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Home My WebLink About96-00102 ..l.::' ",:;: ,,' '~I ': "",':' '. ~. , ~ t,-' ' ....;, ~ ,", , ..,,' !; '. < ~ \. i,"'/,,',: ':,,~'.'-..'{':. '-'. . H . !~~it." .;c, ".-' :~~:~,;~;, >(:'-'::.... (, ,,' -:~, .', ,'\!'\ .::: ..~:,~~/.::.. :".'/ .~~ ~~..;:.~ .,' ~.,: , . H ~'... ~ .,; . ;~: ~", ", ..:..':! . ~.' '" ,.:-'-' :.". ~r!~~~~~:~"> ,~ .f' Ill" ' . " ;:;.1" '. , "/' 'j .." '.f. :'l'..i ~ -,., ;,-:--i .'.J ';-:'.'. ,'. I.~ .' , ' .. , ,..', .,'. , ~. I" ( -.,.' , ~, .. " '" -,.,--" i_ .....' r' .1.' " ,,' .,; t.' .....' '/.' . '", ....'.. .' ":;.. ).' \,': " '.~' .. ", ~, : . _~...:n ~',: ~ , ~.",; ',' . , -'~ "; " I: i-... 'j' ',',f,,:'- ,~\~ ~. ,.--,;. :.) " , ' ; :".' ~. .- . .j',. ~, . " , .' -' .:'. " .1, ~ " .,.l;<'<:":,~' -;'. /'. ,",;,;. d. <' ;~ ;" .:-:<,;: .,' , '." ~ \' " ,. .,1'. !.'" ( " -. ../> .. , ..:. ':, ',' .", ..;-- ... , " . .', ~ _ ., ~ . '1-' .' -.... .,_ " :','1'- ,,' ,,-' .~ .. ," .~ . \~ -i"",:"/' ," '.';1 ~ . ': -- .( " " !. '.', : '(' ,:;'j CllIIIlIIlIULTlt " I'l*SYLVAllIA IlD'ARTlDT " IlfVDU ..-AU rJI INDIVIDUAL u.x[I DlPT. lIun HAIIJIIURG, Pi .7."."'. *' FILl! NO. 21 -"(~ 'IOC) ACN 95156713 DATI! 12-04-95 TYPE OF ACCOUNT EST, OF RUDY HARX 0 SAVIIIIlS 5,5, NO. 273-03-7699 0 CHlCKllll1 DATE OF DEATIl 08-18-95 IX] TlNST COUNTY CUHBERLAND 0 Clm" R!HIT PAYH!NT AND 'OtHS Tal REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 INFORMATION NOTICE AND TAXPAYER RESPONSE m.I14...."n."1 PATRICIA D ANDERSON 634 ALLEN ST NEW CUHBERLAND PA 17070 . HARRIS SAVINOS lANK hi' provlHd tM o.p.rtHnt with the Infor..tlon JhtN below Wildt he. been u.... In oelau1ettn. ttw . ,.t.,UIl tax dl.M: Their ncordl Indlc... tMt .t the .Ith of the MMt"1 ~..,..t, you veri , Joint OWMrlbeneflollt"l of "'II IOeGUtt. If you ,..1 thl. l,;fo~t1on II Incor,..', ,..... obt.1n ..,IU." correotlon 'rOIl thrI flnwMll.l In.t1tutlDn, ,ttech . ." to thll ,.,. r,d r.t\m' 1t te the -.boY. Itdd,..... Thh ~t h t...,I. In 8Ccord.,u with the JMilr......-ru L... of U. r ....lth .f ,.....,1.,..1.. DUIIIUonl ~'J be "'....rad b'J oaU11'll (717) 7.,-1]17. . . - . COM~I!TI! PART 1 BELOW . . . SEE REVERSI! SIDI! FOR FILING AND PAYNINT INSTRUCTIONS Account No. 04-66-238884 D.t. 04-20-93 . Eohb1hh.d Account leI.".. 100,242,19 P.rcent T8>leb1. X 100.00 AMlunt Subject to T8>l 100,242,19 T8>l R.t. X ,15 Potenth1 T." Du. 15,036,33 PART TAXPAYER RESPONSE [!] J~AX,LUflJ!.F!'9kRI,S"'!mi"X,~,~)~~P~'tlt~~l~~~'.~Iq,(~, To InlUJ'l proper aredlt to )'OUt' oooount, two (2) cOPt.. of th" notice .,.t ." ,... ~t to tho _....tor of UIUI. ........ poyIIbl1 tOI .......t.,. of "lUI, Aeenr. NOTEI If tu: p~tI .,.. .. within thr'eI (5) __tn. of the dIoIldInt., dlte If ....th, you .w decNot , 52 dl-.nt .f tho ta ... An1 I""rlt.,. tax .. will __ .1I"..,t nl". u) __th, Ift.r tho .te .f ..th. [CHECK ] ONE BLOCK ONLY A. 0 The lIbove In'o....Uon end tax duo .. correct. I. You AY choo.. to r..lt p.~t to the _....tor of "UlI with t>>o oopl.. If ttl" notSOI to ....nln e dltcOUnt or avoid Int.r..t, ar you "Y chick box .,- ~ return thl. notlO1 te the RIII.tor If "111. end on offlal.1 .....toent viii be I.~ by tho P' Dopertllnt of RIYIftUI. I, 0 The IlboYI ....t he. bofn or vlll be roported end tu paid wUh tho Pem-rlwnl. 1......1":" 'a return to be f U~ by tM decocs.nt'. ropre....tatl"e. C. f] The 1Ibov. In'orAtlon I~ncorr':t ondJa~t. end dldJctlon. ...... "ld by rout You .....t ~l.t. PAR' l.!.J ondIar PAR' ~ bllov. PART [!] DATE PAID .~ ".,."",,~;~,~<"'I~"'':'''"I' " 1"1- ~~'~~:':';'.,;, tj-";:';\~./..'~/~~':.'j..:..-~:J.~': . ~.l:: . 'T",',',..~,,',~-,:_~", :_~~ W...~i..':'... t,r........~.:;rt,!:"'-.....-l......,.I... -.. .. ,- ' f1i{;(;~A~?,;~,~.~~,,~, :~:uu...: ,:~~..:.:.,:~~:.. l;;"".~-<.~"......,..,.... .', , -"-~, ~~1~t~*,:~.~'[i~~'7:'7;;"T'P"," ~ , . '~'-.";:- .. ,'f-~~. "'-'.G. ...~. ~._.._h~ ~. ....- ~ ~.' ,t.,i;,.~",~~~"",,,,,,,,,", ....~.,. "' {"...., j;;:Ir(...!-_..~~,~~.;.~..:...;.._.~..................._:...... . ....._....~_......_....... ~:~~t~~JJ~;~;~~~':::::': _",:;,','~ .. ~'~~~~"'TI"'.t;.~.",..._.-,.~.,.,...,..."-. ..-. --.' ..q'f-t-o ,.~.; ,:",,-1,~~.4.4.i:':"':':;".~;.:._.~~.........._.:.......~~~ ~,:,,;s;.l;;:rr;l~ PART If you Ind1c.h . dIff.rent .t~lI.t$.. !!1~~ .t.t.~r l!I r.h.Uonlhlp to dec:edentr~_ __ 12Q~_ TAX RETURN - CO"PUTAT~DN OF TAX ON JOINT/TRUST ACCDv~S LINE 1, D.t. E.tob11.h.d 1 Z. Account aelenee 2 3. ".rcMt TaMable S ~.. 4. Aeount Subj.ct to T." 4 5. Debt. end Deduction. 5- 6, Aeount T..ob1. 6 7, Tex R.t. 7 e. T8>l Due e PAYEE DESCRIPTION AMOUNT PAID I I I. I TOTAL CEnhr on Lln. 5 of T8>l ~hUonl . Under pena1tl.. of p.rjury, I dee1.r. th.t the feet. I hey. reported ebov. ere true, correot end ~ . ; t~ i~' }.t. to the ,b..t/f .y know1t. end beU.f. HOME (7<:17:) T7:/~ -()~777:., '!,'lLP , :~~, Ll) ~,{'.,(b/ldt'4" WORK ( ,_ _) _ _!..~l.4'&., Ii. I, T ~URE ' TELEPHON UHB R ~TEI I I GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN bFFICIAL TAX ASSESSIlEHT with _11....1. Int....t bo.... on In_tJon ....lttecl bv the flMnClJal Institution. 1:. Inhlrlt.,ce tax ~. dtUnquent "1M Mnthl afta,. the decedent" At. of elMth. S. A joint Keount It tuabh Iyen though the decedent" MM .... lidded II . .Uar of convenlenoe. 4. Aocou'ltl ctnolucUng tho.. htld betvMn hulbWld end ..If,) which the decedent put In Jalnt n... Idthln one )'Mr prior to dl.th .r. fully t..-bl, II tr~.f.r.. oS. Accovttl utlblhMd Jolntb betvMn hJlNnd ...t ..,,_ .r. tNn OM YMr p,lol" to ....th era not tanbla. ,. AocoYntl hl1d bv . _Men, "In tru.t fa,." _tIM, or otNrI ara tl.Mll, fulh. '.' REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. ILOCK'" If the Infor..tJon Mid co.puhtlon In the notlc. ara corr"' .. deductions ara not bel"" 0111...., '1_ ., "'X'" 1n block "I." 0' PIlrt 1 of the "laxpar.r R..pon.... 'HUon. II.,. hfo copl.. Met ilYMlt u... with YOW' chedr. .... U. ~t of tax to the R..lIta, o. W111, of the CCU\ty Indlutltd. the p, Oep.r~t of AMI'''' ..Ill III"" ., offlota1 .........t (,.,.. MY-iS"l DU l4*'I nell,t of th4I nturn frO! the ...I,b" of NUh. Z. Iloat... If the ....t 'PMlfled on this notice tI.. bftn or ..111 tM rliPQrtlld Met tax ,.Id ..lth u. '-"-'nlnnl. IrIw'lt8noe .,. Ta)cR.turn f1111d by the _lIdent'. r.,r....,t.tl"., plK' en "X"' In block ... of Part 1 of the "TupQ'It' hlll'On"- ..Uon, II., capy end return to the PA DepartMnt of RIVIftUI, lurl'" of Indlvlul Tax.l, DeIIt 110611, ...rr......., PA 17U.."11 in the. enwlope pravlded. . I - ... " J. IlOCK C . If tM notlc. InforAtlon h IncorrlOt endIor declIotlonl ar. ~Ing d.b"d, ClMek blaok -c- ... ...ag Pvt, Z end S "~rdlnu t:. U.. In.trudlor.l blICM. :1s;n two coph. and ~It thee with your cMok Itr tn. ~t 0' .b)c paydlla to tM h.httr" of wnll of the COWlt)' Indlcatlld. The PA DlplrtMnt of Rava:nue ..111 l..u. en off101.1 .........t ('OMl ..,.,1541 D) &.- ~lIt of the return frOll the Reaht.r of Willi. - -t-.. : TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enbr the d.t. the KCCK.rlt orlglnl1l1 .... ..t.tJlllhed or tlUIId In the -..r .xI.tlnt .t dab 0' ..th. HOTE~ For. dKedent dying .ft.r lUIZ/1l1 AccCK.rIt. which tM decedent put In jo1nt ..... within OM (I) )'MI" 0' ...th ... t..lbl. fully.. trenlfan. Howvar, thera h en ..elution not to ..cMd n,OID per tr.,.farM r..-rdl... of thI value .f the'KCOU'\t or the nuablr of KCOU'tb held. " "': I If . daubl. ..t.rlak (MM) appear. ~for. )'our flr.t ~ In the Iddr... portion 0' thl. notice, the '5,... ...luelln .Ira~ h.. bun daduotlld frOll tM KCCK.rIt bllWICI ... reportlld b)' tM finInGla. lnltltutlon. Z. Enter tM tot'l bllMe' of the KCCM.nt lnclucUng lntar..t accrued to the data 0' _th. J. The percent of tM KCOU"It thIIt 11 t"Mlla for .Ith survivor h dltat'lllnad .. '011""1 A. The perCMt t..lbla for joint ....ts IIt.tJIlIhed-.r. than h reer prior to tho deo8dant'a elMttu ", 1 DIVlllCl IY TDTAl IUlIER llI' . DIVIDED IY TDTAl IUatR '" X III . POIaIlT TAlWll JOINT OWHDS SlINIVIHO JOINT OWNERS tn.pll1 A joint ....t r.....t.rlld In the nMI of the decadant and two other ,.rlCll"l'. 1 DIVIDCJ IV S (JOINT OWNERS) DIVIDED IV Z (1UNIVIIIS) . .167 K la1 . 1'.7% (TAWLE fell: EACH SlItYt8) I. The percent t..lbl. for ....ts cr..teet ..lthln OM VNr of the decedant'. del'" or eccGW\t, ..... by the dooodant but Mid In tru.t for another IndlvlctuaU.) Urult.boneflolarl..h . I DIVIDED IY fDTAl HUKlEA DF SURVIVING JOINT OWNERS OIl TRUST IOIUICURI[S K 100 . PERCENT TAXAIl! . Ex..,I.. Joint KCCKont r...htarlld In the n-. of the decedent Ind two other ,.rlCll"ll Met .,bbllll'wd ..Ithln 1M veer of elMttI the decedent. I DIVIDED IY Z lSURVIVORS) . .51 X 101 " SOX IT....lE FDA lAtH SURVIVOR) 4. The ~t IYbjaot to tax (l1ne 4) 1. det.ralnad by MllthlJlvlng the IIGCCK.I1t bel... Ulne I) by the PlrCla'tt ......1. (-l1ne J), ,. Entar u-.. total of the d.tJtJ and dacMlUan, 11.ted 1n P.rt J. ,. The ~t tu.tJla U1M 6) h dat.r_lnad by tubtraoUng thl debt. ww:t dIdJoUonl nine S) frcMI tho ~t "jeot ta tax Ul,. 4). 7. Enter the approprl.t. tax r.tl (l1ne 7) ., dltaralnad btlla-.. . A. For dat.. of de.th occurring after "SO/94, the t.. (ata. for tran.f.rs to IPOU'" .re II fOI~" I 1. Det.. of de.th on or .ft.r 711194 ~tMfor. I/lIf, the ret. 1. 3X. }; I t'1 I c"''- ... I. Detll 0' dMth on or ,fter 1/1191 tr.f." to ,""HI ..U1 be wild .t OX ta ret......... I""''-Iv. -, ""U I Not.1 For dat.. of-death ,rlor to 7/1/94. trar'f.r. to '~I.I .r. taxobI..t~. I. Tren.far. to IIneal de,c~tJ lnolucU", father, ..ther, JOn, dallhter, Ir..-.clcftUann, eon.ln"I.., ..~ __ter.ln..l..., .t~Ud and the1r III'" are t..lbl. .t ,Ix perc....t (6%). , ,~; Tran,'.r. to all 'other. lnoludlng brother, 11.t.r, unci., aunt, nephew end nlace era taxabla .t fl,teen paroent (15X). _ -' D. If you change the tax rat., pl.... IPMtfy )'our ral,tlonlhlp to the dacHlnt In the ar.. provided, I." The ......t of to. due Ulna I) 11 detera'!-d by Mlltlpblnt the....,t tanbl. Ulna" b)' the tax rat. Ulna 7), II CLAIMED DEDUCTIONS - PART 3 'I' : _: AIIOV1lbI. dabtl and deduotlon. ar. d.tlrelned II followl. A. You 1....lIv .ra ralpon,lbl. for ,aYMl"lt, or the IIbta tubjKt to acillnhtratlon by . "rlOMl r.r......tatlw h lnlUfflo1",t to p.V the dllductlbll It_.. I. You Ktutll1 p.ld 'the hilt. after de.th of thl decedent Ind can furn1lh proof 0' peyaent. c. . DabtJ baing ol.IHCt ....t ba 1t_lalld fulh In Part S. If Iddltlonol JpICe 1. noradalII, UN ,hln ,.,.,. I l/r' . 11-, "..,., p."",t H)' btI requa.tlMl b)' the PA DIp,rt.."t of A.venue. DEBTS AND DEDUCTIONS CLAIMED , t;:;;;;;; .".,."...'"...;'i~,.~t;u..';'~~~~\~Wif"~~h'}f:o\V~i~9~~OSltA'fsEi;:,.lit;.""i;ij'#' 1,\.,'..,', !,.,','[,,',...,'... i,:i",.,;...,...,.{,., ,,}"RE9,UT,.", R'.'.O. F,..,.W, ILLS, '~'<PA,"'>>,EPARlH".' EHti",~,.OF",.REV, EMU'" $.>>,1 ", ' .t,tt/':ORCALL THEIUReAUOF'lNlllVIDUAL.({;l'AXJiS~~",rl\XJW/.E~~ ~U" jl H:h"H~RRl~~~RG AT(71VIB7"lIa~?Hm}TDD.~tJ.;1)Jimf.~.t~~~;'K ,~, "".., " ,-,LTIt 01' I'[MGYLVAHU IlD'AIlTIOT 01' RlVOU auouu 01' TNDIVIDUAL TAlIt' D[PT. 110601 HARllllURO, Pi 17111-"11 '* FILE NO. 21'< 1(' /.:>;) ACN 95156714 DATE 12-04-95 TVPE OF ACCOUNT EST, OF RUDV HARX 0 SAVItm 5,5. NO, 273-03-7699 0 CHECKING DATE OF DEATH 08-18-95 00 TIlIIST COUNTY CUHBERLAND 0 CUTIF, RE"IT PAYHENT AHO fORKS TOI REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 INFORMATION NOTICE AND TAXPAYER RESPONSE Uf.1M'II ,,, "-"1 PATRICIA D ANDERSON 634 ALLEN ST NEW CUHBERLAND PA 17070 HARRIS SAVItm IAIIK hot .r..I'" IhI lloP.rl_I .lth IhI Inf.r_IIon III.ed ..I.. ..I'" hot -- u.ed In ..loul.lI"" .hI po'onll.L lox duo, Thllr r...rd' Indl..I. IhOI .1 IhI ....h ., IhI abOv. ......,.. .ou ..r. . j.lnl owner/....fl.l.r. .f Ihl. ...ounl. If .ou ,..1 thl. In,.roollon I. Inc.rr..I. .,.... obl.ln .rlllon ..rr..Ilon 'roo Iho 'Inoncl.1 In.IIIullon. .IIoch . .... I. thl. f.r. ond ..Nrn 11 I. Iho _ odd..'" Thll ...ounl 10 1....1. In ....rd..... .Ith Iho l....rll..... To. L..' .f IhI C_.1th ., ._nlvonl.. Que,tlon, .., bI enswer.d by cIlllnl (717) 717-'SZ7. COHPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVHENT INSTRUCTIONS Aocount No, 04-66-223717 Data 05-06-92 E.tobUahed 40,114.58 100.00 40.114,58 ,15 6,017.19 PART TAXPAYER RESPONSE m ..,. ,AlLURa' TO RESpOND '",MILL RUULT IN ANi O""XCIAL.TAXASSIlSSN!HT IASIDOH ',TIlXS,HOTIca. I To lnlUte proper crlMllt to ,our _CCM1t, two (1) cop... of this notle. -.alt IICceMIP.wtY your p.v-ent to the Altllt',. of Will,. ~. check p.ylbls to, ....I.t.,. af Wills, A,.nt". Account e.l.nce parcont Taxabla AaoUnt SUbjact to Ta. Tax Rato potontlal Tax Due x NOTE I If h)l plY8Mt. .r. ... ..lthln thr" IS) IIOf1thl 01 the deCecMnt" date of ..th, you ., cMduCt . sX discount 0' the tax dIoM. any Inherlt.-w:1 tt. due will bee__ cMllnquent nine (,) .,th, .ftlr the d.t. of ct..th. x [CHECK ] ONE BLOCK ONLY .. 0 TM 1IbO.,. Infor..Uon .net to ~ II corrKt. 1. You"y chOO'. to r..U ~t to the a.ght.r of Willi ",lth two coP I.. of thh notice to abt.ln . dlICCM.I'It or .void Int.r..t, or you Py cMck bo.. ".tIt .net r.turn thl. notlc. to the R-ehtlr 0' Will. .net en o'flcl.l .......-nt will be l.sued by the Pi o.p.rt.ent 0' Revenue. I. 0 Tho abOv. ....I h.. __ .r .111 .. r_rled ond I.. ..Id .1'" Iho ._nl_l. I....rll..... Tox r.Mn to be flied by the deCedent" repr...nt.tly.. C. rj'The Ilbov. In'oratlon IJ-1.ncorrect IndIc~ebU end deduCtion. wer. p.ld by you. 't"'1OU w.t c....l.t. PART l!J ..uor PART l!J belC*. If you indicat. a diff.rent ta. rat., pl.... .t.t. your ralatlonahlp to decadent. .., ," ' OFFICIAL USE QNLY, 0 AAFi .I0.Hi/TRUST AC;;OUlfiSP~ti'U Pt ~~~A~l~~~Ii~!;;.,~.~~N~~::,:~ ':'7'\,> 1, ,,"-:::"::":-' :,::):,:_.:;;~:,,:::~~::/{::::.. "':':1 :;;ti ' ""w ",' , /~ '.'t(C): ,,' .,..'..",',';,:....,.,... ;.,' ' ::::/::,L:'~':::::" . ..-.', ".::;: .'.~ ...s"....'. ,. -, /..:0' ~ ,.,...;,5." ,(\;i.""'" ,8 DEBTS AND DEDUCTIONS CLAIHED PART ~ TAX RE'(UIUt - CUHi'UIAlION OF TAX ON LIHE 1, Data E.tabllahad 1 2, Account lalanea 2 5. P.rcent T..abl. 5 X _, AaoUnt SUbjact to Tax _ /X)2.- 5. Dabh _ DeducHon. 5- 6. AaoUnt Taxabla 6 7. Ta. Rata 7 X e. Tax Due e ~~ " --:,.',,::,:,.:: ,~::':: '::~n-:::. . PART ~ DATE PAID PAVEE DESCRIPTION AHOUNT PAID TOTAL IEntor on Line 5 of Ta. CO_ aUonl · Under p_1H.. cf porjury, I declare that tha fach I hava roportad abcva ar. trua, corract - coopl ~a to tha bod/(j ay k"""ladgo - bollaf. HOHE (7 r7) 1.1 if -0 711 /ilOtl,: V I y. WORK ( ) : ~ , :':'.:,';\ , GENERAL INFORMATION 1, fAILUU TO RESI'OHII IIILL RESULT IN AN OffICIAL TAX ASSESSHENT .Ith _11."1' In...... ..... ... In',,,,U,,, ~Itt.. by the 'In-nol.l Institution. Z. Inhlrltenoe tax bMcIee. _11".,.", nl,... .-,th. ,ft.r the cMcecs.nt', dilt. of ..th. S. A joint MOtU't I. "xllbl, ...,., though the dK""'" MM d. added II . _tt.r o' convenlenco. 4. AcCCU'ttl Ut'lCIludll'll tho.. held bIIhtHn hullMnd end .,Uo) "'lch the dKMlint put In Joint ~. ..lth!" OM Y"" prior to dMth are ,ulb taxlble .. tr....f.r.. I. Aocountl ....blh..d Jolntl, between hu'" .. ..If, 1101" tMn arM Y"" ,rlor to ....th II" not ....bl.. .. Aoocu'ltl held by . decedent .ln tru.t fo"" _ther or othen '1" tnllble '"lh. REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE 1. ILOCK A . If thl! In'.....tlon IlI'Id COIIPUtaUon In the notlc. .r. correct end deduction. an not bill". cl....., p18Cfl ., .... In block ".." of Port 1 of the -r.."pr .'fPQn,." ,ecUon. Sl~ two copl.. WId .....U ~ with your chKk for the ......t of tu to the R..l.tlt of WUIt of the CCMllt, lndlclted. The PA o.p.rtHnt of Rev.... ..Ill luue ." offlo1,l ........,t (For' REV.)'" [X) upon recl.,t .f tn. r.turn fr~ the ...I.t,r ., will.. Z. BLOCK 1 - If the a...t IJ*llfled on thh notlca hIi. bHn or ..UI be reported ... tu paId ..lth tM P.,..,.yIVWIla lr'lMrltllnCa Tax Return flied by the dKedent'. repr..ent.tlve, pIece... ..... In block ..... 0' Part 1 of the "'akpeyer A..pon.... HCIt1on. SIgn OM copy Met return ta tM PA Depart.."t of Aev.,."., lure.. of IndlvldLMl Tax.., Dept ZlUn, "rrhburg, Pi 1712'-0601 In tM 8IWelope ,rovlded. 5. ILDCIC C .. If the notlca Infor..tlon .. Incorr~t endIor deduotlon. era being elelMd, check block ..C"" ... cOllPleta Part. Z WId 5 ec:col1llng to UMI Ina'I"\""I"'I. ~:_, ::.a.'1 t...,) ~:.; cn~ t\.~1t t:::.: 1~ltfo ~.I~ ~ far'" _.,t ft' hll D8YIIb1. to the A..ht... of will. of the county Indlc.ted, The Pi Dep.rtaent of A.venue ..Ill I..ue ... official .....seent (For. A[V-lS41 [Xl upon ..ecalpt 0' the return f..oe the A..ht.r of Willa. TAX RETURN - PART Z - TAX COMPUTATION 1I11'; 1. Ent... the deh the aceOU'lt o,.sllnelh .... ..tlblhhed or titled In the ....... .xhtlng at data of dMth. tllTEr Far a decedent dying .ft... lZ/IZl8Z. Accounts whIch the dKedent put In Joint ~. within one (I) ,.... of delIth a... talbla full, a. tren".r.. Howv.r, then h ... ..clu.lon not ta 'MCNd lS,aoO per tr....f.rM r..-rdl... of the Y1I1u. of the 8CC(U1t or the nullber of eccOU1U held. If a doubla ..t...ltk (~~) ~r. before your flr.t n... In the addr... portIon of thl. notlc., the tS,Oaa exclu.lon .lrNeb' hII. b--. deducted 'I''' the eccount balMCa .. reported by the flnancl.1 In.tltutlon. Z. Enta.. the tat.l balllnCSl of the ItCcount Including Int.r..t ec:cruad to tt. data of delIth. S. n. ,.re...t of the ecCOU1t that h tnlbl. for neh IUnrlvor h dIIt....lnact .. 'OUCN" A. The parc...t taxllbl. for Joint ...at. ..tllblhhad ..re than one ye.r prlar ta tM dec..,t'. de.th. I DIVIDED IY TOUL JUtIER Of DIVIDED IY TOUL HLICIDt Of X IDO - PERCENT TUAlLE .JOINT DWt€RS SURVIVING JOINT OWNERS Ex....I.. A Joint ....t reahtarad In the n.- of the dacadlnt WId two otNr ,.rson.. 1 DIVIDED IY 5 (.JOINT OWNERS) DIVIDED IY 2 (SURVIVORS) . .167 X 11' . lI.n (TAXAILE FM EAot SURVIVDIU I. The ,.rcant tallbl. fo.. ....ts craated ..!thin one y..r of thl decadent.. de.th D" IlCCCMlh DlllnId by the decedent but held In tru.t for ~ther IndlvldLMl(.) (tru.t beneflcl.rl..). I DIVIDED IV TOTAL JUIIEA OF SlItVIVIHG JOINT CMERS CIA TRUST IEHEfICIAAIES x IDD . PERC[)fT TAlWlE Ex....l.. Joint KCOU1t raght.red In thl "... of tha dendant end t_ atNr parson. WId .stllblhhad ..Ithln one yeSI' af delIth by tha eIK.."t. 1 DIVIDED IV Z (SURVIVORS) . ,SO X 100 . 50X (TAllILE FDA EACH SURVIYDA) 4. TN....,t subject to tax (1lna 4) h det.....lned by IIUltlpJylng the IlCCOU1t balMC' Ulna Z) by tha ,.re....t tallbh (llna 5). . ,~t.~ ~ tatsl Df the dabt. end deductions II.tad In P.rt 5. ,. Tha....,t taxabl. (1lna ,) It .t.....lned by iIUItrKtlng the dabt. WId deduction. Ulne 5) froe the .-ou"t smjact ta tax: Ulna _J. 7. Ental' tha ...roprl.t. tax: rata (1lna 7) .. dets...lnact bal... A. for dat.. of death occurring .fhr 'ISD/M, tha tax rat.. for tr....,.r. to spou... ar. .. foll.,..1I ~ I. DIIt.. of delIth on or .ft.r 7/1/'" WId ba'or. 1/1"5 the r.ta 11 SZ. of. ""-.. ,/7.11. ~ ' Z. DIIt.. of delIth on or sft.r 111"5 tran".r. to spou... ..111 bII taud .t OX tu rata.~ "'Y 9;1 ~ J-'J-U Note. for dat.. of delIth prlar ta 7/1/M tran.,.r. to .pau... .r. taxMII. at 62:.' Of/IV I. Tran.f.... to lInNI descendants Including f.thl.., ..tha~, ..., ..t.~, grandchildren, .on-In-l..., daught.r-In.I..., .tapchlld end thaiI' I.sue sr. taxllbl. at .Ix pa..c....t (AX), C. Tran.,.... to .U othar. Including brathlr, .Ist.r, ~h, ....,t, nepheM Met niece .... tbllbl. at flft..... ,.re...t nUl. D. If you chanta the tu rat., pl.... .,.ally your r.l.tlonshl, to the elKadlnt In tha '1''' provided. I. The.-ou"t of tax due Ulna .) h det....lnact by ..ltlplylng the ......,t taxabl. Ulna ,) by thl tax r.t. Ulna 7). CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED AIIOllllbI. dabt. and deductIon. '1" dat.ralned .. falIOlll" A. You legally '1" retPOn.lbl. for p.yaent, or the ..t.t. subJaat to ~Inl.tr.tlon by . parsonal rapr......t.tlve I. In.ufflcl....t to pay the deductible It... I. You llCw.lh p.ld the debts .ft.r delIth af tha dIe.."t end can "'mil" proof of ~t. C. Dabt. bIIlng c1alMd ...t bII It_bed fully In Pert S. If .deU tlonal space 11 needed, u.. ,hln paper' 1/r JC 11-. Proof of P'PWit MY be r...tad Dy tt. PA Depart.."t of Aev......... TAXPAVER ASSISTANCE '"C,. "IFYOU NEED FURTHER 'INFORMATION OR ASSISTANCE. CONTACT ANY" ",'".,..,'. .' ..'".,...'"" REGISTER OF WILLSoPA DEPARTMENT OF, REVENUE DISTRICT OFFICE ',.'."w' . </ ." OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRVUNIT<I1.".' ..'" HARRISBURG AT (717) 787-8327. TDDI(717) 772~2Z52CHEARINO IHPAIREDONlVr . COtIIDNWUL TH ", POICSYL VANIA D[PAII1lt[Nl Of' R[Y[JIJE Il.ItUU 01 IHD1VlIlUIL TAXES II[JIT. '''''1 HAIIlllURO, PA 17111."'. *' I,$L~ ~ I,' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 -Cjb - JO;l, ACN 95156716 DATE 12-04-95 TYPE OF ACCOUNT EST. OF RUDY HARX 0 SAVI_ 5.5, NO. 273-03-7699 0 CHECl(IHO DATE OF DEArn 08-18-95 !Xl TIlUST COUNTY CUHBERLAND 0 CERTIF, RE"IT PAY"EHT AND FORKS TO. REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 ...."....","."1 PATRICIA D ANDERSON 634 ALLEN ST ' NEW CUHBERLAND PA 17070 HARRIS SAVINGS BANK MI provided the Depart...,t with tt. In'ornUon lht.d below which hili bHn u.ed I., calculaUng the pot-.thl tax ..... Their record. IncHut. tMt at the dMth of the 1Ibov. dec.s.nt, )'ou ..-r. a Joint owner.n-.f1c18rv 0' this ~COU"lt. If you ,..1 thl. Infa~tlon 1. lncorr~t, P..... obtain written CQrr~tlon fro. the 'Inencl,l In,tltutJon, ,ttech . copy to thl. for. . r.turn 1t to the ~ .setr.... Thl. ecCCU1t 11 'I._I, In KcordWICI with the Inhlrltene. Tue Jew. of the C~lth of Penn,vl",.".a. Question. -v be ......red by calli", (717J 7.7...527. COHPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYHENT INSTRUCTIONS Account Ho. 04-20-154176 D.to 10-02-89 EotobUahed 20,027,57 100,00 20,027.57 .15 3,004,14 TAXPAYER RESPONSF. FAJLUU.TO". RUJtOHDJIJLL,: RESUl.,.., IN ..'AN .,OFJfJCJALTAX ASSEll8HEH'I' BASI!D, QN'THJ8NOTIC! Account B.l~ P.rcent Tu...l. _t SUbJ...t to Tu Tax Rat. Pot~tl.l Tu au. To Insure prC)tMr cr.dlt to )'OUr KCClUtt, No (2) copl.. of thl. notlc. .ut' ecco.p~ your P.~t to the R..i,t.r of Will,. ~. ~ p.~l. tal "R..l.tar of Willi, Agent-, x NOTE. If talC P'~" an ... within \tIr.. en Mnth, 0' the decIlcMnt., cs.t. of dN\h, you -v deduct . SX dllCCU'lt of the tu <<M. Any lnherltlnc. tax w. will bee-. deU.,..."t nino (,) Hnth, aft,,. the ct.t. of death. x PART [!]I [CHECK ] ONE BLOCK ONLY A. 0 The move Infor_Uon ... tPl dull 11 cornet. 1. You..y choo.. to r.1t p.,...t to the R..htar 0' "U" with two copt.. 0' thl. notice to obt.ln . dbcOU"It or ltVold lnt.r..t, or you ny check box -"'- MId r.turn thl. notice to the _....t.r 0' Will. end -n of'lcl.1 ........nt will be I,sued by the PA o.p.rt.ent 0' R.~. I. 0 1M ~. ...d ha, bMn or w111 be reportMt end tax Plld ..lth the P""I)'I,*,11 t.v.rltWC8 TIbl return to be filed by the dKedent", repn....t.Uv.. C. rL, ThII MMwtI I"'oratlon IJ..-.I.ncorrKt Mdlor debtl end deduction. ...r. P81d by you. P You .,It co.pllta PART l!.J Mdlor PUT [!] below. ~l:U~~::.:: :':~t~t \V,.we, pi.... .tat. your ";')'OFFICIAL' US~O"LYO AAFi ".'.",',',. ,,~ADEPARr"E"I!!ILREVE"UE:.j ,,~ iAX uN .JOIn'i/TitOlST ACCOUIUS tPADH',:'..,"".,w,,:,',...'...,"",,;',..,'M..,"""',.. ,'... . ",',,,,,.,.' .....:( 1 :: ::::~::: 1::- ..., .... .....'.- -.' ',',', .', .:::~ :":'r;~' ' ",' , "",; 4 /'4':':"" ",' :),.n:' " ,.,.,'" ",',..' 7." ,:",.7, B i DEBTS AND DEDUCTIONS CLAIMED 'i PART ~ TAX RlTUkN . C~~~UiAII"h LINE 1, D.t. E.tlbllahed 2, Account Balonc. S. Percent Taxable 4. _t SUbJltClt to Tu 5, Debt. M1d Deduction. 6. _t Tu...h 7, Tu R.t. a, Tu au. ":':1 , .::~ PART [!] DATE PAID PAYEE DESCRIPTION AHOUNT PAID I I TOYAL IEnt.r on Ll~ 5 of Y.. Cu.put.tlonl . ~r pen81tl.. of perjury, I declare that the facta I heY. reported .boy. are t~, correct end a_ld. to the b..t of .Y knowledge M1d ...11.f, HOHE (7/1) 7'1'10 7'77 ~~~ifb~~J1 {",{CFJ/.ki1'\ W~~~EP~DNE N~H8ER 'I ! i' GENERAL INFORMATION 1. FAILURE TO RElPOND WILL RESULT IN AN OffICIAL TAX AllElSIlENT .lth _11."10 In'..OI' ..,... ... In'.....II... .ubllttld bv the fl~l.. In.tltutlon. I. z,.,..,.lt... t.. __, dell"..." nine -.nth. eft.r the decedwtt', dlt, 0' death. J. A jalnt HOOUnt I. tullbl. ey., though the decMlent'. MMI .... added .1 . ..th,. of convenience. 4. AooouItI Clnalud.". tho.. held bIIt....., hulbMd ... wll,) Wllch the deudent put In Joint MM11 ldthln _ ,..r prior to dMtIt arl fulh taxllbh II 'rM.f'rt. I. AMounts ..t..........d joJnth bebfMn hu...... ... MIf. ..,.1 thwt OM rear prior to dMth ar. not taxllble. ,. AoIowltl hdd I:tJ . ~t "In tru.t for" _the,. or other. ar. t...bl. full,. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. ILOCI A - If the Inf.,...Uon Md c..,utaUon In the notle. .r. correct Md deduotlon. .r. not bIIlno cl......, ,lec. ., .... In block "'" of Part 1 of the .'-~yer R..pon.... IMtlon. Sign two copl.. ... .w.St thM with your chedr. for the ...,t .f tax to the _..htar of WUlI of the county IncUutH. The Pi o.,.rtMftt of bv... .,111 11_ ., offlo1l1 .....~t (,.NI REV-1MI DC) '4*'1 rKII,t ., the ratum fr. tM _....t... of NUh. Z. ILOCI.. If the ....t .,.allied on thl. notlc. h.. tt... or ..111 be rllPGrtllcl Md t.. p.ld ..lth the p..,.vlnnl. InhlirltW'lCtl T.. A.turn fllllcl by the decedent'. repr..."t.t1vI, pllte. ., "'X'" In block ...- of P.rt I of the -r..papr R.IPOf'l"- .ectlon. Ilgn one copy end r.turn to the PI Dlpart-.nt of RIYenUI, lureeu of Indlvlduel T...., Dlpt Z.0601, Herrlabur., PI 17IZ..0601 In the envelope ,rovldllcl, S. ILOCI C '"' If the notice I"'oratlon 11 Incorrect rdlor deduction. .r. belna cl.IMd, chick black '"C" MIl c~I... hrtl Z Ind S IICCOrdil. ;,U U.. l"llh~t1\o1\' t.aIOM. :1", t..~ coplu t.nl! :\Otclt t.~:1I ~lth :",..Ir C'h':~ ,,,.. tM .....-t "f '!"y ".,.,.- to ..... _..I...,. of will. of the county Indlc.tllcl. The PI Dlpert.-nt of Revenue ..III I..ue ." 0,flc1.1 ......-ent ('or. RfV-IS4I [X) upon receIpt of the return frM the R....t.r of Will.. TAX RETURN - PART 2 - TAX COMPUTATION L11€ 1. En"r thI dlt. the KCQU1t orlllMlh .... ..tlbllshed or tlUIlcl In the ......r .xI.tlng .t dlt. of dAth. NOTEI For. decedent ctvlna .ft.r IUIU.Z. IccOU'\t. Nhlch thII decllclent put In Joint MR. within one (I) )OUr of dMth .r. t..-bl. fully I' tran.flr.. HowIYIr, there I. ., ..clu.lon not to ..ceed .s,aao per tr.".f.r.. r...rdl... of the v.lu. of the IICCOUnt or the nuIlbIr of lCCount. Mid. If . ~l. ....rhlt (..J .....r. bI'or. your flnt MMI In the Mklr." portion of thll notlu, the ",000 .xclu.lon .lrHdv he. beM deductld frOll the ltCCCN1t bllMCa .. reported by the flnInCl.1 In.tltutlon. Z. Ent.r the tot.l blhnCl of the lCCount Including Int.r..t eccruild to the .t. of ..th. S. The perctnt o' the IICCOUnt thlt .. t..lbl. for .1lCh ."""I\'Or .. dlt....lned .. follow" I. The ,.rctnt taxlbl. for Joint ...... ..tlblllhild .or. thin one yNr prior to t.hII decedent'. delUu 1 DIVIDED IY TOTAL fUtI[R 011 DIVIDED IY TOTAL NJKIEJI OF X 100 . P[RC[Hl TAXAILE JOINT OWNERS St.RVIVINa JOINT OII€RS Ex..I.. A Joint ....t r....t.red In the n-. o' the decedent end two ot.hllr person.. 1 DIVIDED IY S (JOINT CMERS) DIVIDED IY Z (SLRVlVORS) . .167 X 101 . 1'.7% UAXAILE FDA EACH SUNIYOA) I. The perctnt t....... far ...... cr..ted ..I thin OM .,..,. of the decedent'. death or 1ICCOU1" owned by the decedent but held In tru.t for InGther Indlvldull(.) (tru.t beneflcl.rl..)1 X 110 . POCDCT TAXAILE 1 DIVIDED IY TDTAL tutIER OF SlIIYIVINa JOINT DUNERI DA TRUST IDC'ICIARIES Ex....11I joint .ccount r....t.rld In the n-. of .,. dKMIInt ... two other "rtan. end ..t...lIlh11d ..Ithln one weir of death by the deCedent. 1 DIVIDED IY Z (SURVIVDAtJ . .50 . 10D . SOX (TAXAIlE FDA EACH SURVIVOR) 4. TN.....,t MJeet to tax UIM 4) 11 dlt.r..lnId by ...,ltlplvlng tI'M Ite~t bll.-,c. (line Z) by the "rcMt t.....t. Ulne 5J. c ~~..~ ~ .~~., n' the debt. ... deductIon. II.tld In p.rt S. ,. ThI.....,t t..lb.. UIM 6J II dlt....lned by Mtreetlne tM deb.. MIll deduction. Ulne 5) frOll the .......t MJect to t.. UI,. 4). 7. Ent.r the approprl.t. t.. r.t. (lIne 71 .. .t....lned bel_. A. 'or .t.. of ..th occurrlne Ifter "311M, the tax nt.. for tr.".f.r. to IPOU'" ar. .. follCMf.1 1. Dat.. of dMth on or .ft.r 711194 ... befor. 1/1"1 the r.t. .. SX. 0 'i--' I z. o.t.. of dMth on or .ftar 111"1 tr.,.fan to IIPOU'" ..111 bI tIXId .t OX t.. r.t..-r'" ~,,? vCf6 Notal For eIIt.. of dMth prior to 711/94 tr.".fan to IPOU'" ar. t...bl. .t 6X. I. Tran".r. to 11,..1 dllclndlntl InclueUne f.tM~, .ther, son, ~t.r, grMdchlldrM, .an-In..t..., dMIgh..r-ln'"'l.., .tlPChlld end thIIlr In'" .r. t..lbl. .t .1_ "rcMt (6%). C. Tr",.fln to .11 otMr. Including brother, .I.hr, lnCI., IU'lt, ,.,.... ... nlac. .r. t.....I. .t flft"" "rc.,t UIX). D. If you d*'OI the t.. rat., '1.... .,.ally your ral.Uon",I, to the decedant In tM .r.. ,rovlded. d.eqt\ JA I. ThI.....,t of t.. dUI (line I) .. dlt.r1Iln11d by ..,ltlph'lne tM .......t t.....I. Ulna 6J by the tax r.t. (11.... 71. CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED IIIOWlbl. debt. end deduction. .r. det.ralned I' fallow. I I. Vou l...lIy .r. rupan.lbla far P,yMrIt, or the ..t.t. MJ.ct to edltln"t...tlon by . "rllOl"llll r.,r....,t.t1w .. Insu'flol..., to pew thII dIOJctlbla It... I. You aotullh p.ld tM debt. .ft.r dMth 0' tI'M decedent end c... furnbh proof 0' pa~t. C. Dabt. bl1,.. cl.l.... w.t bI It.lald fulh In hrt S. If Mkllt10ft11 .... II nMdecI, u.. ,lain ,..r . IIZ- _ 11-. PrIGf.f P,yMrIt ~ bI r........ted by the PI Depart..,t of R."...".. , TAXPAVERASSISTANCE., ".:",;/,'f%@kW4f IFVOU NEED FURTHER ,INFORMATION 011 ASSISTANCE. CONTACTAHV~)U?SiS'}W .,., RE9ISTEROF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE;,L;''''''''JWlj',';X\;:; OR CAtLTHE BUREAU OF INDIVIDUAL TAXES. TAXPAVERINQUIRVUN1T::llfdW,d<ii.'tW HARRISBURG ,AT (717) 787-8327',TDDI (717) 772-2252' (HEARINBIMPAIREDqH~'d%iwN~ PURPOSE OF NOTlCEI PAntENTt RUlICD (tA) I ~o ~ ~ 3. (1' ' ( ) ~ !' , C.Ol- 0'1 o ') '"0 , \ 0 N :0<:' C::I )>;:l - :0:0 ~s. :~n .- ... c. ~CJ S~~. ili Q, To fulfill the requlr..-nt. of Section 2140 0' the Jnherlt.nca end [,tat. T.. Act, Act 22 of .99.. (71 P.S. Section 2141). o.tach tM top portion of thh MoUe. end llAMIlt with your ,Ipent to the A....t.,. of WUII printed on the rever.. .Ide. ... ..... check or 110M, order ,Ivebla tOI REGISTER OF WILlS, AeENT. All p.~t. received ah811 flnt be epplled to ....y Inh"'" which uy b, dull, wlth ....y n..1rtder .,plied to the tllC. A re'und of . to crlldlt, which .... not r..,..tld on the t.. return, MY be requested by cOIIPlaUng WI "Application for R.fund of Pennl,lv.nla Inherltenca end [,tat_ Tax" (REV-IlISJ. Appllel.l.", .r. aval1ebl. at the alrlcl of the ...Iata,. of Will., eny 0' the 25 .avenus Ol.trlel Offlc.. or by calling the ,peela. Z4-hour .....werlnt ..rvlc. ~r. for lor.. orderlngl In Penn"lv."l, l-100-5'Z-2050, out.lde Penn.vlv...... end within local Harrlabur. arta (717) 7.7..0M, tOO' (7171 772.2252 (Hearing I..,alrld Dnh). DIJECtlONSI Any ,arty In Intar..t not ..tl.fled Mlth the ~r.I...ent, .llowanca or dl..llowanc. of deduction. or ......-.nt of t.. (Including dl.count o~ Int.r..t) .. shown on thl. Notlc. "Y obJ.ct Mlthln .I.ty (60) d.y. of rec.lpt of thlt NoUc. byl ..Mrltten prot..t to the 'I Gap.rtllnt of A."enue, lo.rd of App..l., D.pt. Z11021, Harrl.bur., PI 171ZI-l0Z1, OR .-.l"Un, to h.". the ..tter d.ter.lned at thl Mldlt of thl IKcount of thl ~rtonll repr..ent.Uv., OR .-eppe.l to the Orphan.- Court AIlOtIN- IITRATlVE COIIAfCTlONSI DISCClt.IfTI INURUtl Fectu.l .rror. dlscov.red on thl. .....,IIftt should b. addr...ed In Mrltlng tOI PA O.,.rt-.nt of Aav~, aur.au of Individual t...., ATtNI POlt A""'lent A.vl.w unit, DEPT. 210'01, Harrlsbur" PA 17121-0601 Phone (717) 717.'505. S.. page 5 of the bookl.t "In'tructlon. for Inherltanc. T.. Aaturn for. Aa.ldIOt Decedent- (REV.1SD1) for an ..plan.tlon of ad.lnl.trltlvllW correctabla arror.. If any tl. due I. p.ld Mlthln thr.. (5) elland.r eonth. .ftar the dac.o.nt'. de.th, I flvl p.rcant (5X) dl.count of thl t.. p.ld I. .1Iowed. Int.re.t It ch8rgld bItIlmlng Mlth flrst d.y of d.lInquency, or nine (,) aonth. and OM (1) d.y frOll the d.t. of de.th, to the d.t. of p.,..,t. T.... which bee... delinquent before January 1, 1911 ba.r Int.r..t .t the r.t. of .1. 16X) percent par ~ c.lcul.tad at . dilly rat. of .000164. All t.... which bee... delinquent on or aftar January 1, 1'12 Mill ba.r Intar.,t at . r.t. which Mill vary froe uland.r y..r to c.1Md1r y.ar Mlth that rat. IN'OUnCad by the PA Dep"t.."t of bvW'IUII. ThI.eppllcabl. Int.r..t rat.. for 1911 through 1996 aral 'lUI: Internt Itata Dall" Intar..t Factar 'lUI: Intaralt It.t. D.ll" Intlra.t Feetor 1'12 lOX .aoos41 1917 n . DOOZU 1915 .,X .OOUst 1'....1991 llX .DOOlOl .,.. IU .000101 .99' 'X .0DOlU .915 ISX . DOOSS. 1995.1'M 7X .DOO19Z .,.. lOX .DOOZ7. 1995.1'" 'X .0002417 ulnter..t It calculated II followlI INTEREST . BALANCE OF TAX UIlPAIO X NUnSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notlc. 1..,* .ft.r the tax beeDM' IMlInquant Mill reflect WI Interllt ulcul.uon to flft.." US) dIIy. beyond thl dIIt. of the .....uant. If pay""t It lIteM after thl Intarllt cOlPUtaUon uta Ihown on the NoUc., additional Int.r..t ....t be c.lcuhted. ....--...,.-... ~~ ~ :n:n r:r ' l.~g ". ,oj ~ -.-, r:. {" ,., M~ (I , I (')- , 0\ ('", ,.., (), 1" Pn ~ :Ei) <:1 N :,_'lll :0<: C::i 1ii 0 ):>~ - - P\IlPClSf IF NOTICE. To fulfill the requlr.-.nt. of Section 2140 of the Inherlt~. end [.t,t. T.x Act, Act 22 of 1"1. (72 P.I. Section Zl401. PAYMEHT. Det~ the top porUon of this Notice end .w.Jt with your P'YNnt to the .IIht',. of "Uh pdnt... on the nver.. .1.... n ..... check or HMV o,.der p.vMlI. tOI REGISTER OF WILLS, ACENT. AU ~t. rec.lv'" sheU flnt be eppll'" to MY Int.r..t Wllch ..y be due, with MY r..lnder epplled to the tax. RUlIID (ClU. . nf\nl of . to cr...lt. Wllch w.. not rllqUl.ted on the t.. r.turn. IIY be r..,..ted by cospllUng WI "Appllc.Uon for A.fund of P,"".ylvsnl. Inherlt~. end [.t.t. T.... (REV-ISISI. Appllc.tlon. .r. .v.IIMlI. .t the Offlc. of the Rllllht.r of "IU.. MY of the U R.venul Dlst,.lct Offlc.. 01" by c.Ulng the specl.1 Z4-hour .......d.,. ..,."Ic. nusblr. fo,. for.. orde,.lngl In Penn.ylvanl. l-IOD-J6Z-Z0S0, out.lde Penn,Ylvsnl. end within loc.l Harrisburg .r.. (7171 7'7-1094, TDDI (7171 77Z-ZlSZ (Hearing 1~.lr'" OnlYI. OBJECTIONS I Any p.rtv In Int.r..t not ..t1.fled w1th the sppr.I....nt, .l.ow~. or dl..llow~. of deduction. or .......-nt of tax UnclucUng dhcCMM1t or Int.r..U .. shown on this HoUc. ..y obJlCt within .bty (601 U,. of nc..pt of thl. HoUc. bYI --wr1tt... P,.ot..t to the PA DIp.rtsent of A.venul, laird of Appe'." Dlpt. Z.IOZI, Harr1.burg, Pi 17121-IOZ1, OR "lllCtlng to hlvl thl ..U.r det.r.lned .t the IUdlt of the ICCCMM1t of the Plr.anel reprll...t.tlv., OR --IPPIII to the Orphln.' Court ADMIN- I.WTlY[ CORIl!CTllINS. FlCtull .rro,.. dl.cov.rld on thl. ......-.nt should be Iddr...'" In writing to. PA DIp.rtsent of R.venul, Bur.au of Individual T..... ATTNI Po.t A....allnt Revl.. unit, DEPT. Z,o,ol, Harrisburg, PA 17111-0'01 Phone (7171 7'7-'505. ... Pili S of the bookllt "In.tructlon. fa,. InhI,.ltsnc. f.. A.turn for a A..ldent Decadent.. (AtV-ISOII fo,. an 'kPlenatlon of ~Inl.tr.tlvelv correctabll Irror.. DIICCUfT. If InY t.. due h 'lid within thr.. (:5) c.IMda,. Nnth. .ftlr ttMI decedent., "'Ith. . five percant IS%) discount of the t.. 'lid I, .llawed. IN1'ERfST. Int.r..t Is chlrltld bqlmlng with flut u., of deUnquency, or nine (9) Nnth. end ani (1) uy fras thl d.t. of ....th, to thl at. of p.,..,t. f.... which bee_ dell,...,t btifora ,Janu.,.v 1. 1912 bur Int.rllt at the r.t. of .Ix (~) percMt Plr ....... c.1cu1at'" .t . ulb ret. of .000164. All t.... which bIc... delinquent on or .ft.r JlnUlry I, 191Z will bI.r Int.r..t .t . r.t. which will v.r., frDl c.l.....r Y'''' to cIIM'dlr v..r with that r.t. snnaunc'" by the Pi Dlpart.."t of A.venul. ThI sppllcMJl1 Int.r..t r.t.. far 19.2 through 1"6 .r.f lilt Int.r..t R.t. D.llv Int.r..t F.etor Iur Int.r.1t R.t. D.llv Int.r..t Faetor I9IZ 1'15 1'" 1915 1'" "In"r..t 20~ .00a541 16X .ooa'sa IIX .ooasal 15X .000556 lOX .aOOZ7' h c.lcul.ted I. follow'l 1917 ItH-I"1 I"Z I"S-I'" 1"5-1'" '2 IU '2 n '2 .ooa247 .001501 .oaDZ47 .oa0192 .oaDZ47 IHTEREBT . BALANCE OF TAX UNPAID X HUKBER DF DAYS DELINQUENT X DAILY IHTEREBT FACTDR --Any Notlc. I,.ued .ft.r the t.. bee.... delinquent will r.flect an Int.r..t c.lculltlon to flft.." (151 diy, beYond the d.t. of ttMI ........,t. If p..,lMt II ..... .ft.r thl Int.r..t coeput.Uon ut. ~ on thlt Notlc., Iddltlonsl Int.r..t .u.t be c.lcul.ted. v' /) ,J-~ I (! ~ R!V-154S EX AFP (12-95* CO'IDrfWUUH OF ptJOtSVLVlHlA DEPARTPtENT OF REYENU( IUA[AU OF IHDIVIDUAL TaXES Of PT. zaD6Dl fWtRISBURG, Pi 17UI-0601 NOTICE OF INNERITANCE TAX APPRAISEnENT. ALLOMANCE DR OISALLOMANCE OF DEDUCTION... AND ASSESsnENT OF TAX ON JOINTLY "ELO DR TRUST ASSETS DATE 05-06-96 EST ATE OF MARX DATE OF DEATH 08-18-95 COUNTY CUMBERLAND RUDY FILE NO, 21 96-0102 S.S/D.C. NO. 273-03-7699 ACN 95156713 PATRICIA D ANDERSON 634 ALLEN ST NEW CUMBERLAND PA 17070 REMIT PAYMENT TOl REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 A.aunt R..1tt.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rifv=is4-S.Ejf.AFP-.iiz.:9Si.................--..........-..-...........--.........-----......-............--.-. NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 05-06-96 ESTATE OF MARX RUDY DATE OF DEATH 08-18-95 CUMBERLAND COUNTY FILE NO. 21 96-0102 TAX RETURN WAS, S.S/D.C. NO. 273-03-7699 (Xl ACCEPTED AS FILED (l CHANGED JOINT OR TRUST ASSET INFORMATION ACN 95156713 FINANCIAL INSTITUTION. HARRIS SAVINGS BANK ACCOUNT NO. 04-66-238884 TYPE OF ACCOUNT, (l SAVINGS ( l CHECKING (~ TRUST ( l TIME CERTIFICATE DATE ESTABLISHED 04-20-93 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rata X Tex Due 100.242.19 1. 000 100,242.19 .00 100.242.19 .00 .00 NOTE. TO INSURE PR~PER 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 RECEIPT NUMBER DISCOUNT (+l INTEREST (-l AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · IF TOTAL DUE IS LESS THAN '1, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" ( CRI, yOU HAY SE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I .00 ,00 .00 ,00 po 3 ~. ~ :oi51 r.-r' IT ,~ () ~ 1.:'. S ~ ~ -< , "J I '. ., (') " C'I " ,-, .. p :) "0 .,- _. :o:J '" -.'1 : c i;; :X:::.::1 d q -~ PUIIPOIt 01' NOTta. To fulfill the '..,1'....... of 'MlIon I." of the InherltMCo ~ Elt.t. hll Act, Act 2Z of '991. (72 P.I. Section 2141). PAYllDfTI Detech the t. IHIrtlon o' thl, Notice Met lubIIlt tilth your p.YHI\t to the _........ of WUb printed on the rno,n l1de. .. Make check or -.new order p.y~l. tOI REGIST[R Of WILLI, AGENT. All ,.pent. nc.I\I~ wll firs' be 1PP1Ied to M)' Int.r..t which ..w bo w., wlth In)' n..lnd.r IIPPlled to the tolC. . RUUND Celli A refund of . t.. cr.dlt, which "'.. not nq"..'ed on thll tOil return, ..w be requtlted bv cOlIPloUng In "application 'or R.fund 0' Pennl,lvlnSo Inherlt8nCo Ind [.t.t. ,..~ CREV-ISIS). Application. .r. ov.llable at the D'flco ., the A..'"., ., Willi, In, of the IS A.v~ DI.trlct D"lc.. or bv colling the ,peele' Z'-hour en.w.rlng ..rvlco nu.ber. for 'or.. orderlnol In penn.wllllnl. 1-100-541-'050, out.lde PennaYlvenl. end Nlthln loc.1 Hlrtllbur, .r.. (7111 7.7.1094, raol C7171 nz..usz CHI.rlng IIIP.lr~ Dnhl. OIJECTJOHSI any ,.rt, In Int.r..t not ..tl.fl~ Nlth the ~r.I....nt, .1IDW~e Ot dl..I.DW~' of dedu<tlon. or .......-nt of tax (Including dl.count or Int.r..tl .. ahoMn on thl. Hotlc. .., ObJ.ct Nlthln .Ixty C601 de,. of r.c.I,t 0' thh HaUce by. ..Nt'tten prot..t to the PA Dlp.rteent of A.venut, lotrd of Appet.., Dept. 2110Z1, Hltt..burg, PA 1712'''IOZI, OR ...I"tlng to hn. the ..tt.t ...t.r.ln~ .t the eudlt of the account of the penONI r.t..enttUv., OR ..."..1 to the Orphan.' Court ADIlI"' IlnATlVE CORAfCTJOHSI '"tuel .rror. dl.cov.r~ on thl. .......-nt ahould be tddr...td In writing tOI PI l,p.tt.-nt of Aevenue. lur.eu 0' Indlvldutl ,...., AT'HI Po.t A.....-.nt A.vl.. unit. DEPT. 180601, Hlrrllbu'g, PA 111:1-~601 Phont C7111 117-6501. ,.. peg. S of tM bookht -In.trucUon. for Ir,h'" It..,,c. r.x A.turn fer" . A..ldent Decedent- CREY-1S011 for en ..pltn8tlon 0' ~lnl.tr.tlv'IY correetlbl. .rror., DISCOUNT. If en, t.x due I. p.ld within thr.. CSI c.l~r ~th. .ft.r the decedent'. d.eth, . flv. p.rcent CSX) discount 0' the t.x p.ld I. .II~, I"TIAEST. Int.r..t I. ch.rttd betlnnlng with 'Ir.t d., of d.llnquency, or nine ('I ~th. ~ one CI) d., 'roe the dt" 0' ....th, to the dlt. of p.,..,t. r.... which bee.. delinquent be'or. JtnUllrr i, 1'.1 be.r Int.r..t .t the r.te of .Ix (6XI p.rcent Plr ~ c.lcul.t.d .t . d.II, r.t. of ,000164. All t.... which bee... "'llnquent on or .,t.r Januery I, 1..1 NIII bI.r Int.r..t .t . r.t. which Nil. v.ry frOt c.l....r r..r to c.l....r r.., with th.t nte ~.d by tM PI D.,.rt.tnt 0' A.vltnUt, ThI eppllclbl. Int.r..t r.t.. for ..11 through .", .r" UIl: Int.r.1t Ret, Dellv Int.,..t Ftetor UIl: Int.,..t R.t. o.llv Int.,..t Feeto, ItAZ lOX .000"' 1911 OX ,OOOZiU ItAl I'X .OOO~SI .'.'-1". IlX .000501 I'" IlX .000101 I"Z OX . OOOZiU ItA5 In .0005S. .'91-1994 1X .000192 1.10 In .0001" .'415-.'" OX .000147 -.Int.,..t I. celcul.ted .. followlI INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --any NoUc. luued .".r thl t.. beco... del1nqutnt Mill r.flKt en Int.rut c.lc"hUon to rI"ttn US) cIt,. berond t". det. of the .........", If p.,.."t It .ad. ...., thl Intlr..t COllPUtltlon date .hown an the Hotlc., tddltlonal Int.,..t .us' be c..cut.ted.