HomeMy WebLinkAbout95-00768
'CLn"OHWUl III or P[HHSVlVAN!A
D[PARI"[NI Dr R[V[NUE
IIURrAU or INDIVIDUAl !AUS
elp,. :80.01
UAARISIIURC. PA 111:1-0.01
l.s-- t 1- 9
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
AcN
DATE
NO. 21- q~-'
95145287
09-21-95
-
I"'lhlll "'I'.t"
7(, 3"
EST. OF WANDA MILLER
S,S, NO. 211-18-3511
DATE OF DEATH 07-26-95
COUNTY CUM8ERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IX] CERTIF,
RICHARD E LESHER
1192 LOWTHER RD
CAMP HILL PA 17011
REMIT PAYMENT AND FORMS TO,
REGISTER OF WILLS
CUM8ERLAND CD COURT HOUSE
CARLISLE. PA 17013
HARRIS SAVINGS BANK hili provided the Dapart.ant with Ih. Infor.allon I hlad balaw which h.. baan u.ad In calculating Iha
palantl.1 la_ dua. Thalr r.card. Indlcnt. that al Ih. de.lh of the abova dacad.nl, you w.ra . Jalnl awnar/b.naflclary of thl. account.
If you faal thl. Infaraatlon I. Incarract, pl.... oblaln wrllt.n carr.cllan fro. Ih. financial In.tllullan, allach a copy 10 Ihl. for.
and r.turn It to the abav. addr.... Thla account I. ta_abl. In accardanca with the Inherllanc. Ta. law. of the Co.eanwaalth of Pann.ylvanla.
Qu.stlans e.y b. answ.rad bV calling (7111 717~~)~1.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 05-62-218313 o.to 06-22-84
E.tablJah.d
Account Balance
p.,.cent TalC:abl.
Anount Subject to
TalC: Rate
Potent tal TalC: Du.
To In sura prapar cr.dlt to your account, 'wa
IZI cap I.. of 'his notlc. auat accoapanv your
p.y..nt 10 the hahtar of Willa. Make chack
payabl. tOI -Ragl.tar of Will., Agenl-.
PART
[!]
FAILURE TO RESPOND
3.136,77
50.000
1,568.39
.06
94.10
TAXPAYER RESPONSE
WILL RESULT IN AN OFFICIAL TAX ASSESSHENT BASED ON THIS NOTICE
x
Tax
HOTEl If te. pay.anh ar. aeeM within thr..
(5J aonth. of Iha dec.dant". da'. of deeth,
you eey daduct . 5~ dl.count of the t.. dua.
Any Inherltanca Ie. due will baca.. dallnquent
nlna (,) eonth. .f'er the det. of da.lh.
x
[CHECK ]
ONE
8LOCK
ONLY
A, 0 Tha .bo". In'or.eUon and t.. due II correct.
1. You .ey chao.. to re.lt peye.nt to th. Raglatar of Will. Nlth tNa cop Ie. of thl. natlc. \0 obteln
. discount or avoid Intare.t, or YOU a.y check box "A- and re'urn thl. notice to 'he Reglaler of
Wills and an offlcl.l .......-ot will ba I..ued by the PI Daper'.ant of Rlvenue.
B. E:J Tha above ....t ha. baan or will be reported and ta_ paid with tha Penn.ylvenla Inharltanc. Ta. return
to be 'lied by the decadanl'. rapre'an'a,lve.
c. c:J The above tnlar.etlon I~ncorrecl .nd/o~.bta and deducllon. were peld bV vou.
You .u.1 coeple'. PART ~ and/or PART L!J bllow.
If you indic.t. a diff.,..nt tax rat., pl.... .t.t. you,.
,..latlonlhlp to dee.dentl
PART
~
TAX RETURN . CnMPUTATTnN
LINE 1. D.t. Est.blished
2. Account e.lanc.
3. Percent raMabl.
4. Anount Subject to r..
S. Dabt. and Deductions
6. A.aunt TaMable
7. Tax R.t.
8. Tax Du.
OFFICIAL USE ONLY 0 AAF
PA p~~ARTMENT OFR~YFNUE
OF
1
2
3
4
5
6
7
.
TI\X 11101 ,JnXNT /TRU!!T ACCt)IJNT!l
x
Pill!
1
2
3
4
5
6
7
8
CLAIMED
----
x
PART
~
DATE
DEBTS AND DEOUCTIONS
PAlO
PAYEE
DESCRIPTION
AMOUNT PAlO
i
TOTAL CEnter on Lln. 5 of Tax Co.put.tlonl
!
.
Under panalti.. of pe,.jury, I decl.,.. th.t the fact. I
conpl.t. to .th. b.,_t '1 ")'I jnowladg. and beUef.
1fk/k7fciF (X:ujUv-
TAXPAYER SIGNATURE
have rapo,.t.d aboy. ara tru., correct and
HOME ("/11 l 7"3"0':;"'(",)- TD/)
WORK (l /1'2,,2- 9j-
TELEPHONE NUMBER OATE
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GENERAL INFORMATION
1. fAILURE TO RESPOND WILL RESULT IN AN OfFICIAL TAX ASSESSHENT with .ppllcabla Int.rut ba.ad on lnfot..UOt'l
.ubtllttad by the flnanclll. In,tltutlon.
Z. Inh.rlt~. 'IK bec~' dellnqulnt nln. lonthl .,t,t the decadent', dl'_ of d.,th.
S. A Joint ICCaunt 1. t..'bl, Iven though thl dlcldlnt', n... WI' added .. . ..ttar of convenlencl.
4. Account. (Includlnl tho.. held between hU.band and wlf.J which the dlcadent put In Joint n.... within on. y..t prior to
death .t. fulh' hubl. II tnn,'a,..
5. Account. ..t.bll,htd Jolntlv b.tween hU.band and wlf. lot. than on. y..t prior to d..th .t. not tl.lbl.,
,. Account. held bv . dlcld,nt "In trult for" anathar or other. .t. t..,bl, fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - l' the Infor..tlon and coaputltlon In thl notice .t. corr.et Bnd daductlon. ar. not b.lng cl.laed, plac. .n "X.
In block "A" of p.rt I of the "TaMpav.r RI.pon,l" ..ctlon. Sign two cop I.. .nd .ubelt th.. with wour chick for the aaount 0'
t.. to the RIglltlr of Willi of thl countr Indlcltld. The PA Dlp.rta.nt of Ravanu. will I"u, an offlol.1 .....~t
(For. REV-IS41 EX) upon r.e.lpt of the r.turn frol the RIgl.tlr of Will..
2. IlOCK I - If the ....t .pecl'led on thl. notlc. hi' baan or will ba reportad and t.. p.ld with t~ Pann.wlv.nll Inharltanc.
f.. Rlturn fll.d by the d.cadant'. r.pr...nt.tlv., placa ~ "X" In block "I" 0' P.rt I of the "T..p.w.r R..pon.." .actlon. Sign one
COpy and r.turn to the PA D.p.rt.ant of R.v.nu., Bur.au of Indlvldu.1 Tlwa., D.pt 2106DI, Hlrrl.burg, PA 171ZI.D601 In the
anv.lope provIded.
3. BLOCK C - If the notlc. Infor..tlon I. Incorr.ct andlor dadUctlon. .r. b.lng cl.I,.d, chick block "C" Iftd c~l.t. Part. 2 and 3
according to tha In.tructlon. batow. Sign two eopl.. end .ub.it thaa with vour chack for tha ..aunt of tftW p'vabl. to the Ragl.t.r
of Will. of the county Indlc.t.d. Tha PA D.p.rt.ant of Ravanua will I..u. an offlcl.1 .......ant (fora REV-IS41 EX) upon r.c.lpt
of the r.turn froe the R.gI.t.r of Will,.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
I. Entar the d.t. the account orlgln.llw wa. ..tabll.hed or tltl.d In the .~ar ..I.tlng at d.t. of d..th.
HOTEl for. d.cadant drlng aft.r IZ/12/1Z1 Account. which the d.eadent put In Joint n.... within on. (I) v.lr 0' d..th .r.
taMable fullW a. tran.f~r.. HOWlv.r, th.ra I. an a.clu.lon not to aMc.ad IS,ODD par tran.f.r.. r...rdl... 0' the v.lue 0'
the .ccount or the nuab.r of account. held.
If a doubl. ..tarl.k (..) .pp..r. bafora your first"", In the ~r'" portion of thl. not Ie., tha IS,DDD awclu.lon
airsad>>' has bIM dadUcted froa tha account balanc. II reported by the financial In.tltutlon.
I. Entar the total bllMCa of the account Including Int.r..t accrued to ti.. d.t. of death.
S. ThI percent of the account th.t I. t.wabla for .ach .urvlvor I. detar.lned .. follow'l
A. ThI parcant t.wabl. for Joint 1111'" ..tablhhad IIOr. than one yaar prior to the decedent.. deathl
I DIYIDED IY fOTAl HUHIER Of'
JOINT OWNERS
E..-pl., A Joint ....t r.gl.t.red
DIVIDED BY faTAL NUtlIER Of' X 100 . PERctNT TAXAlLE
SURVIVING JOINT OWNERS
In the n... of the decadent Bnd two other p.rson..
1 DIVIDED IV S (JOINT OWNERS) DIVIDED IY 2 (SURVIVORS) . .167 X 100 . 16.7% (TAXAILE FOR EACH SURVIVOR)
I. fh. p.rcant t.xabl. for ....t. cr..t.d within ona y..r 0' the d.cedant'l da.th or accounts ownad by tha decadent but h.ld
In tru.t 'or anothar Indlvldu.I(.) (tru.t banaflclarla.)1
,,,
cl
I DIVIDED IY TOTAL ~BER OF SURYIVING JOINT
OWNERS DR TRUST BENEfICIARIES
X 100 . PERCENT TAXAILE
, ,
Ex..,lal Joint account ragl.tarad In the n..a of the decadant and two othar parson. and ..tabll.h.d within one ya.r of da.th by
the dac.dant.
I DIVIDED IV Z (SURVIVORS) . .50 X IDD . SOle (TAXAILE FOR EACH SURVIVOR) 1'-)
4. The ..ount .ubJact to t.1C IIlna 4) II dateraln.d by ""Itlphlng the account balanc. (11M 2) by the p.rcent taubl. UI,.,. S).
S. Ent.r the total of thl dabt. end deduction. ll.tad In P.rt S.
.. T". IMKJUflt t..BbI. 'I1n. 6) h dat.r.lnad by sublractlntl the dabt. WId doductlo'" Ulna 5) Iro. the IHIOUnt IUbtsct to'taw 01". "I.
7. Ent.r the IIPPrOflrl.t. taM rata Ulne 7) II' dateralnad be)ow. I.:
A. For d.t.. 0' da.th occurrln. .ftar 6130194, tha tax r.t.. for tren.far. to spou... .t. .. followlI C>
1. Date. of d.ath on or aftar 711194 end b.for. 1/1195 thl r.t. II 5". ']
I. Dat.. of de.th on or .fter 1/1/95 tran.fa,. to .pou... will be t.Med at a:c t.. rata.
Not.1 for dat.. of d..th prior t~ 7/1/94 tran.f.r. to spou.a. .r. t..abl. at 6%.
I. Tran.f.r. to Ilna.l d..cendant. Including f.t~r, aother. .on, daught.r, grandchlldr.n, .on-In-l.w,
dllUohter-ln-I..., .tepchlld and thalr h.ua ar. t.wabl. .t ... parcant (6%),
C. Tran.f.r. to all other. InclUding broth.r, .I.tar, unci., aunt, nephew and nlac. .ra t.wabl. .t flft.en parcant (15%).
D. If you change the t.. r.t., pi.... .paclfy your r.l.tlonahlp to the dac~t In tho .r.. provided.
I. The ..aunt 0' t.. duo (line I) I. dat.ralned by .ultlplYlng the aaount t.wabl. (line 6) by the t.. r.ta (line 7'.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. dabts and daductlon. .r. d.taralned .t follow'l
A. You la.ally .r. r..pon.lbl. for p.yaent, or tha ..tata .ubJect to ~Inl.tr.tlon by a ,.r.on'l rapr..ant.tlva I. In.ufflclant
to P'V the d.ductlbl. It....
I. You .ctually p.ld thl dobt. oft.r d..th of the d.cadant and can furnlah prDOf of payaent.
C. aobt. being cl.I..d au.t b. It.ll~ad fully In P.rt J. If addltlon.1 .pec. I. needed, u.. plain papar . Ill" IC II". PrDOf of
pay..nt ..y be raqua.ted bv the PA Dep.rtaant of Ra~enua.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
QR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRI:.BURG AT (717) 787-8327. TDDI (717) 772-2252 (HEARING IMPAIRED ONLY)
,
_......--,... .... .---
......'L_________________________ ___________ --- --------_
-,'-CO_,,",. ,"i,'.,...--,--,,;'
g' .: 'A' 'A' , . 08'2'2' '3' 4 ,COMMONWEALTH OF PENNSYLVANIA
~?- , , . DEPARTMENT OP REVENUE
l~:~,;" i'14,'" "";"OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX.
h-"
.~\
.'1
AMOUNT I
I
RECEIVED FROM,
i
ACN
ASSESSMENT r:t
CONTROL 1;,1
NUMBER
RICHARD E LESHER
'i::illt::)f!e?
."'It.IU
1101 YVERDON DRIVE
CAMP HILL, PA 17011
,
ESTATE INFORMATION,
!:t FilE NUMBER
5iI el-199:5-0?68
EJ NAME OF OECEDEN~ (lASTI A
II OATE OF PAYMENT
m POSTMAR E
COUNTY
SSN el1-18-S:511
(fIRSTI (Mil
DATE Of OEATH
07/8
REMARKS RICHARD E. LESHER
m TOTAL AMOUNT PAlO
$94.10
CW
SEAL
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RECEIVEOBYUI./JIL.. .' 11;,1.:1) /',' ,..
./! SlGNATUR~'
(/ .,< /" t-~, t.
MARY C. LEWIS ' " II t
REGISTER OF WILL.S
CHECK" 918
REGISTER OF WILLS
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CDHHONWEAlTH OF PENNSYLVANIA
DEPARTttENT Of REvttfJE
BUREAU OF INDIVIDUAL TAXES
DrPT. 210'01
IIARRISBUAO, PA 17UI-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 -95 -7(J
ACN 95146822
nATE 10-03-95
IIV.IUI II 'H 11,"1
; ,
, "
~ , ' .
EST, OF WANDA J MILLER
5.5, NO, 211-1B-3511
DATE OF DEATH 07-26-95
COUNTY CUMBERLAND
TVPE OF ACCOUNT
o SAVINGS
IX] CHECKING
o TRUST
o CERTlf.
~ARIl E LESHER-
1192.-l0lff1tEIL.RD
CAMP HILL-" PA
"
RENIT PAVNENT AND fDRNS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
17011
{~
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PNC BANK h.. provldltd the Depart.."t "lth the Infor.atlon Iht.d below which h.. been u.ed In uleuhUng tM
potential ta. due. Th.lr r.card. Indicate that .t the d.ath af the above decedent, you "er. a JoInt awn8r/benaflclary 0' thl. account.
If you ,..1 thh Infor..tlon I. Incornct, plea.a abtaln "rIU... carnetlan 'rOIl the f1nenc:I.1 In.tltution, aUltCh a copy to thh for.
8nd r.turn It to the ebava .ddr.... Thl. account I. t..abl. In ItCcordanc. "Ith the Inheritance t.. l.... a' the c~alth of Pann'Ylv....a.
DuuUp'" ""l' be .n._rad tly c"IJJng (7171 717-1527.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140096844 D.to 06-15-90
EotobIhhod
Account Balance
Percent Taxable
Aoount Subj.ot to
TaM Rete
PotentSal r.M Due
3,947.96
50.000
1,973.98
.15
296.10
TAXPAYER RESPONSE
,FI\XLURI!.\TO,JII!.8PO!lD"XLL;: 1I,I!.SULTi I!lA"~I'F,XCXAL:TAX '..AsSI!SS"!HT ,BASU.' .0""''OtX8,'' HOnCI!.>
To In.ure proper cradlt ta your account, two
(2) cople. 0' thl. notlca au.t .ccoap~y your
payaent to the Raglatar 0' WillI. "aka ch4ck
paYabla tal *Reghtar af Will., Agent...
K
K
HOTEl If ta. pa,.."h .ra NdII within thr..
CS) ~th. a' the decadent.. data a' d.ath,
you .ay dedUct. SX dllcount a' tM t.. due.
Any Inherltanc. t.1C ckM "III bKu.a d.lInquent
nine 19J .unth. .ft.r the dlta 0' death.
T.x
PART
[TI
[CHECK ]
ONE
BLOCK
ONLY
A. 0 The MKIv. In'ornUon Md taM due .. carrMlt.
1. You .a1 chao.. ta r..lt p.yaent ta thl Ragl.t.r a' Will. with two cop Ie. 0' thl. notice ta obtain
a dl.count or .vald Int.ra.t, ar YOU ..v check bo. "A" end r.turn thla notle. to the R.gI.tar af
Will. and en o"lclal ....~Iaent "III be I..u.d by the PA o.part..nt 0' R.venue.
I. 0 Th. abova ....t he. ~ or "III ba rsportad and tax p.ld "lth the P...,nlvanl. Inherltenc. ta. r.turn
to tM 'lIad by the d.c.d~t.. repruant.tiv..
C. 0 the lIbav. In'ar.aUan I~ncarract and/o~ebh and dedUction. ".r. paid by you.
You au.t cOllplata PAR' l1J and/ar PARt ~ belo",
If you lndlcet. a different t.M rete, pl.... .t.t. your
r.l.Uon,hip to deced.nt I
PART
[!l
TAX RETURN - COMPUTATION OF
LINE I. D.t. E.tablloh.d I
2. Account Belance 2
3, Percent Tax.ble 3
4. A.ount Subject to raM 4
S. Debt. and Deduction. S
(,. A.ount T.xabl. (,
7. TaM Rate 7
a. T.M Due a
PART
l!l
DATE
TAX ON JOINTt'TRUST ACCOUNTS ,pAp:
1 ,,'
'2
3
0\
5'
6;' ',,;'
7.'
8
DEBTS AND DEDUCTIONS CLAIMED
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PAID
PAYEE
DESCR I PTI ON
AMOUNT PAID
I
TOTAL CEnter on Line 5 of T.x Co.putetlon)
\
.
-
Under pen.ltl.. of perjury, I declere th.t the
co....l.t. 10 n: ~y know lode. .nd b.1I.1,
~~~~~IGNATURE
'ect. I have reported above are true, correct and
HOME (71'7) 7,.}. o.,-~ )- T/)o
WORK () IO-.J.'i-<:;l)-
TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FAJLUR:E TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESsttENT wllh ",Uc"dl In'.,.... ba.ed an In'.rHtlon
.ubIIlttM br tM financial In.t1tutlon.
t. lntMrlt.w:1 tn bee_I dIIl1nquent "1M INnth. aft.t the decNen'" d.', of d..th.
J. . Joint account I, tax_I, IV"" though 'I'M decltdent', n-. .... edded II . ..ttat 0' convenience.
4. Accountl (InclUding tho.. held betWHn hu..... Md wU,) Nhlch 'I'M McecMnt put In Joint n... .,lthln one ,..,. prior to
..th ,r. full, t....1. '1 It",,'.r.,
S. Accountl "'_Uahaod Jolnth bet..... hutbend Md wlf, Mr. thwl one nIt prior to d..th Ir. not '1.1Ib1,.
6. Accountt held b~ . decedent .In tru.t for. enol"'" .r other. Ir. t..... fUll,.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. _LOCK II .. If 'M Info,...Uon Met cOIIpUtaUcn In the notle. at. correct Met dedUction, ,r. not Nina cll."", PIKI IIr1 "T"
In blodl; ..."' of p,,.t 1 0' the "TI.PIW',. R..pon.... .actlon. lion tllfO cDflI.. Met .",*1\ 'hM with !tour check for the MOUnt of
tax II the _".It,,. 0' Nil.. of thtI county IncUc.tM. The PA Depart..." 0' R.v.,.,. ..Ill I..ue M offlclll ........,t
eFoMl m-I54' EX) upon rH.lpt of ttM nturn frDII the R..lIt.r of Wllh.
2. ILOCK,. If the ....t .-clfl_ on thll noUu hu bHrt Dr ..111 tNI nportlMl _ tax p.ld with tM Penn.vl"MI. tnMrlt.x:.
Till R.turn fUN by tM dec""t". npr....,t.tlv., plK' M ..... In block lOa. of P.rt I of the *T'MP.ver A.span.... IHUon. II., one
eopv Md r.turn to the P. DIp,rt...,t of A.v.,.,., lur.., of Indlvldulll I.XII, Dept Z'O"I, ",,.,.lIbu,.g, P. UU'-UIl In the
Mv'lope p,.o"lded.
5. ILOCK C - If the notlc. Infor..Uon 11 lnco,.rlCt ..sIor deduction. .r. being elll..., check block "COO IInd eapl... P'r" Z end 5
ICcordl,... to the InltruaUon. below. Ilgn two coPl.. Md ....It UM. with vour check fa,. tt.. ~t of tl. plvllbl. to the Allht.r
of Willi of the COW1ty Indlcltlld. The P. o.p.rtlilrlt 0' A.".... will I..", M offlcl.l ..........t (Fa,.. REV-1M. EX) ~ fKllpt
of the raturn f,.Oft the Rl8l1t.r of Willi.
TAX RETURN - PART 2 TAX COMPUTATION
LINE
1. Ent.r the data tM ~t orlllnalh .... ..tablllhad or Utllld In u. IMnII,. ..hUna .t dat. of death.
NOTE I For I decedent dvlno .ftar 121121111 ACCCM.Wlh ""Ich the dlctMNnt put In Joint ~. IlIIthln one (1) Via,. of dnth '''1
taIClbll full:>>, .. trM.'.r.. "'var, ther. II M Ixclu.lon not to ,xceed U,OOO pe,. tnn.f.r.. r....rdl... of the ".Iua of
the IlCClOWIt Dr the hUliMr of HCOU'\" held.
If. daubla ..tarlsk (u) .....,.. bafor. >>'OUr flr.t n... In the add,.... portton of thh notlc., the U,OOO .xclu.lon
'IrMQ "1 been IkMlIctlld f,.OII U. ICCOW\t b.lanc. .. "eport.. bv tt.. flnancl.l In.tltutlon.
Z. Ent.r the total b.lanca of the ICClM'lt Inch"'lng In..,...t HCtwd to the d.t. 0' delth.
5. The ,.,.c..,t of tM .ccount thllt h hxlbl. for .ach IUr"lvo,. h det.,..lned .. fallow"
A. The ,.rcMt t..abla for Joint ...... ..tllbllahad lOr. u.n ana v..r p,.lor to the dlcldant.. "Un
1 alVIDED IY
TOTAL NItIDI Of'
JOINT DNN[RS
Ex....hl . Joint ....t rlll.t.,..,
DIVIDED IV
TOTAL ~ OF
SURVIVING JOINT OWNERS
In the "... of the dlcldant find two ather ,.,.IOn..
. 100 .. PERa:HT TAXULE
1 DIVIDED IV S (JOINT OWNERS) DIVIDED IV Z (stMVIVDRI) . .161 X laD . I'.n (TAXABLE FDA EAOt a.vIVO.U
4. The MOmt .ubJect to tl. (line 4) h detar.IMd by "lt1phlng the acCCU'lt b.lanc. (line Z) bV the pereWlt t.xabl. (line s).
5. Ent.,. the total of the dabh Md ~tJon. Ihtlld In Plrt S.
.. Th. UOU'lt tb.tJI. Ulno 6) II d.ter.11Md by subtraall", the d.".. N'ld dMleUon_ 01". I) f"M thol ~.,t ."bJect tit t.N Ulna 4).
7. En..,. thelapproprl.t. t.x nte Ulna 7) .. det.r.lned bII1CMI.
A. Fa,. dat.. 0' d_th OCCU,.rlng Ifhr 6/SD/94, the hx nt.. '0,. tren.f.,.. to 'POU..' .,.. .. follow"
I. D.t.. of de.th on 0,. .f..,. 7/1/94 and bafa,.. 1/1195 thl nt. II S:C.
Z. a.t.. of de.th on or aft.,. 111195 t,.....,.,.. to spau... will .. taxM .t OX to rat..
Ho't., Far d.t.. of death pdor to 7/1194 t,.M.fu. to spous.. .,.. taxable .t 6X.
I. TrM.f.,.. to 11"".1 de.cend...t. lneludlng f.ther, _tha,., Ion, d8uP'1tu, lI,.endchlldr..., .on'"I"-I.."
daught.,.-In-l..., dapchlld Md thai,. hsue .,.. t.xlbl. .t .1Ie ,..,.eMt (6%).
C. T,.an.'.r. to .U othlra InelucUna brothe,., ...t.r, unol., MInt, nephew end nlac. .,.. t.xlbl. .t flft"" pa,.c",t U5X).
D. If YOU ct.nae thI tQ: rata, pl.... IpeClh ~ou,. ,..hUonshlp to the decadent In the .r.. pro"lded.
.. The -.ftt of to ctu. Ulna .) I. "'t.,..lned bV ....IUpblng the aaount tax_I. Ulna 6) bv the tax rat. Ulna 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AIIOVIbI. debt. and ~tlon. .ra det.,..lned .. 'ollow"
.. Vou 111.11v .,.. r'~.lbl. far P'Yllnt, or the ..t.t. subject to aa.lnl.tratlon bV . plr~l repr..",t.tl", I. Ineufflol."t
to PIV the deductlbl. It....
I. You actualh paid ttMi dabt. .ft.,. ....tt, a' the dac:adant end Cln furnish proof of p,,,""t.
C. Debh balna cl.l-.t .,.t be It..ll'ld fulh In P.,.t S. If additional 'pac. II needed, u.. plain p..r . IIr . 11". Proa' of
p.,.."t .'V be r.......tN bv the p, Dep.,.t..,t of R.venue.
. ..............,:'.... .... ..... " ,.i~.~~UN~e~~URTH~~~ANx:O\':tEfNJNSXOVA,.~~1~;~NC~; ...C~N;A~;A~~.;),: ..~.'.... " '.'"
...';...... REGISTER OF WILLS,.. PA' DEPARTMENT OF REVENUE DISTRICT.OFFICE... ""'-""" "':"'"
,.>' OR' CALL' THE' BUREAU OF : INDIVIDUAL TAXES[ TAXPAVER INQUIRY UNIT,' IN....).
H^,RRISBURG AT (717)787-8327 .TDD' (717) 7f2-2252 (HEARING IMPAIRED ONLY)
tOKHONWEAlTH Of PENNSYLVANIA
DEP.uTHEHT or REVENUE
BUREAU Of INDIVIDUAL TAkES
DEPT. ZID60l
HARAISaURG, PA 11111-06Dl
*'
FILE
ACN
DATE
NO. 21 -95 -'l/Pfl
95146822
10-03-95
TVPE OF ACCOUNT
o SAVINGS
!Xl CHECKING
o TRUST
o CERTIF ,
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
U'.IU'II ", 1'-"1
. 1
EST. OF WANDA J MILLER
5.5, NO. 211-1B-3511
DATE OF DEATH 07-26-95
COUNTY CUMBERLAND
.-
J1.~~LESHtR-;:' ,
1 En D ,'<
CA L 170n
RENIT PAYNE NT AND FORNS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK h.. provided the u.p.rt.....t with tN Infor..Uon 1 ht.d Mlaw which h.. b.en u.ed In UlculaUng ths
patsntlal t.x due. Thslr r.cord. Indlc.t. th8t .t the death of the .bov. d.c.dsnt, you ~.r. . Joint own.r/bsnsflclary of this account.
If you ,.el this Infor..tlon I. Incorr.ct, pl.... obt.ln written corr.ctlon fro. the flnancl.l Inatltutlon, .ttech a copy to thl. far.
and return It to the above addr.... Thl. .ccount I. t,.lble In accordanc' with the tnh.rltanc. T.x law. of the C~..lth of Penn.ylvanl..
;_.UIIll. '1) ~ an....rad by c.llulg (1111 ,.1-6)11.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
Account No. 5140096844 o.t. 06-15-90
Edablhhad
3,947.96
50.000
1,973.98
.15
296.10
TAXPAYER RESPONSE
FAILURI.;TO, RISPOHD .lfILL .., RESUL 1(IH AN.. OFFICIAL'rAX. ASSESSHEHT ,BASaD ON THIS . HOTICI
Account Balanc.
P.rcent T.xabl.
Aooount Subjoct to
Tax Rat.
Potenti.l Tax Du.
T..
PART
[j]
To In.url prop.r cr.dlt to your .ecount, two
(ZI copl.. of thl, notlc. lUst .ceoapany your
p.pent to the Regh"r of WIU.. Hlka chick
plYabl. tal -R,gl,t.r of Will" Agant-.
K
NOTE I If t.x p.yaant. Ir. a.o. within thr'l
eS) .unth. of the dlcldant" d.tl of d..th,
you .IY deduct I 5~ dl,count of the t.x due.
Any InherJtBnCI tBx dUI will bee..- dlUnquent
nine (9) .unth. .ftlr the dlte of de.th.
x
A. 0 The Bbov. Infora.Uon and tlx dula h corr.ct.
1. You aay choo.. to relU p..,.ent to the Reghter of Wills wlth two copl.' of thl. nolln to obtlln
. discount or avoid Intere.t, or you ..., check bo. -A~ and r.turn this not Ie. to thl Regl,t.~ of
Wills and en offlclll ......lInt will bl I..ued by the PA Dep.rt.ent a' Revlnue.
[CHECK ]
ONE
BLOCK
ONLY
I. D The lIbove ....t h.. been or will be reported BOd ta)l p.ld with thl PIfV\,ylvenll Inharltancl Tal( return
to be fllld by the deeldent.. repr'.lntatlvl.
C. 0 The above Infor..Uon I~ncorr.ct and/o~lbts and deduction. were paid by you.
You au.t caplete PAR' L!J and/or PART ~ below.
OF
1
2
3
4
5
6
7 X
8
, . ,OFFICIA&:USE ONLY: n AM)
. . ..: PA' DEPARTMENT; OF REIIENUE ,~
PA6:::'<iZ~'~~i;J::;: ' . .
1
.2
3
4.
5
. "'6.' .,
7
8
CLAIMED
If you indicata . diff.rant tax rata, pl.... .t.t. your
rel.tionship to d.c.d.ntl
PART
~
TAX RETURN . COMPUTATION
LINE 1. Oat. E.tabli,h.d
2. Account Balane.
3. Percent Taxable
4. A.uunt Subj.ct to Tax
5. Dabt. and Deduction.
6. A.ount Taxabl.
1. Tax R.ta
8. Tax Dua
PART
@]
DATE
PAID
TAX ON JOINT/TRUST ACCOUNTS
.,.,.'..-'.....' '
.' ,..,....:.:'
._-
x
DEBTS AND DEDUCTIONS
PAVEE
DESCRIPTION
AMOUNT PAID
I
TOTAL tEntar on Lina 5 of T.x Co~utatlon)
I
.
Und.r penaltl.. of par jury, I declara that the
co.pl.t. to the be~t of .y knowladge and ballaf.
ifd:nd ~ ct'~v
VER SIGNATU
fact. I have reported above ara tru., carr.ct and
HOME (117) 7?~ - "'.J-c-~- roo
WORK (~ ) 112..-.7-<f-'i,
TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. fAILURE TO RESPOND WILL RESULT IN AN OffiCIAL TAX ASSESS"ENT tIIlth 1IPP1lnbl. Int.rut b..H on In'otHUon
eutMlltted by tt. flMnClI.l Inttltutlon.
2. Im.r1t~. till bKOMI dlllnquent nl". lIOI'Ithl aft.r thl dludent', data 0' d..th.
J. II Joint acCOU'lt h tlX_l, nen though the deeMerlt" n... "I' IIddM .1 . ..uu of conv..,1enc:I,
.. AccOl.W'Ih Clncludlnt tha.. held betNHn hutand wtd "lfe) .....Ich tM elK..,.., put In Joint MM. within OM y..t prior to
d..th .t. 'ulh hlfMll. .. tren.flr..
S. Account. ..hbl1~ Jolnth bit....., hu.bMd and "'.,. 110" than 0rMI y..r prIor to death .r. not ....bl..
.. Acoount. Mid by . decMent .In trutt for. WMlther or othllr. .t. t'.IIbI, fulh.
REPORTING INSTRUCTIONS - PART 1
- TAXPAYER RESPONSE
1. ILDCJC A - If tM t",O,...Uon Met 1C00000taUon In thll notlc. .r. cornet ~ dllductlon. .r. not bllne c1allNd. piKa an -X"
In block ....... of P"t 1 of ttw "'Y.lfpanr R..pon.... taction. Sign two copt.. Ilnd tutMllt the. with your cMck 'or 'M ..unt of
tlx to the R...at., of Will. of the county Indlc.t~. The PA Depart-.nt of A.venue will I..ue en offlcl.1 ......-.nt
(For. REVel541 EX) upon rec.lpt of the raturn fro. the A-al.tar of WIllI.
1:. BLoat I - If the ....t apeclflM an thl. noUcI h.. bHn or will tMI r~rtH Ind tax p.ld with the P~O'1vMII !ntMrUIlnCI
hx R.turn fll" by the dec~t'. repr..."t.Uv., plllea ." 'T' In block ..... of Plrt I of tM "Tallpayar R..pon.... .actlon. Sign one
copy ~ roturn to ~ PA nap.rt.-nt of A.venue, luraau of Individual TOMo" Papt "0601, Harrl.burg, PA 111,eeD601 In the
envalope provided.
J. BLoat C .. If tM notlCI Inforutlon is Incorract and/or deduction. oro being chlMd, check block "COO Bnd cMPleta Parts' Ind S
accordlnt to thl In.tr"",t1ona b.IOtl. S:;n two ;cpla. and .ubaU th_ with your check for the MOUnt of bx plyllbl. to t."t. A...lat.r
of WIU. of \tMII CCM.nty IneUcatacl. Tho PA Departunt of Ravenue ..111 Inue an official ........"t (Fora REVelS4e DC) upon recalpt
of the raturn fro. the RaeS,t.r of Will..
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
I. Ent.r the data the account orlglnalh .... ..tllblhhed or tltl_ In the ....,.,. .ddlng at data of daath.
HOTE. for a Me.."t dyIng .ft.r lUl21.,. Account. which the decedent put In JoInt noM' within one (1) Ylar of death ara
taxllbla fullY a. tr.".f.r.. Howev.r, thera I. an eMclu.lon not to aMceed 15,000 per tran.fer.. regardle,. of the value of
the account or the ~r of KCCM.nta held.
If a double a.tarlsk C.MJ ~ar. bafore your flr.t ~ In the addra.. portion of thl. notIce, thl 15,GOO eMcluslon
already hi. been dacklctM frOll tho account balance a. r~rtad by the financial In.tltutlan.
z.
So
Ent.r tho total balanco of the ICCotM1t Including Intara.t accrued to tlM! dat~ of da.th.
The parcent of tho account th.t la t.xllbla for .ach .urvlvor la detaralned .. follOtl'1
A. The perc."t tuab10 for JoInt ....ta IItablJlhH ~r. then one v..r prior to thl decadant'a deatha
\D
en
O.
M
-t
N
-.I
I. Tho pare."t tuabll for ....t. cn.t.a within one Yllr of tho dec.dant'. dllth or IKcount. 0WIWd by the deeadant but held
In truat for another IneUvIMIC.) (truat baneflcllrl'.h -0
::J:
1 DIYIDED BY TOTAL MJHIER OF' SURVIYING JOINT X 100 . PERCENT TAXABLE .z:-
OWNERS OR TRUST BENEFICIARIES _
[KlMIpla. Joint account r.gltt.rH In tho n... of the dac.."t and two othar par.ona and ..tablhh.d within ana yet of da.th by
tho dec~t. U1
I DIYIDED BY 2 CSURVIYORS) .. .50 X lOa . SD:c CTAXABLE FOR EACH SURVIVOR)
1 DIYIDED IY
TOTAL tuflER OF
JOINT OWNERS
EXIMIpIIl A joint ....t r.,ltt.r"
DIYIDED BY
TOTAL HUHSER OF
stIN!YING JOINT [MERS
In thli naaa of the dee_....t and two ather par""..
X lOa . PERCENT TAKABLE
1 DIVIDED BY S (JOINT OWNERS) DIYIDED IY 2 CstlNlVORS) . .161 X 100 .. 16.1% CTAXABLE fDA EACH SURV!VOR)
4. Tha.-ount 'ubjut to tell (11". U II dataralned by .ultJphlng tho account b.IMC. ClI.... 2) by thli parcent taxebl. Ulna !).
5. Ent.r the tat.1 of tho cMbta end dldUctlon. Ilatad In Part 5.
6. TM e.otM1t tlllabl' Ulna 6J It d.taralnad by WbtrectJ"I ttM dttbh and ~tJOtl' C1J,~ !O) Ir"~ tha bCunt aubjact to tu Clln. 4).
7. Entar the approprl.te tax rata Cll.... 7) II d.taralnad below.
A. For dat.. of death occurring .ftar 6/S0/94, the t.ll rat.. for tranaf.r. to .pou... .r. .a follow"
1. net.. of de.th on or .ft.r 711/94 and tMIfara 111195 tho ratl h 5:1:.
z. nat.. of death an or .ftar 1/1/95 tran.f.r, to .pou... wIll be t'Mad at Oll: taM rat..
Hot.. for dat.. of death prior to 711/94 trM.fan to 'POU'" ara ....bl. at n.
I. Tr."af.r. to l1".al daacandMh JnclucUng father, ~thar, .on, daught.r, grandchildren, .oneJnel...,
d.ughtar-In-l..., atapchlld end tholr I.aus ara t'Mabla at alx parcent C6:1:).
C. TrM.fara to all athlir. InclUding brother, .I.t.r, uncia, aunt, nephew end nlac. .r. taxabl. at flft..... parcent (lSXJ.
D. If YOU chango thl ... rat., pl.... .pulfy your ral.Uonlhlp to the decadent In the .r.a provldad.
e. The ~t of talC WI Ulna .) II detaralned by ..1It1phlna the .-aunt tallabl. CII.... 6J by thli t.x nt. ClI.... 1).
CLAIMED DEOUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabla ~abta Bnd ct.ductlanl .r. da"ralnad .. followlI
A. You 1...lly ar. r.apon.lbl. for pav-ant, or thli ..t.t. .ubJact to ~Inlatr.tlon by a par.anal rapr..entatlv. I. Insufflcl....t
to p.y the deductlbl. U....
.. You aotu.lh paid thli dabta .ftar de.th 01 thl decadent and can lurnhh proof of PIYMf'lt.
C. Dabh baing el.IMet Mlat be U..bad fully In Part S. If additional apac. h naadod, us. pleIn papar e 1IZ'" Ie 11". Proof of
plYlllnt ..y be requa.tad bw tho PA Dap.rt.."t of R.v......
"';':" '.',.. ....:'TAXPAYER ASSISTANCE> ....::. ,. ..... '::".. '" ".d ".
,IFVOU NEED FURTHERINFORHATION ORASSISTANCE,CONTACTANV,"",
i.... ,'REGISTER OF WILLS, PA DEPARTMEHT OF REVENUE, DISTRICT OFFICE:>
.:.... OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNITIN.
HARRISBURG, AT C71n 787-8327.: TDD' (17) 772-2252 CHEARING IMPAIREDONLV)
\
.-----....'-..--.... >_.....
.
VERIFIED CLAIM AGAINST ESTATE
STATE OF PA
COUNTY OF CUMBERLAND
Claim Against Estate ofl
WANDA J MILLER
1192 LOWTHER RD
CAMP HILL, PA 17011-7530
SS#I 211-18-3511
DATE OF DEATH 7/26/95
Docket # 21-95-768
Sears, Roebuck and Company
Atlanta Credit Central
P.O. Box 450087
Atlanta, Georgia 31145
Account Number I 06-60255-79259-1
---------------------------------------------------------
Description of Claim
(x) Open Account with Running Balance I $1,324.69
Account Balance I $1,324.69 as of
State of PA
County of CUMBERLAND
I (or We) make oath that above claim is a correct, just and
valid obligation of the estate of WANDA J MILLER , deceased, that
neither the undersigned, nor any other person in my or our behalf
has received payment thereof in whole or part, except as credited
above and no security has been received thereof, except as above
stated. ~
This 3\ day of ~ 19~
~i C,LLQQOI.. mlOo..Qu.~
or Sears, Roebuck a o.
Sworn to and Subscribed before me this
~daYOf~
19~
~~6?~
tlotcny ....Wk. o.llolb County. 0.0..1_
Mot~ne.pI'"""" U.lm
.,
n.....,..."__n ...
>.- .-.~_.__._- ----~
.. ,,_'_ ~.~_ ._.4' _.. ~....... ._,'_ .e_
.J~-'"---.--.('f>.,:y.,~~;J ,'1I~ to. - ,~
{
-.
.
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~.~_....'""~.,~~""--,-~,
~-'-,-".."
~,' -'" .
. , ., ,,"- - -'. .
-,--,~,~-,,"_:-~........._~~~~.~,,-~~-~......<-.:. ..~~.~-'
;:.\ tl"~~.z"ltl; ".,,~,,~
ldn\,*",\,.. f1'l'j\>",
;".. n 1,~~\
'-'':;' ~"~~~\"'_::#
,~~-~'-""-"--,
~--"_.,,,_.,
-.:.-:.-....,-.-
,
~
""'""""",.:,.:".;,
;' :.~
,~"";,::",~;,,,;;,,~::~~~~,,_~~~-'~~~~~_~'li'~i
..,,>-~--, ,;:.' ~~;._..~"::":':;.oi~_;pi;I.~M>8-~: ","~'~
\'.' I....~~~-. '~tt"
. ~f -,_~f\_ C:' 1 t,"\
.It (,.., -.',-. i..';,.-''':'.;
,n<lt\Ld',,-4_'I'
I
i
I
I
i
I
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'I
"
"
,j
J .
.RIIII-l!l48 EX AFP 112-94*
cotMJHWULTH Of' P[NHSYLVAHI&
OEPARTI'IDfT OF RfV[HUE:
1lJt[,W Of INDIVIDUAl TAXES
PEPf. tlDaU
twtRlllURG, Pi 17111-0611
I,:J'~I"/
NOTICE OF INHERITANCE TAX
APPRAISEKENT, ALLOMANCE OR OISALLOMANCE
OF OEDUCTION t..AIIO ASSESSNENT OF TAX ON
JOINTLY woLD OR TRUST ASSETS
-,
L/
DATI! 11-27-95
ESTATE OF MILLER
DATE OF DEATH 07-26-95
COUNTY
CUMBERLAND
WANDA
FILE NO. 21 95-0768
S.S/D.C. NO. 211-18-3511
ACN
95146822
RICHARD E LESHER
1101 YUERDON DR
APT B-5
CAMP HILL PA 17011
REMIT PAYMENT TUI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOUI'It R..l tt..t
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
Ri;;:i54-i-nif-AFji-ri2~94i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-27-95
ESTATE OF MILLER
WANDA
DATE OF DEATH 07-26-95
COUNTY CUMBERLAND
FILE NO. 21 95-0768
TAX RETURN WAS.
S.S/D.C. NO. 211-18-3511
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
95146822
ACN
FINANCIAL INSTITUTION. PNC BANK
ACCOUNT NO.
5140096844
TYPE OF ACCOUNT. () SAVINGS (10 CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06-15-90
Account Ba1anca
Porcant Taxab1a x
Amount Subjoct to Tax
Dobta and Deductions
Taxable Amount
Tex Rete X
Tex Due
3,947.96
0.500
1,973.98
,00
1,973.98
.15
296.10
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
OR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE
10-25-95
DISCOUNT (+)
INTEREST (-)
14.81
RECEIPT
NUMBER
AA082270
AMOUNT PAID
296.10
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. If PAID AfTER THIS DAT~I SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST. .
I If TOTAL DUE IS LESS THAH II, NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REFLECTED AS A "CREDIT" I C~~l YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE Of THIS fORN FOR INSTRUCTIONS. J
310.91
14.81CR
.00
14.81CR
r--
..::!
.~'~ .''''
"-'-
'"
, ,
'.;:
('1'1
N
":;...
'" l~.:
0:
~~":
~:5
00
-...
NDTlc:r:,
To fulfUl the ,...,1,....t. of IMUon 2141 of tM Inherlt__ ... E,t.t. flUe Act, Act II of 1"1. (71 P.I.
hcltlon Z141).
PAYlEHTI
Del.., the top portion of thh Notlc. ... aubIIlt with wour pt.,..,..t to the R....t.,. of NUb ,rlnted on the
river.. deM.
-- .... cMck or ""1 or.,. p.y..l, tal REGISTER or WILLI, ADENT.
All pI)'Mnh rec.lved ah1111 flnt be .,.UIId to MY lnt.,...t .....Ich uy be due, with MV ,....Snder ...U'" to the talC.
RU\ICD eea) I
. nk.nd of . tllC crtldlt, .....Ich WII. not reqwlted on the to raturn, MY be ".qu..led by CHlPllUne .. w"'Untlon
for Aefund of Pennlylvenl. Inherltinel ... E,t,t, r..- CREV-ISlS). Appllcltlon. '1" avell..., It the D"lcI 0'
the Reg1,tl" of "1111, ~y of the 25 Revenue Dl.trSol Df,lc.. or by cIll1ne the .peelel Z4.hou,. In.werl", ..rvlcl
nu.berl 'or fo~. or.r1ngl In Penn'rlv.n.a 1-1".362-2050, aut,.de Pann'Vlv.nl, MIl within 10081
Harrl~rl .,... (717) 7'7-1014, TDD. (717) 77Z-Zt5Z CHearlng 1.,.1,.... Only).
D.~CTJDHS.
Any p."ty In 1nt."..t not ..thU~ .,1tt1 ttMI ..,,".h....t, .UDNWtCa 0" d1..U~ of deduction. 0" ........"t
0' tex (Including dl.count 0" Int."..t) .. IhoNn on thl. Hotlc. "Y object .,Ithln .I.tv C'O) dly. 0' "ece!,t of
ttlh Notiee by.
--.,,,Itten prot,.t to the PA o.p."t.ent 0' A.v~, ao.rd of appe.1., Dept. 211011, Her"IJburl, PA 17111-1021, OR
--.IMltlng to heYe ttMI ..u." det.rIIlned at the MMlIt of thl Kcount of the per.onal nflr.....t.tlv., OR
--.....1 to the Qr~.' Cou"t
AllltIH-
IlmATJY!
CORRECTIONS.
fltClt"ull .r"or, dl.cov.red on thh ........"t Ihould ~ IIddr..,~ In .,rltlng tal PA Dep.rtMnt 0' R...,.....,.,
lur.eu of Individual T...., ATTNI Po,t .....--.nt R...,I... unit, DEPT. ZIO'OI, H.rrlabur" PA 17121-0601
Phone (717) 7'7-6515. S.. p... 5 0' ~ bookl.t "In.t~tlon. 'or Inherlt~. T.x Rlturn 'or. R..ldlnt
Deoadant" CREV-IIII) 'or... IxplanatJon 0' ~lnJ.trltl"'IIY correctabll Irror..
DISCOUNT.
If eny t.x dull 11 paid within thr.. C5J calanet.r ""thl .ft.r ~ dIC~t'. duth, aU..,. perc...t (IX)
dhcOWlt of the tlX paid .. allotted.
IHTlREST.
Intan.t 11 charged baalMlng with flnt day of dlUnquancy, Dr nl". C,) IIDnth. _ one el) eMY
fr_ the data of "\h, to the dlta of pa"'"t. TUII which _... delinquent ba'ora JWlUIry 1, 1911
bur Int.r..t at the rlt. of .Ix C~) ".rc...t per .... c.lcul.t~ .t . dalh r.t. of .DDOI64.
All t.... which bee... delinquent on or .ftlr JMUllry I, 1912 ..UI bMr lnt.rllt .t . nt. whlch ..IU vary fr_
eel....r Y"" to c.l....r y..r ..Ith thllt r.t. annot.ncld by ~ PA DIfItlrtMnt 0' Rlvanua. The .."Uc...l.
lntara.t rlt.. 'or 1912 thrOUGh 1995 .r..
bit Int.r..t Rat. Dallv Int.r..t FMltar
xur
Inhr..t R.t.
Dallv Inter..t '~tar
1911
1915
1914
1915
19"
--Inta,.a.t
ZIX .110541
UX . DD04S1
111 .IUSlI
11X .000156
lOX .010174
I. Cllcul.t~ .. follow..
19'7
1911-1"1
199Z
1991-1""
199.
ox
11%
.%
n
.x
.IOOIu
. DDUDI
.0DDlu
.DDDltI
.IUZu
INTEREST. BALAIlCB OF TAll UNPAID X HUIIIER OF DAYI OELI"QIIEHT X DAILY IIITEIlElIT FACTOR
--Any Notlc. hlUlCl .ftlr the tn bMoaa. d1U"",*,t .,UI r.,htot an Int.r..t Cllcul.Uon to flft.." ns) day.
bewond thra dati af the .........t. If p..,...,t 11 ... aftar thlt Intlr..t cOllputaUon det. IIhown on the
NoUc., .dcUtJonal lnt.nlt ...t be c.lculat~.
.,
() (") :TJ
c . ." "
t~'.
L..;
~,
~
Ll .
~li {/.
.'-- 0>
I'IIIPClR Ill'
NOTlCEr
To fulfill the requlr..-ntl of Section 1140 of the Inherlt~ ~ E,t.t. 'ax Act, Act 21 of 1"1. (71 P.I.
IMtlon 1t4U.
PA'nIENT1
Detech u.. tDP portion of thl. NoUe. Met ___It with your ~t to ..... _......1'" of WUh printed on the
r.ver.. .liM.
.. .... cheok Dr __v onMr ",.11 tOI REOllTER OF WILLI, ACl[NT.
All PIIYMnt, rectllved "'11 Urat a 1IPP1I1MI to mv lnt.r..t which Nit M .., with "')1' r_I..1'" .,..1I1id to the tax.
REfUND (CA)I " r.hnI of . tax credit, ...,11llft .... not r.....t... on the tu r.turn, _It 1M r....t... by ...11.tr... .... -Appllcatlon
for A_fund of Penn'vlv.nll Inherlt~. Md Eltat. rlx" (REV-ISIS). &,plleltlon. '1"" .va.llb!. It the D"1.1 of
the .,,.It.1''' of WIU., wtJ' of the U R..,.,..". Dlstrlat Offlc.. 01'" b, eIIUI", the ....11. U"haur .,....rlng '.rvSo.
~r. for 'or.. orderlnll In Penn.vlv.nJ. 1-"'-361-1050, DUt.l~ PennlYlv.nl. Md w1thln locel
H8l"'rl~r. '1"''' (717) 7.7-1094, TOUI (117) 771-115Z ("--rIng 1.".1"'''' Onlv).
DlJECTlDNlI Any party In Int.nlt not AU.UIMI with tM ..I"'.t......., .Uowmc. Dr dl..Uownc. of dMtuctlan. Dr ........,t
of tu Unaludl". dlHCU\t Dr Int.r..U .. ahDMn an thh HDUn ..V Dbj_t within .bltv (61) dllva of r-.elllpt of
this Notlc. b)'1
--Nrltt~ prot..t to t~ Pi Dep.rt.-nt of A.v~, &o.rd of App..I., Dept. Z111Z1, Harrlaburl, PA 171ZI-l0Zl, DR
--.IMtl". to Mw tlMi ..Uar debnalMd .t tt. Mldlt of t~ IMlCOU1t of tt. penDnllI repr..~t.t1", OR
--.....1 to tlMi OrphM.t Court
ADtUN-
IITRAflY!
toRRI!:CTlONII
'."-1 .rrorl dlsco"r" on thh ........"t Ihould tMi Dddr.... In writing tOI PA o.p...t.-nt of AewnuII,
Bur..., of IncUvlduel Tu.., ATTN. Po.t A.....8Mt Rlvl... Unit, DEPT. Z10601, It.,rlsburl, ,A 17UI-G601
Phone (717) 7'7-6505. S.. p... S of the bookl.t "Inltruotlan. for Jnherlttne. Tax A.turn far. AI.ldlnt
Decldlnt" (REV-1501) for an Ixplanltlon of ~lnl.tr.tIY.l)' correctlbll .rrorl.
DISCOUNT.
If any taw dull 11 p.ld ..Ithln thu. (5) e.l....r -.nthl .fter tt. dec...,t.. "th, I flv. pere~t U:U
dlHCU'lt of U. tu ~Id h IUowed.
IHTERf:JTI
Int.re.t h cher8'ICI bIoIl,.,l". ..lth f1rst day of drdlnquenav, or nlM C9) IIDnthl end one (1) day
fr. the at. of dNth, to the det. of p.,.."t. T.... Which bee-. deUnclUMt before Jlf'lUllry 1, 1.11
bA,. Int.r.at .t the r.t. of .he (U) pereMt per ~ Aloul.ted .t . d1111y ret. of .000164.
AU .... whlah becIM dreUnql.Mnt on or Ift.r J___rv 1, 1'12 .,111 bur 1nt,,.lIt .t . rete Wh1Ch ..Ul VI~ fr.
eel"" v-r to eel",. YMr with thet nt. ennounc. bV t.... PA Oepe,.~t of A.'III'lUe. The appllcabl.
I"t.r..t ,..t.. for l'IZ thrOUGh 1995 .rl'
tilt tnt.r..t Awt. b.llv tnt.r..t FBCtor
~
tnt.r..t R.t.
D.ltv tnt.r..t F.ator
191'
19&3
1914
191.
I,..
--Intarllt
zn: .000541
16X ,000411
llX ,UUD1
l1X .0DOSS6
lOX .DD0l74
II c.lculated .. follow..
1917
1911-1991
.".
1"5-1994
I'"
9X
III
9X
7ll
9X
.UDl47
. DOUOl
.DDDl47
.0DDI92
.ODD147
IIlTERElIT . IALANCll OF TAX UNPAID X /fIIIlBER OF DAYS DELINQUENT X DAILY IIlTEREST FACTOR
--Anv Notlc. lllUId .ft.r the t.. bac~. delinquent will r.fJect '" Int.r..t calcul.tlon to fIfteen (II) day.
beyond the date of the .........,t. If p.,.."t 11 -.eM .ft.r tt. Int.,...t CDlpUt.Uon date shown an the
Hotlc., additional Int.r..t au.t be c.lcul.tid.
- -. ... ~... "," ..,
-----------~--------------------------------------
,
i
~'~'<',':)~:'i~~~~.--::~:;,.t{l,\; :'_'{.:f\~>,-'L'-'<~;J~:~-,r"? .... :. _ - . c-l,:. _-. ..-'
n~~AA:.082!4t", COMMONWEALTH OF PENNSYLVANIA
.. ,."", . .....:... . . ( DEPARTMENT OF RIVENUE
:.~;;~~~.:.;~ . "i. ". "'OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
'*
RECEIVED FROM,
fJ
ACN
ASSESSMENT I!'
CONTROL ...
NUMBER
AMOUNT
RICHARD E LESHER
9151..;5eS7
..4. 11
1101 YVERDON DRIVE APT B 15
CAMP HILL. PA 17011
ESTATE INFORMATION,
1:'1 FILE NUMBER
li1 el-19915-076S
~ NAME OF OECEOENT ILA5TI
I;i MILLER WANDA
II OATE OF PAYMENT
EI P05TMAR OA E
COUNTY
BSN ell-1S-3:511
(FIR51) IMI)
CUMBERLAND
OATE OF OEATH
REGISTER OF WILLS
m TOTAL AMOUNT PAID '4.71
~ CW,
RECEIVED BY (1. ::I~ p~U .
$IGN.c(/J ./ . I /i 7. '
n1.h--".I'.I/"'J-
MARY C. LEWIS U ,
REGISTER OF WILLS
REMARKS
RICHARD E LESHER
SEAL
CHECK" 939
-~-----------------------------------------T---7--
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l7. /.0':
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...~...-- ~ "-'." -----,.
.... .....-_.."'-~ "'-., .
'; ';n:J' . .
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\e
RIo"".d E L..ha.
\ \ 0\ V..n1on Or AP\ 65
Oamp Ilill PI' 110\ \
\
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1,"111".111,"".11"11,"11".11,1,1""1,1,,,111
i'
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t. .\to l~,. '
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: 'f&, ,:"."'. .. ';
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c.. -~. l~'-I'
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",._':"'.' ..._. __4..... _.'
.__.d . . ---__ _
h', ___..,______
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'-..
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~.. ,.."~.".",,,
REV-1541 EX AFP (12-94)*
COtttOHWEALTH OF PEMlSYLVAHIA
DEPARTHEKT OF RfYDIJE
~ DF INDIVIDUAL TAXEI
PEPT. nD6n '
HARAIIIURG, PI 171"-0'01
fOTICE OF IIC1IEIIITAHCE TAX
APPRAIBlKEKT, ALLDMAHCE OR OIBALLDMAMCE
OF OEOU JTIOMD ...A/III ABBEBBIIEHT OF TAX ON
JIINTLY ~LO OR TRUBT ABBETS
DATI! 11-27-95
ESTATE OF HILLER
WANDA
DAlE OF DEATH 07-26-95
caUNTV
CUHBERLAND
FILE NO. 21 95-0768
S.S/D.C. NO. ~11-18-3511
ACN
95146822
RICHARD E LESHER
1101 VUERaaN OR
APT B-5
CAHP HILL PA 17011
REHIT PAYHENT Tal
REGISTER OF WILLS
CUHBERLAND co COURT HOUSE
CARLISLE. PA 17013
"0""\ R..Uhd -.l
I~,,?{I J
CUT ALONG THIS LINE
JBoo:..~!~!~:~N LOWER. PORTION FOR VOURR_El:9.RDS.
~
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. .' '.:: '~:"'< . "? ." ':"-.. .' . ...<' u.:,'" '. ....., .:.;';'\:: .;,',:'.'
.' '.~, :"'" '/":~"":;?'.;"" . "'~{..:. ". "'. --,:'-.';::- "':'." ...'.'--
. ;, ....,:,;.. L __ .' .' '" ,.. .:. ',. ,., '" "'. ..:;';"; ',.': :.' --"'.
, ,,:;: i". ,.-c,;.::,.")..,,~; ..,'
.. .; .' .".. .".~:,:-;: ..'. . ,.:, . --,': '. '
. ,'.'> ..' i ',' ">,.~t" .,' '.' . .
'';'j,,~~~1i;;,,~~ ' .., 'l~~' ::!~~~:, ~,;~'
..:, .,.';:';'> ... ':' .:.,..:-,:,';\:r '... ,,:"";'.'.."...:.; .', .
. .....;--,.:: .:-';--.:.. -- '.-- '" ,;: . "..' ,.:../--'~.::.:::.,. ,':. :''- ,.-,'. .
. .,:.,.' . : '. . . :.!
.- '. '.:,C;;::~ ~~~;i" : '.' ". ..' ; '/'\:' ,.. ;
....,:..:" ..:...:..;'.....'.L~:L~:U:. ."6 I.'," .:,',..':':,:', ....
, . ,..:.' . ... . .:' ... . . .. , --, .:':;;, :., --..
" '. ';. .",;.~;, -. . " 'f:: '.' " ,'.' ...;" .. " - '.'; u.. .
".' , . '.;. "'::,,"" .' " ~:~~" . "~,:\' . :"". '
. ....:. . . .... ;:. :'.':.'. ." ;-.-:" , , . ..,. .".
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, ." , ""f"", . t l
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.' ..: ':>,,,, ": "'u';,;,' :'::...' ,,; .',":,l...., \; y.~ >. !
. ::' .'.:<<><,:', ...... . .. ';. .~, ':;;:~hj~'::~~:;:;~';1 '~, i
,,:: ,c" :: :.c,...-..'.... "-}......-. ':"', ;.... ,', :'. --::. .:..::-..' ':.', . '..:::.":, 'F~:':.:",cv.:: ,'.. '. !
. -- ..... ',.,. .\' ::.. ' . '... ".', -- " ,: ": ....,....... '~.;'...... ~'.:'. .::. . .. . .. . !
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: ",.. ........''"i'>,., ..........:.... . '.'. ,.",., . .:1.' 0' J :
,....,...... --....;.'." ,,' .,:. ...c...,:....... ...c. t.:', .'
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REV-1607 EX AFP (12-95*
CDHttOHWEALTH OF PEtfrCSYlVAHIA
DEPARTHEHT OF AEVENJE
BUREAU OF INDIVIDUAL TAXES
DEPl. ,a06U
HARRISBURG, Pi 17121.0601
ACN 95145287
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 12-18-95
STATE OF MILLER WANDA FILE NO. 21 95-0768
DATE OF DEATH 07-26-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH MITN YOUR TAX
PAYHENT TO THE ADDRESS SHOWN. HAXE CHECK PAYABLE AND REHIT PAYHENT TO. ,
RICHARD E LESHER
1192 LOWTHER RD
CAMP HILL PA 17011
REGISTER OF WILLS
CUHBERLAND CO COURT uaUSE
CARLISLE, PA 17013
AIlOUI'l\ R..llIod
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
iiE"v:i6iii"ix-AFj.--m-=9sY------.iiii-iiiifERiTANcE"TAx-s;'A"fiiiiflif-oF-Accouiif--ii....-----........ -. - - --
ESTATE OF HILLER WANDA FILE NO. 21 95-0768 ACN 95145287 DATI 12-18'95
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHEO
ESTATE. SHOWN BELOW IS A SUHKARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT. 11-13-95
PRINCIPAL TAX DUE.. 94.10
PAYHENTS (TAX CREDITS).
PAYMENT
DATE
10-13-95
11-24-95
RECEIPT
NUHBER
AA082234
AA082347
DISCOUNT C+)
INTEREST C-)
4.71
.00
AHOUNT PAID
94.10
4.71
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST
TOTAL DUE
103.52
9.42CR
.00
9.42CR
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN .1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI,
YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.
() \'
r'
+-)
t.,
PAYttENTI
DetHh U. top portion of thl. Notln MIl ....It tdth your p.ywnt ..s. p.pIII. to the "... Md Mldr...
printed on the rever.. llde.
.. If RUJOOO" DEaDENT ... check or 110MV' order p.pbll tOI REGISTER OF WILLS, AGENT.
__ If NOH-MilDOft' Df:CEDDfT .... check or "'V' order p.vebl. tOI COfttONWEALTH OF PENNSYLVANIA.
AU pa)"MnU r.ulved sheU be ..,11ee1 flr.t to enV' Int.rut WlICh ..v be .. wIth env r_I"'r eppl1ed to the tex.
REFUND (CA)I A refll'Mi of . tex credit, which w.. 110t r~.ted on U. Tmc R.turn, "V' bII r~.ted by cDllpl.tlng en
-application for R.fund of Penn.V'lvenl. J~rltenc. end Elt.t. Tax- (REV. ISIS). Appllc.tlonl .r. ."llebl. .t
the OffiCII of the Rqhbr of IUUI, WlV' of the D Rwenue DistrIct Office. or fr_ the Dep.rt..\t.. 24-hour
.,....rlng ..rvlcl ",..r. for for.. order Ins.. In PIII'InQ!vWlI. 1-IOD-J62-ZOS0, ouUlde ,..",.V'IY.-...
end withIn local "-rrllburl er.. (717) 717.1094, TDD' (717) 771-1t51 (Halrlng 1.,.lred only).
REPLY 101 Due.tlon. rqlrdlnsr .rrors cont.lned on this noUn should M IIddr...Mt tOI PA DeplrtMnt of RevlnM, lurl"
of IndivIdual 1"1', ATTN. Po.t A.....eent Review unit, Dept. 110601, Harrisburg, PA 17121-0601, phone
(717J 711.6505.
11 "V' t.)C w. .. plld within thr.. (S) e.lendar IKM'Ith. .ft.r tt. dec.."t'. d..th, I flYI perunt (SX) dlscOW1t
of the tu peld .. .UCMMd.
DISCOl.tI11
INTERfITI
Interl.t Is chlrged bell,.,lng with flnt dlV' of dellnquencV', or nlntl (,) .onth. Met one (1) dn fr_ the dlt. of
delth, to the d.t. of P'V'IIIl1t. T.... which bK-. delinquent before JW'lUllrV' I, I'az belr Inbn.t .t the rlt. of
.IJC (6Xl percent p.r 8f'I'UI e.lcul.tad et edellV' ntl of .000164. All tax.. which bH_ clllInquent on end .ft.r
Jenu.ry 1, 1911 will b..r Int.r..t .t . r.t. which will virV' froe e.lendlr v..r to e.l~r v..r with that rlt.
~ed by the PA Dep.rtMnt of R.venul. The ..lIe.tl11 Intlr..t r.t.. for 1912 through 1", .nl
Yur Int.r..t Rlt. DIllY Int.r..t F"to,.
Yoa.
Int.,...t Rlt.
o.IIV' Int.,...t Feetor
I'az ..X . DOD541 nil 'X .DOD241
1.U 16% .ODDU' 19&1-1"1 11X .0DnOl
1914 11X . ODOSOl 199. 9% .000241
1'15 UX .0ODS56 199)-1'" n .ODOl.t
19" l'X .000274 1995.1996 9% .000241
"-Int.,...t 1. calcul.ted .. follow'l
INTEREST . BlLAHCE OF TAX UNPAID X NUnBER OF OAYB DELINQUENT X DAILY IIfTEIlElIT FACTOR
.-Any Notle. I.sued .ft.,. the ta. bscDII. delinquent will r.fllOt ., Int.r..t ellcul.tlon to flftlln (15) dlyl
bevond the dete of the .......ent. If p.~t II ... 1ft.,. U. Int.r..t CCMIPUt.Uon dIlte shown on the
Notice, 1dd1tlanel lnt.r..t .u.t be ealcul.tld.
---."- -..,- ..... --..
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REV-1607 EX AFF' (12-95)*
eotIdIIEALTH C11 POeIIYLVAHIA
DEPAATt€HT OF REVEHUf
IlItOU aF INDIVIDUAL TAXEI
DEPT" taGlOl
HARRIIIURG, PA l7lrt~a'Ol
ACN 95145287
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 12-18-95
ESTATE OF HILLER WANDA FILE NO. 21 95-0768
DATE OF DEATH 07-26-95 COUNTY CUHBERLAND
HOTE. TO INSURE P~OPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORM WITH YOUR TAM
PAYHENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHEHT TO. ,
RICHARD E LESHER
1192 LOWTHER RD
CAHP HILL PA 17011
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE. PA 17013
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NUMBER
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RICHARD E LESHER
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1101 VVERDON DRIVE APT B ~
CAMP HILL. PA 17011
ESTATE INfORMATION:
f:II fiLE NUMBER
liI 21-199~-07b8
1:'1 NAME Of DECEDENT (LASTI
iii MILLER WANDA
II DATE Of PAYMENT
EJ POSTMARK DA E
COUNTY
SSN 211-18-3~11
(fIRSTI (Mil
CUMBERLAND
DATE Of PEATH
REMARKS
fa TOTAL AMOUNT PAlO
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CW
RICHARD E LESHER
REGISTER OF WILLS
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MARY C. LEWIS ) ''', '/'
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REV-160? EX AFP 112.95*
tottttOHWEALTH OF PEHHS't'LVAHIA
DEPAJlTHEHT OF RtVDIJE
BUREAU DF INDIVIDUAL TAXES
OUT. 111601
HARRISBURG, PA 171ll-0601
ACN 95146822
%NHER%TANCE TAl:
STATEMENT OF ACCOUNT
DATE 01-08-96
ESTATE OF HILLER WANDA FILE NO. 21 95-0768
DATE OF DEATH 07-26-95 COUNTY CUHBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF TNIS FORH WITH YOUR TAX
PAYNENT TO TNE ADDRESS SHOWN. "AXE CHECK PAYABLE AND RE"IT PAY"ENT 10, "
RICHARD E LESIIER
1101 VUERDaN DR
APT B-5
CAHP HILL PA 17011
REGI;TER OF WILLS
CUHB~RLAND CO COURT HOUSE
CARLISLE, PA 17013
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1101 YVERDDN DRIVE APT B ~
CAMP HILL, PA 17011
ESTATE INfORMATION,
~ FILE NUMBER
U 21-199::1-076B
E1 NAME Of DECEDENT (LAST)
II DATE Of PAYMENT
m POSTMAR
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BBN 211-18-3511
(fiRST) (Mil
DATE Of DEATH
REMARKS
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REGISTER OF WILLS
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REGISTER OF WILLB
.29.62
CW
RICHARD E LEBHER
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SEAL
CHECK" 966
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IN THE CIRCUIT COURT FOR
CUHBERl.AND COUNTY,.ll!.-
IN RE: ESTATE OF
WANDA L. KILLER
PROBATE DIVISION
DECEASED
CASE NO.
21-95-768
DIVISION
STATEMENT OF CLAIM
The undersigned hereby presents for filing against the above estate this statement of elaim and alleges:
(I) The basis of the claim is an open balance on (VISA / MASTERCARD) account number:
MASTERCARD 5441-3100-0207-7401 OPENING DATE 1/22/95
(2) The name and address of the claimant are:
GE Card Services
PO BOX 36957
CANTON,OH 44735
and the nallle lInd address oflhe claimant's agenl or attorney, ifany, are none.
(3) The amounl oflhe claim is $ 441. 62
, which was the amount al time of death.
(4) The claim (is / is not) contingenl or unliquidated, If contingent or unliquidaled, the nature of the
uncertainly is: NOT APPLICABLE
(5) The claim is not secured.
Under penalties of perjury, I declare Ihat I have read the foregoing, and the facts alleged arc true, to the
best of my knowledge and belief.
Executed this
day of
JANUARY
C)C" 19 96
" " '
SECOND
:-;1
x:/~ J anA#fi ;~~
CLAIMS REPRESENTATIVEI' ,,'.
1-800-322-2521 ' .
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Copy mailed 10 111101119 for the
personal representative on
January 2 ,19.!l1l-
By: J~Af j eA'/A7
TOSI 001 COD. IPS ACCT 4301955504252126 CYOL. 08 AaKWr 5203
(I5gUIIl. PRBVIOUS STATJDUDlT) III I II II I I I 1111 I I I I I II I I I I I I I I I I II II I II I I I I II I I I I II
=> HILLER WANDA J' 1,948.10 PAYHNT DUE DATE 09/01/95 CLOSING DATE 08/07/95
TC PDAT TDAT JUCOUllT RIII'IIRDCII .-uJOl1IR IIDCBUlT DBA OITY ST
010S-0707-0707-'- (44.00) 74301425188218840450243 PAYKBHT RIIOIIIVIID yOU.... -
0403 0807 0807 . 23.22 PURCBA8. .I'IMAKOII OBaRa..
0404 0807 0807 . 5.51 CASH ADVA!lO. .I'IMAKO. CHAR
0402 0807 0807 . 15.00 LAT. PAYKKMT CBA
11111111 I 1111111111111111111111111111111111111111111111111 1111111 I 1111111111111
PRIIV BAL 1,785.47 I PURO I'/C 23.22 I O/PUR BAL 1,365.46
PURCBA811 0 .00 I CASH 1'/0 5.51 I O/OSH BAL 333.96
CASH ADV 0 .00 I LATII CBa 15.00 I O/KIS BAL .00
KISO CBa 0 .00 I OVRL 1'1111 .00 I OIADD BAL .00
CRIIDITS 0 .00 I I.S 1'1111 .00 I O/PUR 1'/0 65.27
PAYIl1DlTS 1 44.00 I PUT DU. 44.00 I O/CSH 1'/0 5.51
CURR BAL 1,785.20 I LIMIT 1,800.00 I MI5 PYKT 88.00
< 001 > 01' < 001 >11< 07 / 95 >111111111111111111111111111111111111111111111111
PI'I 5-PRV STKT 6-!lXT STKT 7-BWD PAOli 8-FWD PAOli 10-aIlSTORII PI' KIIYS I'OR TeSI
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Cumberland County Register of WillI
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FOW P3-0. C. DIVISION
IN THE COURT OF COMMON PLEAS
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COUNTy, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE
OF
No.....~.~.:.?~":.Z.~~....... 0(..._"...__.._._.._.
Wanda J. Miller
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(D.......s1
CLAIM
To the Clerk of Orp'~ans' Court Division:
Index and make proper entry in your official reconU DC the claim oC...."...."._.."._..___.
......~.C?y.y.~...!?~IY.~P.~.!!.!...J"!!g..,.,....f.k.~...!?J.\i.<r.Qy,~X...C.<I;r.d...sal:.y.ic.es"....IJll:~..__"..."..."..
, (Cl.lm.all
In the amount oC $.....~.!..~.~.~.:.~.?..........ooo...................all'alnst the estate oC the above named decedent.
Thla clllm Is tiled under Section 732 (b) (2) or the Fiduciaries Act or 1949 as amended.
TM said decedent, who resided at...".....!..1.2.?_..y.!?\'!.!;h~.t....B.9..G\g..............................000..._...............
....~~.~!?...~.~.~.~.!...,~~.....L?.Q.!..1........,......ooo.........,.,.died on .....J.HJ,Y....~.~......J..9.2.:i............"._."".......,...
(Add.....)
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Written notfce oC this claim was given to........IU.9.h~,t..g,..J...~1i\)1~,l:.,.....u'o..1,..,"ty.e.l:dQn..Dr...,
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, Apt B-5, Camp Hill, PA 17011
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tPetlonc1 repreunuUve. It _ay. or counHn
December 12
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19.~.L._... ~ A
~Ali:7,f:....R~i!A.l<J\"~nt for
52~o~th High Street
Columbus, OH 43215
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REV-1607 EX AFP (12-95*
C'CMOMAL TN (II' POIftYLVAHla
lJ[PIJITftDfT Of' R[VDU:
IURtAU DP' INDIVIDUAL TAXEI
DEPT. I.UIl
HARRIIIURO, PA 17111-0'01
ACN 95145287
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 02-12-96
o HILLER WANDA FILE NO. 21 95-0760
DATE OF DEATH 07-26-95 COUNTY CUHBERLAND
NOTE, TO INSURE PIOPER CREDIT TO YOUR ACCOUlIT, SUBI1IT THE UPPU PORTION Of THIS fOIlt WITH YOUR TAM
PAYHENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TO. ,
RICHARD E LESHER
1192 LOW1HER RD
CAHP HILL PA 17011
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
~t R..lttDd
CUT ALONG THIS LINE .. RETAIN LONER PORTION FOR YOUR FILES ....
iil'i=ii."oj-iif-Aj:ji-rri=95Y------..ii-iiiifiiiiTA'iici'"fAic-iiTAfiiiE'HY-OF'-Aifcciriiii--ii..---------------------
ESTATE OF HILLER WANDA FILE NO. 21 95-0768 ACN 95145287 DATE 02-12-96
THIS STATENENT IS PROVIDED TO ADVISE Of THE CURRENT STAlVS Of THE STATED ACN IN THE NAHEO
ESTATE. SHOWN BELOW IS A SUHKlRY Of THE PRINCIPAL TAM OUE, APPLICATION Of ALL PAYHENTS,
THE CURRENT BALANCE, AND, If APPLICABLE. A PROJECTED INTEREST fICURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT, 11-13-95
PRINCIPAL TAX DUE L
94.10
PAYHENTS (TAX CREDITS),
PAYHENT RECEIPT DISCOUNT (+) AHaUNT PAID
DATE NUHBER INTEREST (-)
10-13-95 AA082234 4.71 94.10
11-24-95 AA082347 .00 4.71
01-05-96 AA082478 .00 9.42
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
112.94
18.84CR
.00
18.84CR
. If PAID AfTER THIS DATE, SEE REVERSE
SIDE fOR CALCULATION Of ADDITIONAL INTEREST.
( If TOTAL OUE IS LESS TNAH '1,
NO PAYltENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fOIlt fOR INSTRUCTIONS. I
{"I
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PA't1IDf1'.
Detech thIi top portJan of thJ. Hatlc. ... __It wittt wour ~t ... ,.)fIIbh to the n-. and Ilddn..
printed on the r.ver.. .Ide.
... If REIIDDO' DECEDDfT ... check 0' ..,.~ orde, ,..)fIIbI. to. REGISTER OF WILLS, AGENT.
.... If HOH-RElIDEHT DEaDOfT ... check or ___ order PII_I. tal COtItOHWEALTH OF PENNSYLVANIA.
AU ~tI received "'11 be 1IPP1Ied flrd to WlV Int.red ....Ich ~ be due with MY r_lnellr ...,Ued ta the tax.
RfFUND (CAh A r.f\nI of . tex credit, ....Ich .... not r.....ted an the To R.tum, ..,. be r.....t.. b~ co.plaU,... In
"AppIIC8tlon for A.fund of Pann.vlvenl. Jnhlrlt~ end E.tat. T.." (REV-llll). Application. ar. avalllbl. at
the Dflle. of thII RIGI.t.r of Will., ~ of the ts A.vanua DI.trlct Offlca. or froe the Dap.rt-.nt.. 14-hour
an....rlng ..rvlca nuelMn far far.. a!"'darlnal In PwwtlYlvanla l-IOI-S6I-II5I, outllda P.",...~lvanll
end within IDCIIl Harrhbur. .r.. (717) 717-6194, TDDI (717) 771-USZ ctta...l", 1...lrad anb).
REPLY TDI Qua.tlM. r...rdl", .rron contalnact on thl. notice should be addr..... tal PA Dapv.....t of Ravanue, lur...
of Indlvlul T...., AfTlh Po.t ,....--.t Revl... ltllt, Dept. 11'601, HlIrrh:bur., Pi 17UI-UOl, phone
(717) 717-6505.
OISCOUO'. If any tax due .. plld within thr.. (S) calender eanth. .ft.r U. dltc:.....t.. dAth, I flv. pareant (SX) dhcCU'lt
of the ta. paid I. .llowed.
IHTERfITI Int"..t I. charged bealmlna wlttt flr.t dliv of dal1nquanc~, Dr nlna (t) IIOrlth. end ana ClJ del' 'roe thl data 0'
death, tD the data of p'vwent. TIM.. which bee... delinquent bafor. Janu.rv 1, I'll ba.r Int.r..t .t the r.t. of
.he ('le) ,..rcant par ItftM c.lcul.ted U . .Ib rat. of .000IM. All t.... whld1 He... delinquent on end .fhr
J~rw 1, 19.2 will ~r Int.r..t at . rete which will v.ry 'roe cal~r vear to c.l~r vear with that r.t.
lf1nCMftCed bl' the PA o.p.rtaant of R.v.... 11M appllcabl. Int.r..t nt.. for 19., thrDUlltl 1996 .rll
y..r Int.rad A.t. Dall~ Int.r..t Factor y.., Inhr." A.t. D.II~ Int.r..t Factor
nn 20X .ODD54I 1917 tX .000147
1915 lOX ....U. 1"'.1"1 llX .nosOl
1914 IlX .nun '''2 tX .000147
1". In .110556 1"'-1"" 7lC .0OOln
1914 lOX .000174 1"5-1'" tx .nU47
..Int.r..t I. calculated .. fallCMI"
Itr.EREIIT . BALAHCE OF TAX UNPAID X NUKBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
.-ARl' Notle. 1.1UId .ft.r the t.. bee.... delinquent will r.fl..t an Int.r..t ealcul.tlan to fifteen (15) dlv.
bevand the data of the .........t. If JlQ'llllnt II ... .ft.r the Int.raet c-.utaUan data Ihawn an the
Hatlce, additional Int.r..t au.t be c.lculatad.
',)
PAYMEHTI
htlKh the tap portlon of thla HDtle. and __.t ..lth' ~ ~t .... ,.wMll. to 1M __ MIl Ildd.....
print.. on the .-.v.r.. ....
If RESIDENT DECEDENT ..... cMck 0.. ~v 0"'" '-"1. tol IEGISTER OF WILLS, AGENT.
If _-RESIIlfNT IlECEIlOIT _........ or _ ordor _I. to. ~EALTH OF PE_VLVlNIl.
An ~t. .--lved __U bII ...U. f1...t to '"" 1nt.....t whlctt .., bII dull ..Ith MY r_I"" ...u. to the tax.
REF1.IGI ttA)1 A nfund of . tax c....lt, which .... not r....t.. on 1M TIX ..turn, -v bII ..-.u..t... bV ~l.tl"' ..
~Appl1c.tlan '0.. A.fund of Pennlvlv.nl. InhI..ltence MIl E.t.t. T..~ (REV.1'IS). Appl1cetlon. .r. IVIllebl. .t
the Offl-=- of the Aeel.t.r 0' WIU., MY of the D Aevw.M abtrlct D"1~. or 'rOIl the Oopw'-'t'. 24~hour
.....,.rlng ..rvle. nueblr. 'or 'or.. order1ngl In PamtYlv.nl. 1.IDD.36Z.lDsa, out.lo. PImQlv.nla
and ..lthln loca. "-rrllbura .r.. (717) 717.1094, fDDI (717) 71Z.ZZSl (Heerlng 1.,.lr.o onlr).
REPLV TDI
DurI.t1on. raprdlng arran cont.lned on thh noli-=- Ihould be addr... tal PA Dlparbwit of AIVInUI, Bur....
of Inll1..,I". Tax.., ATTNI Poll A.....-ent A...,I... \Mlt, Dept. zaa6l., Harrllburg, PA 17111.D6II, phone
(717) 7I7.6S05.
If Mr tax dull .. paid ..Ithln thr.. (S) at...r IOf'IttI. .fter the dlcedlnt'. duth, . five perC8nt (5%) dlKDWIt
of 1M tax p.ld .. .llowed.
I
DISCOtIfTI
IKfEA(STc
Int.....t h charglld beDlmlna ..lth first dlr of dellnquencr, or nlM (9) Mlnth. end .,. (I) der fnNI the dIIt. 0'
dMttI, to tM dIIt. of p.yeent. TUII which bee.. dtllInquent IMfor. Jsnuarr I, 1911 belr Int.r..t at thI rI\I of
.hI (6~n perelnt per IMUI calcul.ted .t . dIIlh rlt. of .DDnM. All tUII which becIH deUnquent on end .,t.r
Januarr I, nil NIlI bur Int.ra.t .t . r.ta which ..Ill ..,.,., frOll c.lencMr year to calendar rAr with that rat.
~Id br the PA Oep.r~t of A...,~. ~ DPPIIClbI. lnt.r..t r.t.. 'or 191Z through I'" .rll
Voor Int.r..t R.t. DIlly Int.r'lt F~tor Voor Int.r..t A.t. Dlllw Int.r'lt Feotor
1982 ..X .DO(lS4I 1917 OX . DODl47
1915 lOX .OODO. 199-I"1 IIX .aonOl
I'M IIX .aDOnl 1"2 OX .DOOZ47
1915 In .0ODS56 1"5-1"" n .aOO19Z
.... lOX .DOU74 1"5-1"' tX .DODZ47
....In\lr..t J. ca1cul.ted .. foil......
IIfTEIIEIIT . BALAHCE OF TAX UNPAID X IlUIlIlER OF DUB DELINQUENT X DAILY IIlTEIlEIIT FACTOR
--Anr Notlc. I.~ .ft.r the tex bee.... delinquent ..Ill r.fl..t In Int.r..t e.lcul.tlan to flftlOn (15) dav.
bllyond the date of the ........,t. If ~t I. .... .ft.r \hi Int.....t COIPUt.Uon ..t. Ihowl on tt.
Notle., ~ltlDnlI lnt.r..t "'It be c.lcul.ted.
.... "0 ._.... ~ .... _ ..
,
.
" ~
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REY-16D? EX AFP (12-95) *'
_LTH Ill' _LYAHIA "
IIfpAll'-T Ill' IlEYEJU
........ Ill' IHDIYllIUAL TAlCEI
GOT. 111611
HARRlllURG, PA 171"."11
INHERITANCE TAX
STATEMENT OF ACCOUNT
ACH 95145287
OAT! 02-12-96
ESTAT! OF MILLER WANDA FILE NO. 21 95-0768
OAT! OF DEATH 07-26-95 COUNTY CUMBERLAND
/fOTE I TO INSURE FIOPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UFFER I'ORTIOIl OF TNLI FOIlll IIITH YOUIt TAX
FAYIlENT TO THE ADDRESS !iHDIIN. ItAKE CHECl( PAYABLE lHD REHIT PAYIlENT TO. ,
RICHARD E LESHER
1~, lfO~fHtlWRl!f A A
/lM~I:'" Vl/ltIVi7all
REGISTr:R OF WILLS
CUMBERI.AND CO COURT HOUSE
CARLISLE. PA 17013
I ~t R..lttDd
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CUT ALONG THIS LINE
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NUMBER
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RICHARD E LESHER
1101 YVERDON DRIVE APT a 3
CAMP HILL, PA 17011
'i'::I14::1E!87
SSN 211-18-3311
(fiRST) (1.111
(lAST)
DATE Of DEATH
REMARKS
m TOTAL AMOUNT PAID
.18.84
CW
RICHARD E LESHER
SEAL
CHECK.. 980
RECEIVED BY
. I l .,.(. ~"
SlONAJUlf
REGISTER OF WILLS
MARY C. LEWI8
REGISTER OF WILLS
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_Lllt Of _LYAll"
DfJIAII11IEHT . REVDI.IE
IUtUU 01' INDJVIDUAL TAXEI
IEPr. IIUIl
HAMIUURO,,. 1711'-0601
ACN 95146822
INHERITANCE TAX
STATEMENT OF ACCOUN'r
DATE 02-12-96
ESTATI OF HILLER WANDA FILE NO. 21 95-0768
DATE OF DEATH 07-26-95 COUNTY CUHBERLAND
NOTE. TO INSURE PIOPER CREDIT TO ~OUR ACCOUNT, SUllltIT THE UPPER PORTION OF THIll FORlt WITH ~OUR TAX
PAYMENT TO THE ADDRESS SHOIIN. IWCE CHECK PAYABLE AHD RENIT PAYMENT TO. ,
RICHARD E LESHER
1101 VUERDON DR
APT B-5
CAHP HILL P~ 17011
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AIoount R..UtH
.'i' '1', .z?-
CUT ALONG THiS LINE ~ IU!TAIN LOWER PORTION FOR YOUR FXLllS ~
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ACN 95146822
REV-1607 EX AFP 112095*
[OMQNW[AUtf or PENNSYlVANIA
DCPlRIHlHI Of' RtytNU[
IURUU Of' INDIVIDUAL tun
DOl. rao...
HARRIIIURa, Pi 111'1-'611
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 03-11-96
HILLER WANDA FILE NO. 21 95-0768
DATE OF DEATH 07-26-95 COUNTY CUHBERLANO
HOTE' TD INSURE ~RO~ER CREDIT TO YOUR ACCOUNT. SUBNIT THE U~~ER ~ORTlON Of THIS fORII MITH YOUR TAX
~AYNENT TO THE ADDRESS SHOWN. NAKE CHECK ~AYABLE AND RENIT ~AYNENT TO' ,
RICHARD E LESHER
1101 YUERDaN DR
APT B-5
CAHP HILL PA 17011
REGIS1ER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.aunt R..Hted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILEB ~
iiEV:Uiifj-iif-Af'p--m-:9iij---n-.itii-iNHiiiiTANCrTAX"si'iifiiiEIWif,;-AifcouN"fnii..m-----------m-m
ESTATE OF HILLER WANDA FILE NO.21 95-0768 ACN 95146822 DATE 03-11-96
THIS STATENENT IS ~ROVIDEO TO ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NANEO
ESTATE. SHOWN BELOW IS A SUNNARY Of THE ~RINCI~AL TAX DUE, A~~LICATIDN Of ALL ~AYNENTS,
THE CURRENT BALANCE. AND. IF A~~LICABLE. A ~ROJECTEO INTEREST fIOURE.
DAlE OF LAST ASSESSHENT OR RECORD ADJUSTHEN1, 11-20-95
PRINCIPAL TAX DUE, 296.10
PAYHENTS (TAX CREDITS),
PAYHENT
DATE
10-25-95
12-05-95
01-25-96
02-22-96
RECEIPT
NUHBER
AA08227a
AA082376
AA082550
AA112543
DISCOUNT (+)
INTEREST (-)
14.81
.00
.00
.00
AHOUNT PAl D
296. 10
14.81
29.62
59.24
}I_.'
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
414.58
118.48CR
.00
118.48CR
. If ~AIO AfTER THIS DATE, SEE REVERSE
SIDE fDR CALCULATIDN Of ADDITIONAL INTEREST.
If TOTAL DUE IS LESS THAN .1.
NO ~AYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" eeR),
YOU NAY BE DUE A REfUHO. SEE REVERSE SIDE Df THIS fORN fDR INSTRUCTIOHS. J
PAVttEHr,
Detlch tM top portion of thh HoUu and lue.1t with your Plw.ant .adl p'ubl. to the n... IInd addrl"
prlnt'd ~ the r.v.r.. slda.
If RfSIDEHr DECEDCHr ...... ch.ck or eonew ord.r paw_I. tol REGISTER OF WILLS, AGENT.
If NO.H'EIJDCHT DCtEDE'HT .ak. check 0,. ItOMw ord'r p'wlllll. tOI COttttONWEALTH OF PENNSYLVANIA.
All ,aweent. r,c.lv.d shall b. appll.d flr.t to '"w lnt.r..t whiCh "W be due wIth any r...lnder appllad to the t...
REFUND (CAlr , r.fund of . t'M cr'dlt, whIch .... not r.que.t'd on the T.. R.turn, "W bl r.qu..t.d bw co~l.tlng an
"&PPllc.tI~ for A.fund of Penn.ylv.nl. Inh.rUane. and Est.t. r.... IAEy..nUl. Appllc.tlon..... 'V,Uabl. .t
the OfficI of the R.gl.t.r of Will., anw of the 2S R.v.nul Dl.trlct Dfflc.. or frol the D,p.rt.ant'. 2.-hour
an.varlng ..rvlc. nuab.r. for for.. ord.rlngl In Penn.wlvanla 1-800"362-2050. out.ld. P.nn'wlvanla
and withIn 10c.1 Harrl.burg .r.. (717) 787-a09., TOOl (717) 772-2252 (H..rlng lap.lr.d onlw).
REPlV rD. Due.tlon. r.g.rdlng .rror. contaln'd ~ thl. notlc. ,hould b. .ddr....d tal P' DIPart.ant of R'V.nul, lurllU
of IndivIdual r..... 'rTHI Po.t .......ant R.vl... unit. D'pt. 280601. Harrl.burg. P' 1712'-0601, phon.
(717) 717"6505.
DISCOUNTI If anw ta. due I. p.ld wIthIn thr.. (3) clland.r lonth. .ft.r the d.c.d.nt', d'lth, . flv. p.rclnt C5Xl dl.count
of tha t.. P.ld .. 11Iow.d.
INTEREST I Int.ra.t I. chargld big Inning with flr.t daw of dlllnqulncw, or nlna (9) lonth. and ona CI) daw frol the data of
dllth, to the dlta of plyeent. T.... ~Ich blc"1 dlllnqu.nt bafor. Jenu.rw I, 19'2 b..r Intlr..t at the rat. of
.1. C6~) plrcant p.r annu. cllculatld It . d.IIY r.ta of .000164. All t.... which b,cI.. d.llnqu.nt on end .ft.r
Janu.ry 1, 19.2 wIll b..r lntlr..t .t . r.t. which ..Ill v.ry frol cellnd.r y..r to cIl.nder y.er ..Ith th.t rlt.
announc.d by the PA D.p.rt..nt of Rlv.nul. Thl appllc.bl. Int.ra.t r.ta. for 1982 through 1996 .r"
V..r Int.rllt Aat. D.lly Int"'"t rlctor Y..r Int.r..t Rat. Dally Int.r..t factor
1912 'OX .0005" 1917 n .000U7
1915 l'~ .oooue 1911-1991 lU .000501
I". lU .000501 19fZ OX .000247
1915 U~ .00QJS6 1991-1994 n .000192
1986 In .00027. 1995-1996 OX .OOO2U
--Inter.st II calcul.lId .. followlI
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
.
-.&ny Hotlc. I,.uld .ft.r the taw bacoa.. d.llnqulnt ..111 r.flact an Int.ra.t calcul.tlon to flftaen CIS) day.
beyond the data of the .......ant. If peY..nt I. .ad. aft.r the Intar..t co'putatlon data aho,," on the
Hotlc., additional Inl.r..t ~.t b. calculat.d.
REV-lfo07 EX AFP 112-95*
CO""OHWEAl HI OF P[NNSYlVANIA
OEPARfK[Hf OF REVENUE
BUREAU OF INDIVIDUAL 1._[5 .
OEP'. l106D1
HARRISlUAG. PA 11121.0.01
/'.J r" -/ '/
ACN 95145287
INHERITANCE TAX
STATEMENT OF ACCOUNT
aATE 03-18-96
MILLER WANDA FILE NO. 21 95-0768
07-26-95 COUNTY CUHBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAK
PAYNENT TO THE ADDRESS SHOWN. NAKE CHECK PAVABLE AND RENIT PAYNENT TO. ,
RICHARD E LESHER
1192 LOWTHER RD
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURl HOUSE
CARLISLE. PA 17013
AMount R...Ut.d
CUT ALONG THXS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
iiEY:i60"i"E;{-iiFj:i-mr:9!;"j.-----Milii-iNif€RITA'NCi:nTA;{-S;'A"TiilENT-OF-;.C:couN'i""iiIiM....nnnmmmn
ESTATE OF HILLER WANDA FILE NO. 21 95-0768 ACN 95145287 DATE 03-18-96
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANEO
ESTATE. SHOWN BELOW IS A SUNNARV OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAVNENTS,
THE CURRENT BALANCE, AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 11-13-95
PRINCIPAL TAX DUE, 94.10
PAYHENTS (TAX CREDITS).
PAYMENT RECEIPT DISCOUNT 1+) AMOUNT PAID
DATE NUHBER INTEREST 1 -)
10-13-95 AA082234 4.71 94.10
11-24-95 AA082347 .00 4.71
01-05-96 AA082478 .00 9.42
02-24-96 AA112560 .00 18.84
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN '1,
NO PAYNENT IS REQUIRED.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
131. 78
37,68CR
.00
37.68CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR),
YOU NAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
\.
U_J
J,c'\
(~:.j
"
_"'-' ~'l
<5()
PAVfl[NTI
DIItllCh the tDp ~rt1on 0' thh Notlc. Met .ubllit with wour p'vunt .ad. p.yllbl. to the n... end .ddr...
printed on thl r.ver.. lid..
If REIIDENT DfCtoEHT ... check or ....v ord.r p'vRI. tal REGISTER OF WILLS, AGENT.
If NO'NtflIDEHT D[CmfNT ..... check or .an.v ord.r p.yllbl. tOI C0l1l10NWEALTH OF PENNSVLVANIA.
All p.v-ent. rec.lvld ~II b. ~llld 'Ir.t to InV Int.r'lt which "V b. due with any r...lndlr .,pll.d to the tax.
AtruND (CA). Ar.fund 0' . t.. cr.dlt, which w.. not r'qualtld on the ,.. R.turn, "V b. r.qu..tld bV coaplltlng en
wAppllcltlan far R"und of Penn'vlvanl. Inherltanc. and E.tlt. ,..w (AEV-IS1'). Applications .rl .vlllabl. .t
the 0"Ie. a' the R..I,t,r 0' Wills, anv 0' the ZS Rlvenu. District O'flc" or 'ro. the D.p.rt'ent.s 14-hour
an,w.rlng s.rvlcl hUIbIr. 'or 'or., ord.rlng, In P.nn.vlvanl, 1-100-"2-2D50, out,ld. Penn'rlvanls
and within locII H.rrl.burl 'r.a (717) 717-1094, TDDI (717) 772-1252 (Ha.rlng 1~,lr.d onlv).
REPLY TO. QUI,tlon, r...rdln. .,.,.or. contaln.d on thl, notlcl should b. .ddr....d tal P. D.p.rt.lnt a' Rlvenue, lurlau
of Indlvldu.1 T...., ATTHt Po.t ........nt R.vll" unit, D.pt, 21D601, H.,.,.I.burl, P. 1711'-06Dl, phon.
(717J 717-6501.
DISCOUNT. I' anv tlx dul I. p.ld within th,.., (,) cII'nd,r 'onth, "t.r the dlc'd.ntt, dllth, , 'Iv. p,,,c.nt (5_) dl.count
0' thl tax paid h .1I0wld.
INTEREST. Int.re.t I, ch.,.gld b.glnnlng with ,t,.et dlV of dellnqu.noy, or nine (9) ,onth. ~ one el) d.v 'roe the d,tl 0'
dllth, to the d.t. of p.y.ent, T'M" which b,ol.e d.llnquent b,'or. Janu.ry I, 1911 b'.r Int.,.a.t .t tha rat. of
.1. ('X) percant p.r annua c.lculet.d .t . dilly ,.Ite 0' .000164. All tIM., which blc... d.ltnquent on and .,t.r
Janu.rv I, 1911 wtll b..r Int.,...t It . ,..te which wtll v.rv '''0. cII.nd.r Vllr to cII.ndl,. year with that ,..ta
announc.d bV tha 'A D.p,rt..nt 0' R.v.nul. Thl .ppllclbl. Int.r..t ,.at.. 'or 1912 th,.ough 1996 ,rl,
Y..r Int'r'..t R.te D,11Y Int.,...t 'actor Vur Inter..t Rete D.Uy Int.,...t Facto,.
1912 zolC ,0005'" 1917 'X .000147
191' IU .OOOUI 1911-1991 IIX .000501
1914 IIX .OUlU 1992 'X .OOOZU
1915 UX .0auS6 1991-1994 7X .Oao19!
191' IOle .aaa174 1995-1996 'X .000lU
--Inter..t I, calcul.t.d .. 'olio....
INTEREST . BALAHCE OF TAX UNPAID X NUnBER OF OAYB DELINQUENT X DAILY INTEREST FACTOR
--Anv Notlc. I..uad I,t.r tha tlM beco.., dlllnquent will rlfllct an Int.,...t c.lcul.tlon to ,I't_en CIS) dlY'
b.yand the data 0' the ........nt. I' ply..nt I. .ed. I'te,. the lnt.r..t co.,ut.tlon dlt. .hown on tha
Notlc., I4dlt10f\111 Inter..t .u.t b. celcullt.d.
STATEHENT DATE. 0
ACCOUNT NUHBER
PAYHENT DUE aATE
NEW BALANCE
HINIHUH aUE
AHDUNT ENCLOSED .
/ !'I'V:'
.#.' ,." /, '. II
Il. . 0.." !
'llOflefJ(J{J..
o Qtta HERE I' AOD6lfSS IS INCORRECT. fW[E QiANCtS ON RtYOU lUll'.
11II1II1.1II1111.1I1111111"""IIII1.II,"I,IIII.',111I
ESTATE OF WANDA J HILLER
1192 LOWTHER RD
CAHP HILL PA 17011-7530
J.D27bDJ.sa3
DD7a7bb
002'1500
tf . .,;,,\;<F.~ "; ,':'I.~'''"'
'_..-~:" "".r:", ',,~ ,. ~ - .
DETACH AHa R[TIJAH THE AlOVE PORrtDH WITH YOuR It€HI"AHCE
.", PUN I. " RRUUII CRlIJIT: PUN
,.-(it.r7'"f.;'
DAn:
st_
AU!R!HC% .
DESCRIPTION
NO PURCHAS( ACflVlTV THIS POUOO
.;'=1;~i~:}'P&.AitiOl,;
t'fD,.,... lloSf' ".ADD' " -d" we: SUlTRACT ~ ,TQ.;ARRI'.'!: AT YOUR
.tDCTII'S:UUNC!, PutCHASES; . P1HANaS~. CRlDrrSIAITHS PAYttEHTL HEW ~ '
1.'.66 .00 .DO .ID
711,WI .00 .10 ,..
...
TOTAl.
...
;~ DAlLY
, ',IAUIG '
; PERIODIC. ,., FIMAHc:E AHNlJ.AL-' ';1' . AHOUNT
AAlli .....,CHoIaa PERCEKT~ RA'M. '-PAST IlUIi
KlNltIII,~~
-...'.:
P4'trtEHT
IIUI; DAti
.DD
"'
US.II
Its. II
lUll'"
YDlII ACCOUHT IS SERIOUSLY DE'LlNC:IUfHT. A PAYftEN'
01 TltI ToU,1. AMOUNT DUE wUL PRfYEHT FURTUER ACT1OH.
CAU 1-.11I"755-1177 TODAY TO PWtE AAA'""'fHf"TS.
STATE"EHT DATE I 01/21/06 PACE 1 FOR ACCIll.WT NUItIIER 102760158
NOnCEI sa: RfVOU SID! FOA UtPORTAHT IHFDR"AUDH. PAY IALAHCE n DUE DarE TO AVOID ADDITtDHAL 'IHAHCI! awu:ES.
........r
7.7.606
717.66
J
,
I Cl,,{q .- "~"
N ~~
tIll); '<1'
, SJ.s Q;, (J ,
fF.; ..,8
OCi IQ
"0 "
11)6 ~ ..I..,
'e'm l, C:
('f (9'
0'- ,lj,"t:;:;
;tl \.i Q)
'~ .::.0
-ai E
09
,~ b..__
..
.'
.
~,
',~
-~,
"'-'
v
15-fol- '-I
'/*
COHHONWEALTH OF PENNSYLYANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
BUREAU Of INDIVIDUAL TAKES
INHERITANCE lAX DIVISION
DEPT. lIoua
HARRISBURG, Pi 171'..0601
....111111." 111.11'
RICHARD E LESHER
1101 VUERDaN DR
APT B-5
CAHP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
WANDA
05-29-96
HILLER
07-26-95
21 95-0768
CUHBERLAND
95146822
AIRGunt Ra.Ht.d
HAKE CHECK PAYABLE AND REHIT PAYHENT Tal
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTEI To Inaur. proper credit to your account, aub.lt the upper portion of tht. for. with your taM pay..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE'v:il.iii-iX"JiW-ioi-:9l.Y------..ii-iNHERITANC'E-i'iiif"iii'iifEtiE-tii'-OF-AccciiJiif--iii.---------m---------
ESTATE OF HILLER WANDA FILE NO. 21 95-0768 ACN 95146822 DATE 05-29-96
THIS STATEHENT IS PROVIDED TO ADVISE Df THE CURRENT STATUS Of THE STATED ACN IN THE NAHEO ESTATE. SNOWN BELOW
IS A SUHHARV Of THE PRINCIPAL TAM DUE, APPLICATION Of ALL PAVHENTS, THE CURRENT BALANCE, AND, If APPLICABLE,
A PROJECTED INTEREST fIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTMENT 1 11-20-95
PRINCIPAL TAX DUE 1,______..
296.10
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
RECEIPT
NUMBER
111111 SUMMARY
DISCOUNT (+)
INTEREST (-)
FALL 005 PAYMENTS
14.81
AHOUNT PAID
II II
05-07-96
281.29
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
296.10
.00
.00
.00
. If PAID AfTER THIS DATE, SEE REVERSE
SIDE fOR CALCULATION Of ADDITIONAL INTEREST.
I If TOTAL DUE IS LESS THAN '1,
NO PAVHENT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREOn" (CRI,
YOU HAV BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS.
U"l 5if
'0 ~
m Cl
'.1\0; ~
G: l d
to.? ":...
" ~)
f_' ';5 ,.. ,
- ,
PAVttfHTI
.
",,\
6 tj
~.
o u}
t) ~,
atm" tho
lj!;ln'od on
p.~..nt aad, p.Yable to thl "... and addt...
~
0'
. ~'J
~ parUqG dl thh Notlcl and .~1t '11th your
the rIVlrU~'.
If RElIDENT DECEDENT ..... chick or loney ordu Plyabl' tal REGISTER OF WILLS, AGENT.
If NOH-RESIDENT DECEDENT ..... chIck or .onlV order pIVlbl_ tOI COHHONWEALTH Of PENNSYlVANIA.
All ply,.nt. nulved ,hIll bl IlPpllad flt.t to anv lnt....ut which ..., bl due with MV r...lndu applied to tlMi hie.
REFUND (CA)I A r.fund of . tllC credit, Which .... not r.que.tad on thl T.. Rlturn, "V b, r.~.t.d bV co.,II.I", an
"ApplIcation for R,fund 0' Penn'Ylvanta Inheritance and E.tat, 'IIC" IREY..!1!). ApplicatIon. .t. Ivallabl. .t
thl Offlu 0' thl RIght,r 0' Willi, MY 0' thl U AlvenuII DII',!ct Offlcel or fro. thl D.p.rt..,..t', Z'-hour
an,wlrlng ..rvlcl nuab.r. 'or 'or.. ordering, In pann.vlvanl. 1~100~J6Z~Z050, out.ld. P.nn.ylvsnl.
and within locel Hlrrl.burg .rll (111) 111-109', TDDI (111) 112-2252 (He.rlng lap.lrld only),
AEPLY TD,
Dueltlon. r.glrdlng .rror. cont.lned on thl. not Ie. .hould b. .ddr....d to, PA Dep.rt..nt 0' RIV.nul, lur..u
0' Indlvldull ',x'" ATTH, Po.t A.......nt R.vl.w unit, Dapt. 210601, Hlrrl.bUrg, PA 11121.0601, phone
nl11 "'-6505.
DISCOUNT,
I' anv t.x due I. paid within thr.. (3) clland.r lanth. .,tlr the d'Cldant'. d..th, . 'Iv. plrc.nt (SX) dl.count
0' the t.x p.ld I. .llowed.
PEHALTY,
Tne 15X t.x .-n..ty non-p.rtlclp.tlon panlltv I. coaput.d on thl tot.. of tha t.x and Int.ra.t .......d, and not
p.ld b"or. January II, 1996, the flr.t dev .ftlr the Ind of the tlX .."..ty p.rlod.
IHTEREST I
Int.r..t I. chlrg.d bIg Inning with flr.t d.y of dlllnquencv, Dr nln. C') lonth. and onl Cl1 d.w 'roe the d.t. of
de.th, to thl date 0' pav.ent, T.x.. khlch bICI.. dellnquant bafor. Januarv I, 19'2 be.r Intera.t .t the rlta of
.Ix C6X) plrcant par annua c.lcul.t.d It . dailY rlt. 0' ,000164. All t._a. which b.e... dllinquant on and .'t.r
Januery 1, 19.2 will be.r Inter..t at . r.t. which will very 'roe e.landlr WI.r to calandar V'lr with th.t r.t.
announced by the PA aepart..nt 0' Alvlnue, Th' IPpllc.bl. Int.r..t rlt.. 'or 19.2 through 1996 .r.,
Yllr Int.rut A.t, O.lly Interllt Flctor V.er Int.rut Alta O.lly Inter..t F.ctor
1912 ZOX .000541 1911 OX ,OOU'1
1913 16. .oooua I9I'~1991 11;( ,Danai
I'" II' ,OOnOl 1992 OX .ODDt"
1915 u. ,OOOSS6 1995~199. 7X .ODD1'!
1916 10. ,OOU7. 1995-1996 OX .ODDZO
.-Int.rllt h uleul.t.d II, 'allow.,
INTEREST a BALANCE OF TAX UNPAID X NUnBER OF DAYB DELINQUENT X DAILY INTEREBT FACTOR
.-Any Hotlea l.auld ,'tar the t.x bleo... d.llnquant will rl'lact an Int.r..t c.lcul.tlon to fl,t..n (15) dlY'
b.vond thl dlt. 0' the ........nt. If plya.nt I. .ad. aft.r the Int.r..t eoaputatlon data .hown on the
Notlel, .ddltlonll Int.ra.t au.t b. e.lcullt.d,
PAVftENTI
.
IJ"'\ T5cf
~- Ii=?
0
,!!! - ....
;~~ e: L,: 'i
r- .'
'.1 "5 - 1
\1.
;: l'
._.1 >',
b .~1l
o e.>
OllCC
0:
D.t.ch thti
pr Int.d on
~
,.:.J
~ .~ ~
top POrtl~s;5thh Hotlc. Met .ubelt with
lit
your ply.ant ..d. p.wabll to the n"l end addrl"
t~ rlvlr.1 .Idl.
If REllDENT DE:CEDE:NT ... chtick or aanlW ard.r paYRII tal REGISTER OF WILLS, AGENT.
If NOH-RUIDENT DEaDENT ..... chick or aon.w ordar p.w.bla tOI COHHONWEALTH OF PENNSYLVANIA.
All payalnt. r.c.lvld .hall b. eppllad 'Ir.t to any Int.r..t which ..y ba due with any r...lnd.r .ppll.d to the t...
REfUND ItA), A ,,'und of . t.. credit, which .... not r.que.tld on the Ta. R.turn, "V b. r.qu..t.d bW coaplltlna In
wAppllcatlon 'or R.,und 0' P.nn.v1vanla Jnhlrltene. and EI..t. T..w IREY-ISISI. Applle.tlonl ar. .vlllebl. a'
thl a'fle. 0' the Rlallt.r 0' Will" any of the IS R.venue Dl,trlet a"lc.. or 'rol the D.plrtaant'. Z~-hour
an....rlng ..rvle. nuablr. 'or 'or.. ord.rlngl In P.nn.vlvanl. 1-IOD-S6t-2DSD, out.ld. Pann.ylvanla
end w1t~ln local Iterrhbura tr.. 17171 717-109', TDD' 1711J 77t-U52 lHaerlna J'Pllred onlyJ.
REPLV Tal
DISCOUNT I
PEHAlTVI
JHfERESTI
Dualtlon. r'Glrding .rror. cont.ln.d on thll notlc. should ba .ddr....d tOI PA D.p.rt..nt 0' R.venu., lur.au
of Indlvldull T...., ATTHI Po.t A.......nt R.vl.w Unit, D.pt. 210601, H.rrl.bur., PA 111"-060., phon.
(711) 187-650S.
If any till due Is p.ld within thr.. UJ ul.nd.r .onth. Iftar the d.cad.nt., d..th. . flv. perc'nt CSJU dl.count
0' tha tl. p.ld I. allow.d.
Th. 15X t.. .an..tv non-plrtlclp.tlon p.nlttv I. coaput.d on the totll 0' thl t.. .~d Int.r..t .......d, and not
p.ld ba'or. Janulry I', 1996, thl 'Ir.t d.y Ift.r thl .nd of thl tl. '~I.ty p.rlod.
Jntlr..t I. charg.d b.. InninG ..ith 'Ir.t d.v of d.llnqu.ncv, or nln. (9) lonth. and on. (I) d.y 'rol the d.t. 0'
d..th, to the d.t. of p.y..nt. T.... which b.c... d.llnqu.nt b.for. Janulry I, 1912 b..r Intlr..t .t the rat. 0'
.1. 16~) p.rc'nt p.r .nnua c.lr.ul.t.d at I d.llv r.ta a' .ODDI6~. All t.... which b.c... d.llnqu.nt on end ,'t.r
Janu.rv 1, 1912 will b..r Int.r..t at . r.t. Which will vlry 'rol cII.nd.r y..r to c.l.ndlr y..r with th.t rat.
announc.d by the PA D.p.rt.ant of R.v.nu.. th. .ppllclbl. Int.r..t r.t.. 'or 191Z through 1996 .r'l
V..r Jntullt R.t. D.Uy Intlrllt Factor V..r Int.rllt Rat. D.lh Intarllt Factor
nit ZOX .DOD5U 1911 ,X .DDOZU
.915 I'X .oouse 1911-1991 m .ODUn
...~ \IX .DOUal 1992 n .DOUU
.,,, ISX .DOOIS6 1995.1994 ,X .OOD192
I'" lOX .DOD27~ 1995-1996 ,x .000247
"'Intar..t h calcul.t.d .. '0110""
INTEREST . BALANCE OF TAX UNPAID X NUNDER DF DAYB DELINQUENT X DAILY INTEREST FACTOR ..
--Any Notlc. I..u.d .ft.r the t.. b.co... d.llnqu.nt will r.II.ct an Int.r..t c.lculatlon to flft..n 115J d.y.
b.yond the d.te of the ........nt. I' p.y..nt I. ..d. .,t.r the Int.r..t coaputltlon d.te .hown on the
Hotlc., additional Intarllt ault b. ulcul.t.d.
rr'\
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o ~_l
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roo:
a:
-
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~
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q
-~'t:
oB
"
PAYltENTI
D,tach thl top portion of thl. Hotlcl and .~It with your plv..nt ..d. plVlble to thl n... and addr...
printed on thl rav.r.. IIde.
If RESIDENT DECEDENT .....a chIck or .onlY order plvable tal REGISTER OF WILLS, ACENT.
If Hot..,IESIDEHT DECEDENT ... chick Dr lonlY order Plvabl. tOI COMMONWEALTH OF PENNSYLVANIA.
All ply..nt. nCltvld ,hlU bl ,pplled fir" to any Int.rnt which .ay ba due with any ra..lnd.r applied to the t...
REfUND (CA)I A r.fund of . ta. credit, which "I' not raquI.tad on thl Ta. R.turn, ..v ba raquI.tad by coaplatlng an
"APpllcltlon for R,fund of Plnn'Vlvanta InharltlftCl and E.tata ,.." CREV.IS.'). Application. at. Ivaltabl' at
thl Qfflcl of thl Rlgl.tar of Will., any of thl ZS R.v,nu. Dt.trlct Dfflc.' or fro. the D.part..nt" 2~~hour
en.w.rlng ..rvlc. nuab.ra for for.. ordarlngl In P.nn.~lv.nl. 1-800-562-2050, outtld. Penn.ylvanla
~ within loc.1 H.rrl.burg ara. (717) 787-809_. TOOl (717) 712-2252 CH..rlng lapalrad only),
REPLV lDI ou..tlon. ragardlng .rror. contaln.d on thl' not Ie. .hould b. addr....d to' PA O.parta.nt of R.vanu., aur.au
of Indlvldu.1 lax... ATTNI po.t A.......nt R.vl.w Unit. O.pt. 280601, Herrl.burg, PA 11128-0601. phon.
Uln 787-6505.
DISCOUNT,
If any t.x due It p.ld within thr.. (5) calender .onth. .ft.r the d.c.d.nt'. d..th. a flva p.reant (5~O discount
of the tax paId I. allow.d.
PENALlY I
Th. 15~ tax aan..ty non-p.ttlclp.tlon p.nelty I. co.put.d on the tot.l of the t.x and Int.r..t .......d, end nat
paid b.for. January 18, 1996. tha flr.t d.V afttr the .nd of the tax a.n..tv p.rlod.
INtEREST I
Int.r..t I. chargtd b.glnnlng with flt.t day of d.llnqu.ncy, or nine (9) .onth. end one (II day fro. the data of
daath, to the dati of ply..nt. T.... which bIen. dlllnqu.nt blfora J.nultY I, 1982 bur Int.r..t at the nta of
IIx C6:() Plre.nt p.t aMU. cllculat.d at . delly ntl of .000164. All t.llIt which b.c... d.l1nqulnt on and .ftar
Janu.ry 1. 1982 will b..r lntar..t at . rat. which will very fro. eal.nd.r ya.r to c.landar y..r with that r.t.
announc.d bv the PA D.p.rt..nt of R.vlnul. Thl appllcabl. Int.r..t rat.. for 1982 through 1996 .rl'
.....r Int.r..t RBl. Dally Intar..t Factor .....r Intarllt Rat. DailY Intar..t Fector
au zok .0005U 1987 'X .000247
I'as ..X .0000" aaa~19'1 llX .DOUOI
191_ uk .000SlI 1992 'X .000247
a8S UX .000356 1995-1'94 7X .000192
1986 lOX .000214 1995-1996 'X .000247
."Intarllt I. c.lculat.d .. followtl
INTEREBT a BALANCE OF TAX UNPAID X NUNDER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Anv Notlc. h.u.d .ftar th. tax b.co." delinquent will r.fI.ct .n lnt.r..t ctlcuhtlon to flU..n US) dlY'
b.vond the d.t. of the ........nt. If pay..nt I. .ad. aft.r the Intar..t coaputatlon data .hown on the
Notice. addItional Int.r..t .u.t b. calculat,d.
f"'\ '\":~
.0 ;. "
'!'! ~ "
'I cc () d
.;-..
, , ,- :1
~
',' N
~ "~I
',I ., <' .;,
O-:~ .~~
'tl ~ ~ ,.
'0: Q)
0: 0
"'mENT.
o.'.ch the top portion of 'hi_ NatlCI ~ Iub.lt with your p.y..~t lade p.~abl. to thl n,.. and .odr..,
prl"t~ on the r.v.r.. .Ide.
If RESIDENT DfCEDEHT aaka check Dr .onlY order paYable tOI REGISTER OF WILLS, AGENT.
If NOH-AElIDENT DEctDE:HT uk. chick or aon.y ord.r plvabl. tal CDKHONWEALTH OF PENNSYLVANIA.
All p......." rlclived ....11 be ..,Uad fir.. to any Inte,...t which '.V ba du. with eny ,....Inder applied to tM hlf.
MfUtD (eR), .. ,..'und 0' . tllC credit, which ..e. not r.que_tld on tha.hlC Raturn, '.Y ba ,reque,ted by cOIlpI.Ung ..,
~Appllc.tlon for Refund of P~.vlv..,l. lnh.rlt-nc. ~ E,t... 'IIC" (REY-1SIS). Appllcltlon. It. 1",,_!libl. .t
the afflcl of tM Rqht.r of WUll, MV of thl n A.v~ Dllt"lel OfUc.. or Ira the Depa"tl.,.I', 24"hour
..,.werlna ..rvle. ~r. 'or for.. ordering. In P.nnsvlvanl. 1.100.562.2050, outllda P.nnlvlvanl.
~ within lac. I H.rrllburg ar.. (111l 111.80'4, TDDI (?17l 772.2251 CHa.rlna 1~.lr.d only'.
REPlV TOI aua.tlons rlglrdlng .rrorl contalnad on thll notlca Ihould bl .ddr....d tOI PA Departaant of Ravenue, Burlau
of Individual Tax.., ATTHI Po.t A......ant R.vlaw unit. a.pt. 210601. H.rrllburg, PA 17121.06Dl. Phone
(71n 787.65OS.
DISCOUNTI
If any t.. due II p.ld within thra. (S) cal~dar aontha aft.r the d.c.d.~t'. d.ath, . flv. p.rc.nt (5~) dl.count
of thl tax Plld I, allowad.
PEHAl TV I
Th. 15X tax .-na.tv non.p.rtlclpatlon p.n.ltv II co.putad on the totll of the tax and Int.r..t .......d. and not
Plld b.fora Janulrv 18, 1'96, the flr.t d.y artar tha .nd of tha tlX lan..tv p.rIOd.
INTEREST,
Int.r..t I, chlrg.d blglnnln; with flr.t day of d.llnqu.ncv, or nln. (9) .onthl and ona (I' day fr~ the data of
daath, to the d.ta 0' plVlant. Tax.. which baca.. dallnqu.nt bafor. January 1, 1912 b..r Int.ra.t at the rat. of
.Ix (6~' parc.nt par Innua calcul.t.d .t . d.lly r.t. of .DOOI64. All t.x.. which b.c... d.llnquent on and aft.r
Janu.rv I, 1912 will b.., Int.r.lt at a rata which will vary fro. cal.nda, v.ar to c.landar yaar with that rat.
announcad by thl PA aapart..nt of R.Ylnul. Tha appllCabl. Int.ra.t rat.. far 1982 through 1996 ar.1
V..r Int.r..t R.t. Dalh Inter..t F.ctor Y..r Int.r..t Rlt. D.Ult Int.r..t Factor
1982 ZDX .000548 1917 'X .00Ol47
1915 lOX .00001 1'11.1991 UX .OOUOI
I'" IIX .000501 1992 OX .00Ol47
19I5 UX .000556 1995.1'94 7X .000192
1'16 lOX .00Ol'4 1995.1'96 OX .OOOl47
ulnt.r..t I. c.lculated .. 'ollowlI
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF OAYB DELINQUENT X OAILY INTEREST FACTOR
..Anv Hotlc. I..ued .ft.r the tax b.co... dallnquant will ra'lact an Intara.t calculation to flftaan (IS' day.
blvond tha data of the .......ant. If p.v.ant I. .ad. .ftar the Int.r..t coaputatlon data .hown on thl
Hotlca. IdcUtlonal Int.r..t ....t b. calculated.
,-'-',"* '""-....-..-.. ....-...
,
j
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'~'~""~'::::~:Pc::;!'l:!;i.:_-""~~~~_-",-,,,~~:-;'~~~>f;.\~.r::~'~;J~jt'~,T!'-~;
BUREAU OF INDIVIDUAL TAMES
INHERITANCE TAX DIVISION
DEPT. UD6DI
HARRISIURa, PI 17IZ.~D6DI
COHHONWEALTH OF PENNSYLYANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
.n.u"tll" lll.t..
RICHARD E LESHER
1101 YUERDaN DR
APT B-5
CAHP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
06-17-96
fUllER
07-26-95
21 95-0768
CUMBERLAND
95146822
A.ount Re.itted
WANDA
/<(1:.3'1
HAKE CHECK PAV~8LE AND REHIT PAVHENT
Tal
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE, To In.ur. proper credit to your .ccount, lub.it the upper portion of thil for. with your taM pay.ent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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RECE IVED FROM.
'i'-'M;';';"'~4"~....r,~~'/f".,Nfij""'''4r''''''~''\~''' - 1 ' "S--"~'"'~~' ~ ^'i1!:{....' "'..".... '-'
\c;~.' :"'...;'....i~.:.~:t.'~.fp'.;...P~r.:~'N"'~.'~.iNIA. :~:\;?::l!;,/'.,;':?;::~-:i;"':'.:;'~' -,> ','
~.'n ~ ~N "..~_.y", lOTh . Ii' ." ~ 'W\.~. i
~,~ , .. ~~AIi;.Iil~U<I'-J"J~.' ~'" ,~j,,(.,'i;~-'\;:"'~~_^;<, ;~-i""
vrU..... a,'-'~'.7~~'.<'J";~"~'\'\;: '..; l,.,,>,i-<II". r~~'
"l.imvAii/AiNHDwiNci AND UTATlTAx ,~./~~' \""', t;,) ,
".. 1- . ''n ,
ACN
m ASSESSMENT P:I AMOUNT
II CONTROL I:iI
NUMBER
i
'CXD Hill J
,
j
I
~
,
-~---_._--_._-~~~~~~.~-'~---------~~-~~--
RICHARD E LESHER
'J'Ol<tbtll!e
_l&f.t:tl
1101 YVERDON DRIVE APT B ~
CAMP HILL, PA 17011
ESTATE INfORMATION.
mlNMIE
Ii1 21-1995-0768
E1 NAME Of DECEDENT (LAST)
MILLER WANDA
II DATE Of PAYMENT
EJ POSTMARK
COUNTY
SSN el1-1l3-3:5U
fiRST) (Mil
~
CUMBERLAND
DATE Of DEAlH
REMARKS
m TOTAL AMOUNT PAID
RECEIVED BW~,A~ "
" G ~
MAR V C. Ll{WIS
REGISTER OF WILLS
.14.81
DO
RICHARD E LESHER
SEAL
CHECK" 10a7
REGISTER OF WILLS
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PAYHEHTI
()
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~~_. ':fl "'
r the Hla portec3' thl. Motlc.
printed on t~ ray.r.. .Id..
~ .~lt with your p.y.~t ..d, pavable to thl n... ~ addr...
If RESIDENT DECEDENT lakl chtlck or ItOMY order payabl_ tOI REGISTER OF WIL~S, AGENT.
If NOH-RESIDENT DECEDENT ..... check or IIOn'V ord.r plyllbh tal COKttONWEALTH OF PENNSYLVANIA.
All plYltWlh recllved ilNll ba .,11" first to any Int.,...t which "Y be due with My n..lnd.r .".Ued to tt. ta..
REFUND (CA)I A r.fund of . tax credit, which ..a. not r.que.tad on thl 'IX Rlturn, "Y bl r.~.t'd by co~l.tlna en
~Appl1c.tlon for R.fund 0' Pennayl".,..., Inherltancl and E,ta.e 'I.- (REV-ISIS). applIcations ar. l"lllabl, at
~ OfficI of thl RIlls.a,. of Willi, any of thl ZS Rlvenue Dlltrlct Dfflc.. Dr fr~ thl nap.rt..",", Z4-hour
anlw.rlna ..rvlel ~.r. for for.. ord.rlngl In P.nn.~lv~J. 1-800-362-2050, out.ld. P.nn.~lvenla
~ within local Harrl.burg .r.. (717) 787-8094, TOO. (717) 772-2252 CH..rlng I~rlred onl~).
REPLY TO. aua.tlon. raoal'dlng arror. cont.ln.d 01' thh no tic. .hould b. .ddr....d tal PA D.p.rt..nt of A.v.nu., Bur.M!
a' Individual 'ax.., ATTH. Po.t A......ent Ravlew unit, D.pt. 280601, Harrl.buro, PA 17128-0601, phona
(717) 787-6505.
DlstOUHT r
I' any tax dua I. p.ld within thr.. (5) calandar aonth. aftar the decadant'. da.th, a flva parcent C5~) dl.count
of tha t.x paid I. allowed.
PENALTY.
Tha 15% tax aena.ty non-participation p.nalty I. coaputad an tha total of the t.x and Int.ra.t .......d, and not
p.ld b.fora Janu.ry 18, 1996, tha flr.t day aftar the .nd of the tax aana.ty p.rlad.
INTEREST.
Int.r.at I. ch.ro.d baglnnlng with flrat day of d.llnqu.ncy, or nln. (9) aonth. and on. Cl) da~ fro. 'h. data of
d.ath, to the d.t. af p.y..nt. Taxa. whIch bac..a d.llnqu.nt b.fora Januar~ 1, 1982 b..r Int.ra.t at the r.ta a'
.Ix C6~) p.rcent p.r annul calculat.d at a dally rata af .000164. All tax.. ~hlch b.ca.. dellnquant on end aftar
January 1, 1982 wIll ba.r Intate.t at a tat. which will vary fro. caland.r year to calandar yaar with that r.ta
o announcad by the PA Oepartaent af Ravanua. Th. appllcabla Intara.t rate. far 1982 through 1'96 ara.
Vur Int.ra.t Rat. Dal1~ Intar..t Factor Yaa,. Inta,...t Rata DailY Inte,.a.t Facta,.
1912 ZOX .000548 1987 'X .000!t,7
1985 16X .000438 1988-1991 11% .0003D1
1984 In .000301 1992 'X .000U7
1985 UX .000356 1993-1994 7X .000192
1986 lOX .000274 1995-1996 ox .000247
-"Intere.t I. calculatad a. foUowll
INTEREST = BALANCE OF TAX UNPAID X 'NUnDER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Any Notlca I..u.d aftar the tax b.ca... delinquent will rafl.ct an Intere.t calculation to fl't.en CIS) day.
bayond tha data of the .......ent. If p.y.ent la .ad. .ft.r tha Int.re.t caaput.tlon. data .hown on thl
Notlc., additional Int.r..t ault b. calculat.d.
v
1:5' Go / if
NOTICE OF INHERITANCE TAX
APPRAIBEHENT, ALLOMANCE OR OIBALLOMANCE
OF DEDUCTION_ It AltO ABBESBHENT OF TAX ON
JOINTLY ELD OR TRUBT ABBETB
Cv
REY-1541 EX AFP (12-95*
CQHHOHWEAlTlt OF PENNSYlVANIA
DE:PAATHEHT OF REYE:HUE
BUREAU OF INDIVIDUAL T"XES
DEPT. 210611
lI&JlAIIIURG, Pi 17lZl.UDl
DATE 08-12-96
ESTATE OF MILLER
WANDA
DATE OF DEATH 07-26-95
caUNTV
CUM8ERLAND
FILE NO. 21 95-0768
S.S/D.C. NO. 211-18-3511
ACN
95002691
RICHARD E LESHER
1192 LOWTHER ROAD
CAMP HILL PA 17011
REHIT PAYHENT Tal
REGISTER OF WILLS
CUHBERLAND CO COURl HOUSE
CARLISLE, PA 17013
AMount R..l U.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rirv:isiii-iiC-AFP--iiif:9Si------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 08-12-96
ESTATE OF MILLER
WANDA
DATE OF DEATH 07-26-95
COUNTY
CUHBERLAND
FILE NO. 21 95-0768
TAX RETURN WAS,
S.S/D.C. NO. 211-18-3511
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORHATION
ACN
95002691
FINANCIAL INSTITUTION, HARRIS SAVINGS BANK
ACCOUNT NO.
TRUST/5a-023057
,TYPE OF ACCOUNT, () SAVINGS ( ) CHECKING ( ) TRUST ( ) TIHE CERTIFICATE
DATE ,ESTABLISHED 11-18-94
Account Balance
Percont Taxable X
Amount Subject to Tax
Debts and DeductionB
Taxable Amount
Tax Rate X
Tax Due
.00
1.000
.00
.00
.00
.06
.00
NOTE, TO INSURE PROPER CREDIT TO
VaUR ACCOUNT. SUBHIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAVABLE TO,
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYHENT
DATE
DISCOUNT (+)
IN1EREST (-)
RECEIPT
NUMBER
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. ·
I IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREOn" I CR). YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS. J
.00
.00
.00
.00
1j (/l
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PURPOSE IlF
NOTICE. T. fulfill tho "..lr.....to ., '''Ilon .1.. ., 'h. I....rlt..... ... E...t. Tox A.t, A.. .. ., ."1. IT. P.',
Section 2140).
PAI'ItEHTl Do..." 'ho '" porll.., 0' .h" NoU.. .... ._It .lth ....r ........ ,. tho .....'.r ., Will. .rln'.. .., 'ho
re"er.. llde.
-- Hakl check 0" ""'w a,.ct.,. P.yable tal REGISTER Of' WILLI, ACENT.
All .._to r".lv.. ....11 lira. b. ..,11.. t. .... In'.ru. ...1.. ... b. ""., .lth on. r_l....r ...11.., .. tho ....
REIUlIl IClll. A r.,.... ., . ,.. .r..lt. ...1.. .., no, "qu..t.. .., 'h. ... r.'urn. ... b. r......'.. b. ....I.lln. on "...11..11...
'.r ..,.... ., ........Ivonl. I_rltone. .... E.,.,. T.." I.EN-13111. ...Il..Il.n. .r. .v.II..I. .t tho Offl.. .,
tho ...I,'.r ., Will., .... ., .ho .S ..v..... Ol,'rl., O"I....r b. '..llno tho ....1.1 "-h...r ......rlno ..ru;..
nu.be,.1 fa,. fa,... o,.d."lngl In P,"".YIYlnl. 1".00-562"'050, outllde Penn.ylyanll and within 10cII
HI,.rl.bu,.g 'rl. (717) 7.7..094, TOO. (717) 772"2'52 (Hllrlng l~llrld Only).
OIJECTIONS. An. ..r.. In In'.r... no. '.'1.'1.. .I'h tho ...r.I....n'. .11...... .r .1..11...... ., ..du.'lon. .r ..........
., ... llnol""lno .I..aunt .r In'.r..'l .. .hoon .n 'hi. N,'I.. ... .bj.., .I.hln .;.t. 1'.1 .... ., r...l.t .f
thla HotlcI bWI
--.rltton .r.t.,. ,. tho .A Do..r'..". ., ..v...... ...r. ., A....Io. Oeo'. .1...1. N..."bur.. .A 17121-1..1. OR
."electlng to hi". the altt.,. det.relned .t the audit a' tn. 'ccaunt a' the pe".on.l r.pr..antltl"e, OR
-"""11 to the O,.ph.".' Court
ADltIN-
ISTRATlVE
CORRECTIONS 1
F..'u.1 .rr.r. .I...v.r.. on thl. .......ont .h.ul. b. ...r..... ;n .rltlno ... .A O...r'..n. ., ..v.....
Bureau a' Individual Tlxa., ATTHI Pa.t A......ant Revllw unIt, DEPT. '.0601, H,,.,,l.burg, PA 171'1"0601
PhOM (717) 7.7"6505. S.e plge 3 0' the booklet tolnltructlan. fa,. Inh.rUlnce Tex Return 'a" I Rulde"t
Dece~tto (REv-ISDI) '0,. In explanetlon of ,dalnl.trltlv.lv correct.ble er,.o,...
DISCOUNTI
I' any tax due I. paid within th,.e. (3) c.l.nda,. aonth. aft." the dec.dlnt'. dl.th, . flvl p'rcent (5~)'
dl,count 0' the t.x Plld I. Illowed.
PENAL TVI
Tho 15~ t.. ""'" non-..r.I.I...I.., ..n.l'. I. ....ut.. on tho "'.1 ., tho ,.. ond Int.r.., ......... ... n.'
P.ld b.fo,.1 J~.,.w 18, 1"6, the 'Ir.t d.y "tlr the Ind a' the tax len..tv periOd. Thl. non"plrtlclp.tlon
penllty I. ~.Ilble In the .... Banner and In the the .... tJ.e P.,.Jod I' YOU wouJd ,pp..l the te. and Inter..t
that he. b.en ......Id .. Indlceted on thl. notJc..
INTEREST I
Int.r..t .. CherDItd bagll1rlJng with Urat d.~ of d.UMCIUInCy, or nJn. (,) INH'Ith. and one (I) d.y
froe th. d.t. a' de.th, to the det. 0' p.yeent. T.x.. WhJch b.c... d.IJnquent before Janu.,.w 1, 19.Z
beer tnt.,.ut .t the rete a' .Ix C6X) P'"cant p.r ~ cllculated .t . d.lly rete 0' .ODDI64.
All t.... whl.h ...... ..II...... ... .r .".r Jonu.r. I. .,.. .111 b..r Int.r... .. . r.t. Whl.h .111 v.r. 'roo
ellandl,. ye.,. to cllend.r ~e'r with t~t r.t. announced by the PA Dep.,.t'lftt of R.v6nUl. The ,ppllclbl.
Int.,..et ,..t.. 'or 1", thrOUGh 1996 1"'1
~ Inter..t R.t. D.JI~ Int.r..t F.eto,. ~ Int.re.t R.t. D.lly Int.r..t Fector
1912 ..~ .oa0541 1917 ,~ ..ODD'O
1915 IU .DDOUe 1'....1991 II~ .GaUOI
1'84 II~ .DIUO! 199Z ,~ . Ga12lt7
1915 In .OOD5S6 1995-1994 1~ .OD0192
198' 1O~ .001274 1995-1996 ,~ .DaD'47
.-Int.,...t I. ellcul.tld .. 'olh....1
IIfTEAEST . BALANCE OF TAX UNPAID X NUNBER OF OAYB DELINQUENT X DAILY INTEREST FACTOR
"An. No'1.. I...... .'t.r 'ho ,.. b...... ..11....... .111 r.'I... on In'.r.., ..I.ul..lon t. 'I,..on 1151 ....
beyond the d.t. 0' the .....lMnt. If PIYllwtt It elld. I't." the Int.,.... COllput.Uon det. 'howl on the
Hath., .dc.ltJonel Int.,...t IUn be calcul.ted.