not tlll.bl..
6. Accounts h.ld bV . dlcadent "In tru.t far" anoth.r or athe,. .r. hubl. fully.
REPORTING INSTRUCTIONS - PART
1
- TAXPAYER RESPONSE
I. BlOCK A . If the l"'ar..tlon and cOllPutaUon I" the noUn .r. corr.ct and d.ductlon. .r. not b.lna del..d, phcI an "II"
In block ..".. 0' P.rt I of the .....p.v.r A..pon.... ..ctlan. Sign two copl.. .nd lubalt th.. with your ch.ck far the uDUlt of
tllC to the A.allt.r of will. of the county Indlcat.d. 'he PA Dapart.ant of R.venu. will 'nuI ." official ......aent
(For. REV.1548 EX) upon r.c.lpt 0' the t.turn 'roe the Reallt.t of Will..
2. BLOCK I . If tha ....t IP.cl,l.d on thl. not Ie. h.. b.." or ..III ba raported and t.. p.ld with tha Penn.ylvanl. Inherltanc.
T.lC R.turn fll.d by the d.cadent.. rIPr.llntatlvl, plac. an "X" In block "a" 0' Patt I 0' the "'..p.v.r R..pan.... ..ctlon. Sign on.
COpy and return to the PA D.p.rtaent of Revenu., Bur.au of Individual ,...., D.pt Z8D6DI, H.rrl.bUrg, PA 111Z8.06Dl In the
.nv.lop. provided.
5. BLOCK C . If tha notlc. In'or..tlon I. Incorr.ct and/or deductions .r. baing clal..d, ChIck block "c" &~ co.pl.t. P.rt. 2 and 5
.ccardlng to the InltrucUon. bIlow, ~Ian t..o ~opl.. .."" .~lI.H l!1.' wllh :.rUUI C,I,,:I r~r the ".aunt of tel'l p.yllth'e tco t". If_ght.,.
0' Will. of the county Indlcat.d. 'h. PA Dap.rt.~t 0' R.v.nu. will I..ua an a"lcl.l ........nt (For. REV.15~a EX) upon r.c.lpt
of the r.turn 'rot the R.al.t.t 0' Will..
TAX RETURN - PART 2
- TAX COMPUTATION
LINE
1. Ent.r th. d.t. the .ccount arlgln.llv w.. .stabll.h.d or tltl.d In the .anna~ ..I,tlna .t data of d..th.
HO'EI Far. daudant dylna aftar IU1Z/azl Accounh which the deudsnt put In Joint n.... within on. (1) v.at of d..th .r.
t...bl. 'ully .. tren.flt.. However, thare II an ..clu.lan not to axca.d tS,DDD par tran.fe,.e r.g.rdla.. of the v.lu. of
the account ar the nuab.r 0' account. held.
I' a doubl. ..t.rl.k (xx) app..r, b.'ar. yau~ first naa. In the .ddr... portion of thl. notice, the tS,DDD ..clullon
.It..dv h.. b.an deduct.d fro. the eccount b.lanc. .. r.part.d bV the fln....cl.1 In.tltutlon.
Z. Ent.r the tat.1 b.lanc. a' the account Including Int.r.st .ccru.d to the data II' d..th.
S. 'h. percent of the .ccount that II t..abl. 'ar ..ch .urvlvar Is d.ter.lned a. 'allow. I
A. Th. p.rcent t..abl. for Joint ....t. .st.bll.h.d .or. than ana v.ar prior to the d.cadent". d..thl
I DIVIDED BY tOTAL HUttBER OF
JOINT OWNERS
E.IIPI., A Joint ....t real.t.r.d
DIVIDED BY TO'Al MUHBER OF X IDD . PERCEN' TAXABLE
SURVIVING JOINT OWNERS
In the n... of tha dec.d.nt and two ath.r p.,.ons.
I DIVIDED BY ] CJDIHT OWNERS) DIVIDED BY Z (SURVIVORS) . .161 X 100
16.1% (TAXABLE FDA EACH SURVIVDR)
~
B.
Th. p.rc.nt t..'bl. far ....t. cr.at.d within an. ye.r 0' the d.c.dant'. death or account. awnad by the d.ced.nt but held
In trult far anothar IndlvldualCI) (trust b.n,'lclarl..11
I DIVIDED BY tOTAL MUHBER OF SURVIVINC JOINT
OWNERS OR TRUST BENEFICIARIES
X )DO . PERCEH' tAXABLE
E..apl.1 Joint .ccount r.ghtar.d In the n... of the deudant end two ather pe,.on. .nd e.t.bllshad within on. vur of de.th by
the d.udant.
1 DIVIDED BY Z (SURVIVORS) . .50 Ie 100 . SO:C nAXABLE FOR EACH SURVIVOR)
,.. The aHunt subJect to t.. Uln. II) Is deter.lnad bv aulUpJylng the .ccount bal.nce Clln. Z) by th. p.rcant hucabl. Cline ]).
5. Ent.r th. tat.l of the d.blt end d.dUctlon. Ilst.d In Part .5.
6. 'h. a.aunt ta..bl. Clln. 6J II d.t.r.ln.d by .ubtractlna tha d.bt. and deduction. (1In. 5J frat the a.ount lubJ.ct to t.. (1In. 'I'.
1. Enter the approprl.t. t.. rat. Clln. 71 a. d.t.r.lnad bala..
A. For d.te. 0' d..th occurrlna .ft.r 6/.50/9", the ta. r.t.. for tran,'a,., to ,poula. ar. a. 'ollaw'l
1. O.t., 0' d..th on or .,t.r 1/1/9,. and b.,o,.. 1/1/96 the rat. I. S:c.
Z. Oat., 0' da.th on 0,. .ft.r 1/1/96 and b.'ore 1/1/91 the rat. I. 2:C.
3. O.t.. 0' d..th on or aftar 1/1/91 and b.for. 1/1/91 the rat. I. 1:C.
,., O.t.. 0' d..th on Dr alt.r 1/1198 tr.nsf.r. to ,poUII' will b. ....pt frat t.IC.
Notel For d,t.. of d..th prior to 1I1/9~ trensf.,. to .pau... .r. t.ubl. at 6:C.
a. Tran.'.,.. to IIn"l d..c.ndant, Including f.ther, .othar, .an, d.ught.,., arendchlldr.n, .an.ln.la..,
daught.r.ln.l..., .t.pchl1d end their luu. .r. ta.abl. at .Ix p.rcant (6:CI.
C. Tran.f.r. to all oth.r. Including broth.r, ,Itt.,., unci., .unt, n.ph... and nl.c. ar. ta.abla at fl't.." p.rcent C1S:C).
O. If VOU chang. the t.. rata, pl.... .p.cl'y your r.l.tlan,hlp to the d.c.dent In the ar.. provldad.
a. Th. .~t a' tax due Clln. II II d.t.r.ln.d by aultJplylng the aaount taxabl. Clln. 6) bv the ta. rat. Clln. 7).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
AIlawabl. d.bt. and d.ductlon. .r. d.t.r.ln.d a. 'allaw'l
A. You l.a.Uy .r. ,..pon.lbl. 'Dr p.y.ant, or the ..t.t. .ubJ.ct to ad.lnhtraUon by a p.rson.l repr'lantaUv. .. InsufflcJant
to PIV the dadllctlbl. It....
B. You .ctuallY P.ld the d.bt. .ft.r daath 0' th. d.c.d.nt IInd can furnish proof of p.v.."t.
C. D.bt. b.lna cl.l.ad sust b. It.. lIed fully In P.rt S. I' addltlon.l Ip.ca Is n.edad, u.. plain papar 1 I/Z" x II". Proof of
p.v.ant ..v b. raqu..ted by the PA D.p.rt..nt of R.venu..
" .
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TDD' (717) 772-2252 (HEARING IMPAIRED ONLY)
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D AA 047799 COMMONWEALTH OF PENNSYLVANIA.
NO. DEPARTMENT Of REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.qy;,L~
~
UV.1I62UI4.",
RECEIVED FROM,
D
ACN
ASSESSMENT r:w
CONTROL ~
NUMBER
AMOUNT
BARBARA H. MYERS
~272 TERRACE ROAD
9:111 ~:l9~
.eo.79
MECHANICSDURS
PA 170:5~
'OlD HIIf
ESTATE INFORMATION,
1:'1 FilE NUMBER
~ 21-1995-0404
1:'1 NAME OF DECEDENT (lAST)
i:iI HAWKE RUTH K
II DATE OF PAYMENT
B POSTMAR~ DATE
COUNTY
SSN 17::1-14-4894
(FIRST) (MI)
CUMBERLAND
DATE OF DEATH
m TOTAL AMOUNT PAID
.20.79
E!S
REMARKS
BARBARA H MYERS
I,"
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SEAL
CHECKII 494:5
RECEIVED BY
REGISTER OF WILLS
MARY C. LEW S
RESISTER OF WILLS
L-_ __._,____.__________ .-......--.. - - _. -- -:- - ---.- - ,,- -.-.- - ,- - -~~- "';"}_.--- ~-..T...r.:
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C/
REV-1548 EX AFP (12-941"
CO""OHWUlfH OF PENNSYlVANIA
OEPlR'HEH' OF REVENUE
BUREAU OF IHDIVIDUAl TAXES
DEP'. U06Dl
HARRISBURG, PA 17ua.060l
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOMANCE OR DISALLDM~CE
OF DEDUCTIONe l. AND ASSESSMENT OF TAX OR
JOINTLY oELD OR TRUST ASSETS
DATE 01-11-95
ESTATE DF HAWKE
RUTH
K DATE OF DEATH 02-20-95
COUNTY
CUMBERLAND
FILE NO. 21 95- 0404
S.S/D.C. NO. 113-14-4894
ACN
95119595
BARBARA H MYERS
CIO 5272 TERRACE RD
MECHANICSBURG PA 17055
REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
Mow\t Ra.1 tted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv:isiia-Eif-AFji-ri1i:94"j-----------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 07-17-95
ESTATE OF HAWKE
RUTH
K DATE DF DEATH 02-20-95
COUNTY
CUMBERLAND
FILE NO. 21 95-0404
TAX RETURN WAS,
S.S/D.C. ND. 113-14-4894
IX) ACCEPTED AS FILED ( 1 CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
95119595
FINANCIAL INSTITUTION, RUSSELL NATIONAL BANK
ACCOUNT NO.
05-98671
TYPE OF ACCOUNT I (I SAVINGS (lO CHECKING ( 1 TRUST I ) TIME CERTIFICATE
DATE ESTABLISHED 01-10-84
Account Balance
Percent Taxable
Amount Subjact to Tex
Debts end Deductione
Texeble Amount
T ex Rate
Tell Due
693.15
0.500
346.58
.00
346.58
.06
20.19
NOTE. TO INSURE PROPER CREDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO I
"REGISTER OF WILLS. AGENT."
l(
l(
TAX CREDITS:
PAYMENT
DATE
05-23-95
DISCOUNT (+1
INTEREST (-)
.00
AMOUNT PAID
20.79
RECEIPT
NUMBER
AA041799
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL IHTEREST. ·
I IF TOTAL DUE IS LESS THAN II. NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI, you HAV SE DUE A REFUND.
SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
20.19
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PIIIPOSf: II'
NOTlCEI
To fulfill tn. raqulr.-.nt. of Sactlon Z140 of the I~r'tanc. and Est.t. ,.. Act, Act zz of ."1. (72 P.S.
SHUon 2140).
PA'mEHTI
o.tach the tap portion of thl. Notlc. 8nd autHllt with YOU" p.,..,t to the; R.ght.r of Willi prlntad an the
raversa .1..
.. .... check or .oMY ord.r paYllbla tOI MGISTER OF WILLS, ACEHT.
All p.~tI rac.lved sh.ll flrst M applied to MY Int.r..t which ..y ba duI, ..Ith .,y r...lndar ...lIad to the talC.
REfUND (eA) I
. r.fund 0' a t.x credit, which .... not r~.tad on tM ta. nturn, ..., tMi requested by CMIII.Uno ., "Appllc.Uon
'or R.fund of PennsYlvania Inheritance and E.t.t. T.... (REV.131S). application. ar. .v.l1~1. at the Dfflc. of
the Real.t.,. of Willi, any of the 25 A.v~ DI.trlct O'flc.. or by call1na ~ specl.l Z4.hour antwerlng ,.rvlc.
nuaber. 'or far.. orderlnal In Pann.Ylvanl. ..IOO.56Z-Z050, out.lda penn'Ylvanla and within 1~1
H.rrl.buta .r.. (717) 787.a094, TDDI (117) 77Z-Z2SZ (H..rlng lap_Ir.d Only).
OIJECTIDHSI Any p.rb in Int.r..t not ..tbf1ed with ttM awralHHnt, aUowMW:. or dbaUowenc. of deduction. or .........,t
of tu Uncludlna dbcount or Int.r..t) .. ahown an thb Notlc. ..., obJect within ,1MlY (60) day. of receipt 0'
thh Notlc. by,
....'Ittan protut to ttM PA D."art..nt 0' A.VWIUII, Ba8rd of App..ls, D.pt. 211021. H8rrhburll, PA 11121-lOU, OR
--.IIOt1ng to hIIva the ..tt.r dat.ralnad at the -..tit of tha ICCCK.W1t of the PtIt1on.l repre.ent.Uv., OR
--IPPtI.l to the Drphen.. Court
ADltIN-
ISTRATlVE:
CORRECTIONS.
Factual error. dl.cav.red on thl. ........nt should be .ddr...ed In ..rltlno to, PA o.p.rtaent of Aavenue,
Bur.eu of Indlvldu.l T.Me., ATTN. Po.t A.....tent A.vl... unit, DEPT. l106Dl, H.rrl~ra, PA 171Z8-0601
Phone (717) 787-6505. See paoe S of the booklet ~In.truotlon. for I~rltanc. T.M A.turn far. A..ldant
Decedant~ CAEV.1501) for on explBnltlan of ~lnl.tr.tlv.1Y corr.ctlbl. .rror..
DISCOUHTI
If any t.. due Is p'ld ..Ithln th,.e (5) c.l~r aanth. .ltar the dac:edent'. d..th, . flv. .,.rcent (5:U
dbcCK.W1t of the t.x p.ld .. eUowed.
IHTtAEST I
Int.re.t I. charaad b.glnnlno with first day of delinquency, or nine (,) aonth. and one (1) day
frDll the date of death, to the det. of p.YllMt. Tax.. which bee.. delinquent be'or. January 1, 1'12
baar Inter..t at the rete of .Ix (6%) parcent par annua c.lcul.tad .t a dellY rlt. of .000164.
All tax.. which bee... delinquent on or .fter January 1, 1'12 will bear Int.r..t .t . rete which will v.ry 'r~
c.landlr y..r to calendl" ya.r ..Ith that r.t. announced by the; PA Dep.rt...,t of R.v...... The ..lie_I.
Int.t..t rat.. 'or l'IZ through 1995 .r.1
tile Int.r..t R,t. n..Iv Int.r..t Fector xur Int.ra.t Ret. O.llv Int.r..t Feetor
1912 'OX .000541 1'17 'X .aoOZ47
19I5 'OX .Donsa 1'"-1991 IIX .GlISOI
.... IIX .00OSOl ,... OX .01lU7
1915 ..X .00n56 1991-1'" n .000192
.... lOX .000Z74 ,... .X .000247
--Int.rut I. cllculated .. fallaw'l
INTEREST a BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice I.~ .ft.r the tax bacose. delinquent will r.flect en Int.r..t c.lculatlon to 'Iftaen (15) day.
beyond the data of the ..........t. If P'\lMnt .. .Ide .It.r the Int.rut CDIIPUtaUon data Ihawn on the
Notlc., eddltlanel Int.ra.t au.t b. c.lcul.ted.
.