HomeMy WebLinkAbout96-00305
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMB~:RLANIJ
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The pelltioner(s) above. named swear(s) or affirm(s) Ihat the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representalive(s) of the above decedenl pelitioner(s) will well and
truly administer the estate according to law.
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Sworn to or affirmed and subscribed ~
before me this 11 th day of
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No. 21-96-305
Estate of
PAUL W. LONG
. Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 0, ~ f, \ 12th 19~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED lhat ROBERT W. LONG
is/are enlitled 10 Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to ROBERT W. LONG
----. -----" ---.----.-
in the estate of
PAUL W. LONG
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1,(/(',#1) L'.'\ ('/i.-...Y l.o,!::.J.,
RClill"'Or Will. 7.:~p"'Z'I-
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FEES
Letters of Administration ..... 540.00
Short Certificates( 6) .. .. .. .... 5 18.00
Renunciation ................ 5 5.00
JCP 5 ~.oo
TOTAL _ 568.00
Filed ~m:,I,. ~ 7.,.. . ., . . . .., A.D. 19..9.6-
ATTORNEY (Sup. CI. l.D. No.)
ADDRESS
PHONE
MAILED LETTERS ANIJ ORDERS APRIL 15, 1996
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WAHNlf.H. II I:; IUl.e/d. TO ^LltH IHI~., [Up'y 1.111
TO DlJPI1Cs"..ll BY PHOl(J~)f"t OJ{ Plll)!()(;IiM't.
CQMM(H4WI. Al Tit Of I'ENN!>Yl VANIA
OEI'AIHM[Nl or IlfAl Hi VI1Al u[couns
21-9(,-305
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2910G69
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1-11-96
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Name of Decedent _____.
PAUL
WILLIAM
...... _u_"_ . I,..QNc:;n.__________
(.."
Sex
MALE;..___SoCIJI Security No _
207-09-0609
Dato of DOJth__..___1-10-9~__
Date of Birth __~_-0.5-11... Birthplace
PENNSYLVANIA
_ ____ _ _._ .__. .____ _.__~.._ u_._~_.____~__~_~,.
Place of Death MESSIAH VILLAGE CUMBERLAND MT. ALLEN 'lWP.
14 ".:....--- -..--.-.-------- --:--~--------.---..---- '.', I ,.,)..,,-<......".1
._l'Ql}nsylvania
Race
WHITE
. OcctJpallon.. .. .. _u__CONDUCTC)~..
Decedent's
Mailing Address )O,O,./'IT ,.J\.LLE,N DR.
Armed Forces? (Yes or No) .. .....
NO
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MECHANICS BURG
-..---- -'--._'~-,; 'J' !,..." -
PA
Marital Status ~;J:~}'lED
_._-
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Informant KAREN BOYER
Name and Address of
Funeral Establishment _I?QYER. DJNE:~_IiOME
Funeral DIrector.
KRISTINE M. SCHIVLEY
144 E. HIGH STREET
J;:~!~ZJU3ETHTOWN, PA. ~_
I nterval Between
Onset and Death
Part I:
Immediate Cause
(a) __~!'lEUM()!'l:r!>_._
VASCULAR DEMENTIA
(b)
(c)_____H13P
,
,
.. - ~--_.~_..--_.----..----_._~-----
Part II:
(d) ..
Other Significant Conditions
Manner of Death:
Natural 119
Accident 0
Suicide 0
DeSCribe hoVl injury occurred:
Homlc"!;' [J
Pend",,! Illv""llflallon []
Could nol h(' Deterrnll1ed iJ
Name and Tille of Certiflcl
LAWRENCE ZIMMERMAN, M.D.
_..___ _._ _ ,.___~ u
(r-iD-.b~6-:-Cor-oner, ME.)
Address
PO BOX 2015 MECHANICSBURG
This is 10 certify 111.,1 111<' Il1forr"a!lon I1l'rrl <jIV('" IS correctly cOIJled from an onginal cerlificale of
death dufy filed WltI, Ill(' as Local Re(Jlstl".. TIll' oll'l",al certificate will bo lorwarded to the State
Vital Records Office lor p"lIl1anenl liI""1
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36-338
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1-11-96
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25 IRIS CIRCLE
ELIZABETHTOWN
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RENUNCIATION
the above decedent, hereby renounce(s) the right to administer the cst ute and respectrully ask(s) that Lellers
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In Re Estate or
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To the Register or Wills or
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The undersigned
C':.t,~o."f'~''''
be issued to
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WITNESS
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hand this
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21-96-305
deceased.
County. Pennsylvania.
or
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(Signatur
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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: fOR DATlSOf DIAIH AnlR 1~'31191 CHICK HIRI
Ilf A SPOUSAL , ,
I PovnTY CRlDIIIS ClAIMID I .
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9<:::
YEAR
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NUMBER
['J 3.
[J 5.
.oe.
Remainder Relurn
Ifor dallu of deoth prior to 12.13.821
federal htale To.. Relurn Required
T 0101 Number of Sale Depolil Bo..el
CO","P\tlE M...IUNCi ...OOIlE!l!l ~
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COMMONWEAltH Of PENNSYlVAt-tlA
DEPARTMENT OF A(V[UU(
DrPT 180bOI
_",I_.~RRIS~':l,AG. PA 11l1~:<!~1.
OlCfO(HI II N.......l\L...!lT.IIIlIlI. "'NO NlIf)~lllt.I'I'\) "
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~ l. Original Relurn ! J 2. Supplemtlnlol Return
o 4. limited ellale r-J 40. future Inlere5' Compromi\o
(lor doles of death after 12.12.92)
o 6. Decedenl Died T ellole L J 7. Decedent Maintained a U..-ing Trul'
(Alloch copy of Willi (Alloch copy of Trust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
(61....- w, ,l.C'~'7-
TtltPHONf NUMllIl
1. Real eltale (Schedule A)
2. Sloc~s and Bondi (Schedule 9)
3. (Iolely Held SIock/Par1nenhip Interest (Schedule q
4. Mortgagel and Nalel Receivable (Schedule OJ
5. Calh. Bank Depolih & MiscelloneouI Personal Property
(Schedule E)
6. Joinlly Owned Property (Schedule f)
7. Tranlle" (S,hedule G) (Schedule L)
8. Total Gran Alleh (lolollinel 1.71
Q. Funerol Expenl8s. Adminhtrolive Cos", Miscellaneous
Ellpenl8s (Schedule H)
10. DebU. Mortgage liobilitiel. lienl (Schedule I)
11. TOlol oeductionl (10101 lines 9 & 10)
12, Net Volue of eltatc (line B minuI line 111
13. Charitable and Governmental Bequ81" (Schedule Jl
Net Value Subject 10 To..lline 12 minuI line 131
Spousol Tronden Ifor dOlo I of dealh after 6.30.941
See Inllruelio"I for Ar,plicoble Percenlage on Revene
Side, (Include voluoI rom Schedule K or Schedule M.I
Amount of line 14 taKable 01 6% role
(Include valuel from Schedule K or Schedule M.I
Amount of line 14 lax able at 15% role
(Include valuel from Schedule K or Schedule M.I
Principal to.. due (Add lax from lines 15, 16 and 17.)
Credits Spoulal Poverty Credit Prior Payments
.--_..~-_._----- .__.~ - ---- +
If line 19 il greater than line 18, enter the difference on line 20. This is the OVERPAYMENT.
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(15) 0
116) IP';II 1ft..
117) 0
Di5Caunt In!(HC\t
+
Check here if you are requesting a refund of your overpayment.
=
x .06 =
/0;",0
II line 18 il greater than line 19, enter lhe differenco on line 21. This is Ihe TAX DUE.
A, Enter the inleresl on the balonce due on line 21 A
B. Enter the tOlol olUne 2\ ond 2\A on line 218 Thil is Ihe BALANCE DUE.
Mak,! Check poyabl! to: ~.gl".r of ~~I!..!_~~~_nl
. x .15 =
o
(18)
/t' F. 10
(191
120)
(21)
(21AI
(2IB)
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~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
~~der penohiel of perjury, I declare !hot I hove e..amined Ihi" felurn, including accompanying ,~hodu-lt's and _'Iat~';en!'_ and 10 Ihl! best ~I my knowledge and belief,
II" true, cortecl and complete. I declore thai all reol e,lole has been reported 01 lrul" markf't ..olul' Declarotlon of preporer olhf'! Ihon the personal represenlati\le i,
bo,tld on all information of which preparor hos ony knowledge.
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!tlGt."'TUlIl 01 PlIlPAII(1l OlliE' 1 r.III1'~I~lIj!'\',,1 ,\(.~,;,'!"> [,A~I
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MESSIAH VILLAGE
100 MT ALLEN IIIUVE
P.O. BOX 2015
MECHANICSBURG
PA 17055-2015
RESIDENT mUST FUND STATEMENT
--------------------------...--------..--.-----,...-...----------------------------------.
RESIDENT NAME : LONG PAUL W
RESIDENT NUMBER: 000069011
ROBERT LONG
1170 RHODA BLVD.
MECHANICSBURG
ACCOUNT NUMBER:
STATEMENT DATE:
ACCOUNT TYPE :
LaC/ROOM/BED :
69011
212.9/96
MEDICAID TRUST FU
DISCHARGED
PA 17055
-------------------------------------...-----------------------------------------.
DATE DESCRIPTION WITHDRAWALS DEPOSITS BALANCE
1131/96 IIALANCE FORWAf<II 90.21
2/08/96 TRANSFER TO A/R 669.35 759.5~
FROM A/R
2/14/96 INTEREST .70 760.2~
ACCOUNT BALANCE 760.26
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1,,,.1'1'111\'":
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND .
MISCELLANEOUS EXPENSES I Plea.o Print. or Type
...---------- -----.--, FILENUMBER
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(OMMOt~Wf A\Tti 0' Pfl~N~'(l"M.IA
INtHIlllAtKl ,.... IH1UR~'
Rl SIOl NI Dfe(DI NT
ESTATE OF
ITEM
NUMBER
f?tI':___ w_,_.'!"d~L
----_._- ~--_._..._----_.---
AMOUNT
DESCRIPTION
1.
A. Funeral Expon.OI:
_..__H____..__.__._____~____ --
~
A 77-tc..ICO
1.
B. Admlnlstrallve Costs:
Penonal Representativo Commissions
Sociol Security Numbor 01 Porsonal Ropro.onlolivo: _d._
Year Commissions paid -----.---..--..-
2. Allorney faD.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
B.
Fomily exemplion
Cloimont
----------
Rololion.hip
Addro.. of Cloimonl 01 docoden", doolh
Slreol Addre..
._--_.~------_._'-
City
.__~.._SloIO __._._ __ Zip Code_
Probale FeD,
Mlscollaneous ExpensOl:
c/,.f""- 4 a.... 7'.....-1'". r........J l-f
199 S ':;::;'.:.-c.. Ir') ~
~"t,'."Z.~ --r,u.#
,L,~.... /'/',I,r,rl!'2,
P,~. P.f)v....
'f>A,-f) C(
TOTAL (AI,o onlor on line 9, Racopilulotion)
(II more space Is neodod, insert oddltianal sheots 01 sarno sbo.)
J?
.3) 219. OY
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COMMONWEAL Tit OF PENNSYlVANIA
OEPARTMENT OF PUBLIC WELFARE
OlJnEAU OF FINANCIAL OPERA TIONS
TPL SECTION CASUALTY UNIT
P.O. BOX 8486
HARRISBURG. PA 17105
Auguot 19, 1996
ROBERT LONG
1170 RHOOA BLVD
MECHANICSBURG PA
17055
Estate of: PAUL LONG
CIS: 090 130 B34
CIR, 21/0076434
Data of Bir~h, 06/05/1911
Social Security I: 207-09-0609
Dear Mr. Long:
Please be advised the Department of Public Welfare maintains a claim in
the amount of $3.2Bl.67, against the above-mentioned estate. This claim is
for restitution of medical assistance granted on behalf of the decedent for
which the Probate Estate is now responsible to reimburse the Department
according to Act 49, 62 P.5. 1412, effective August 15, 1994, as amended by
Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized
Statement of Claim.
A portion of this medical expense, namely $3.281.67, was incurred during
the last six months of the decedent's life; therefore, it is a Class 3 claim
pursuant to Section 3392 of the Decedents, Estates, an Fiduciaries Code, 20
Pa. C.S.A. 3392(3). The balance of the claim, namely $00.00, is to be entered
as a priority class 6 claim against the estate.
Please acknowledge receipt of this letter and advIse whether the
Commonwealth's claim is admitted and when payment may be expected.
Sincerely, ~
~{&-:ii& uJ
TPL Program Investigator
(717)772-6246 VOICE
(717)772-6553 FAX
Enclosure: Statement of Claim
ADDENDUM, Long Term Care costs for August 1994, reflect dates of service
August 15/ 1994 to August 31/ 1994.
EW
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SCHEDULE J
BENEFICIARIES
ESTATE OF
FilE NUMBER
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~/
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________ __u_....__.___._.....____. .....-.--------
AMOUNT OR
SHARE OF ESTATE
ITEM
NUMBER
RELATIONSHIP
NAME AND ADDRESS OF BENEFICIARY
----- --------_.~_._---------_._"._.._.
A. T oJloble Bequosts:
1.
,8r..u..:!,rJ. ~().../~
/~ 9.:5 c,; ,0",/ /I,1~"" <!,,('
y~rr'~1 '?'1 /7(/,,<1-
~ )".1- w. L(H1
//7() ,<H~a.4 f.h....~
,"'~~<l"""';)"7 ,;;L
:S,qL<..,/ ;9. ,tc''''7
,2// /11,,;.-$ ,t"'~G
tie.;) ~"., <'I./".tl.,4.,o I fh
/707"
Pfi'i
., '-'7
~~ /1.>
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Z ':i""l.,
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d. K(I..,eo€~ /3c ,/,.e /l..
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~,z:n~O:TH .,..,")4, f'A /7c Z"t-. "
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
B, Charitoble and Governmental BequBlis:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o enler on line 13. Recop;tulorion) S
(If more spac. is needed, Insert additional sh.ets of some site)
D NO. AA
146872 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
"k
1n-IWIII'."1
RECEIVED FROM:
fJ
ACN
ASSESSMENT r:t
CONTROL ...
NUMBER
AMOUNT
ROBERT W LONG
101
!h10B.50
1170 RHODA lJLVD
MECHANICSDURG, PA
17055
ESTATE INfORMATION:
r:'I fiLE NUMBER
g 21 - \196 -0305
~ NAME Of DECEDENT (lA,11
i:Ii LONG Pl'lLJL W
II DATE Of PAYMENT
m POSTMARK DATE
COUNTY
SSN 207-09-0609
IflRSTI (Mil
CUMBERLAND
DATE Of DEATH
REMARKS
m TOTAL AMOUNT PAID
10108.50
DO
ROBERT ,~ LONG
SEAL
i
CHECK II 2519
RECEIVED BY
1., -!.
;SIGNA1URE }
REGISTER OF WILLS
MARY C. LEWIS ,,/::
REGISTER OF WILLS
..---
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,
BUREAU OF INDIVIDUAL TAXES
INt'LRIlAHC[ tAx DIVISION
D[Pl. 110.01
HARRISBURG, PA 11111.0.01
NOTICE OF INIIERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHEN! OF TAX
ROBERT W LONG
1170 RHODA BLVD
MECHANICS BURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17055
I'
02-10-97
LONG
01-10-96
21 96-0305
CUMBERLAND
101
Allount R..lthd
*'
.n.ndlt ".I\I.tll
PAUL
W
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -4
ifiv:i5'4j-Eif-iiFP-nF96Y-NoricE--On-NHERiiAN-CrTAX-iiPPRiiiSEHEN'f;-iiLi."OWANCE-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LONG PAUL W FILE NO. 21 96-0305 ACN 101 DATE 02-10-97
If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Lin. 14 .t Spou..l rat. 115)
16. Allount of Lin. 14 taxable at Lin.al/Cla.. A rat. (16)
17. Allount of Lina 14 taxable at Collat.ral/Cla.. S rat. (17)
18. Principal Tax Du.
TAX CREDITS:
PAYHENT
DATE
10-25-96
TAX RETURN WAS: (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rod E.toto (Schodulo Al III
2. Stocks and Bonds ISch.dul. B) (2)
3. Clos.ly H.ld Stock/P.rtnarship Int.r.st ISch.dul. C) (3)
4. Hortg.g.s/Hot.s Rac.iyabl. ISchadul. DJ (4)
5. Ca.h/Sank D.posits/Hilc. Parsonal Prop.rty ISchedul. EJ 15)
6. Jointly Own.d Proparty ISch.dul. F) (6)
7. Transf.rs ISch.dul. G) 17)
8. Total Au.ts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Exp.ns.s/Ada. Costs/Hisc. Expansas ISchadul. HJ 19J
10. Dabts/Hortgag. Li.biliti.s/Lians ISchedul. I) (10)
11. Total Deductions
12. Hat Value of Tax R.turn
13. Charitabla/Goy.rn..ntal Saqua.ts eSchadul. J)
14. Hat Valu. of Est.t. Subj.ct to Tax
NOTE:
RECEIPT
NUHBER
AA146872
DISCOUNT
INTEREST
(+)
(-I
.40-
I CHANGED
.00
.00
.00
.00
B.445.97
.00
.00
(81
3,362.56
3.281. 67
(III
1121
1131
1141
.00 X .00=
1.801.74 X .06=
.00 X .15=
1181
AHOUNT PAID
10B.50
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
HOTE: To in sur. proper
cradit to your account,
sub.it the uppar portion
of this forll with your
tax paYllant.
8/445.97
6.644 n
1,801. 74
.00
1.801.74
.00
10B.I0
.00
108.10
108.10
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDN DF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1. ND PAYHENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRI/ YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIDNS.I
()CJ
c(
'u
h J
... :TJ
. OJ ~:;
t;'J
~
o
-..J
i.)
RESERVATION I E,t,t.. of dlcldlnt. dying on or blfor. Olelabet 11, 198Z _a If any lutur. lnt.r..t In t~ ..tat. lr-1ran,'.rr.d
In Po.....lon or .nJoy..nt to Cia.. I (collet.ral) blneflclarl.. of thl dlcldent .ft.r the Ixplratlon of any .,let, for
II" or for y..t., the Co..anw..lth hlt.by ..pr..sly r...tv.. thl right to appral.. and ...... tren,f., Inh.rltane. T....
at thl lawful Cle,. I (collet,ral) t.t. on any .uch lutur. Interl.t.
PlJII1>QS[ OF
HOTICE;
To fulfill the requlr...nt. of Slctlon 2140 of thl Inheritance and [.t,t, 'a. Act, Act ZZ of 1991. 72 P.S.
Slctlon 2140.
PAYMENT I
aellch thl top portion 01 thl. Notlel and lub.lt wIth your ply..nt to thl Rlgl,ter of Will. printed on t~ t.v.r.. .Id..
"Meh chick or lonlY ord.r plIYllbl. tOI REGISTER OF MILLS, AGENT
All p.y.ent. rec.lved shllll first bl .pplled to any Int.r.st which ..y b. due with any r...lnd.r .pplled to the tllX.
REFUND (CA):
A r.fund of . ta. cr.dlt, which WII' not rlqu.st.d on the Tax R.turn, .ay b. r.qu.st.d by co.pl.tlng en "Appllclltlon
for Aefund of P'Mnlvanla Inh.rHanc. end Est.t. T.." (AEV-UU). Appllcatlon, .r. IIv.n.bl. lit thlOfflcl
of thl Rlglst.r uf Will., any of the 23 R.v.nu. Ol.trlct Offlc", or by calling thl sp.cllll 24'hour
anlw.rlng s.rvlc. nu.b.r. for for.. ord.rlng: In P.nn.ylv.nla 1.800-362-2050, out.ld. P.nn.ylv.nl. and
within loc.l Harrl.burg .r.. (717) 787-8094, TOO' (717) 772-2252 IH.arlng I'Plllred Only).
OBJECTIONS I Any p.tty In Int.r..t not .atl.fl.d with the .ppr.I....nt, allowanCI or dls.llowanc. of dlductlons, or ...I.s'lnt
of tllX (Including discount or Int.r..t) II' .hown on this Hotlc. .ust obJ.ct within .ixty (60) dllY' of r.c.lpt 0'
this Not Ic. by:
--written prot..t to the PA Dlpart..nt 0' R.v.nu., BOllrd 0' App.al., Olpt. 281021, H.rrlsburg, PA
-..I.ctlon to h.v. the .att.r d.tlr.lned at .udlt 0' the .ccount 0' the p.r.onal rlpr..entatlve,
..appeal to the Orphan.' Court.
HU8-1021,
OR
OR
AO"IN
ISTRATlVE
COARECTlONS:
F.ctu.1 .rror. dl.cov.rld on thl. a...s.e.nt .hould b. addr....d In writing tal PA Dlp.rt..nt 0' R.v.nue,
Bure.u of Individual Tan., AnNI Post A.....'.nt R.vlew Unit, Olpt. 280601, Hllrrlsburg, PA 17128-0601
Phone (717) 787-6505. S.. p.g. 5 of the bookl.t "Instructions 'Dr Inherltanc. T.x R.turn 'Dr a R..ld.nt
O.c.dent" (REV.1501) for an ..plan.tlon 0' adelnl.tr.tlvely corr.ctabl. .rror..
DISCOUNT I
If any tax due I. p.ld within thr.. (3) c.lend.r .onth. .,t.r the decld.nt.. d'lIth, II five p.rc.nt C5~) discount of
the lax Pllld Is .1I0....d.
PENAL TV I
The 15~ t.x .ane.ty non'partlclpllllon penalty I. coepuled on the tolal 0' the tax and Int.r..t .......d, end not
Pllld be'or. Janu.ry II, 1996, the flr.t d.y IIft.r the .nd 0' the t.x aen..ty p.rlod. Thl. non-partlclplltlon
p.n.lty I. app.lllabl. In the .11.. .anner and In the th. .... tl.. p.rlod a. you would apP.1I1 the tax and Int.r..t
that h., be.n .......d a. Indlc.t.d on thl. notlc..
INTEAEST:
Int.r..t I. ch.rg.d b.gIMln; ...Ith flr.t dllY of d.llnqulncy, or nln. (9) eonths and on. (I) d.y fro. the date of
d.ath, to the dllt. of pay'lnt. la... which beca.. d.llnquent b.for. January 1, 1982 b.ar Int.rest at the rite of
.Ix (6~) p.rc.nt p.r .nnu. c.lculatld at a dally rat. 0' .000164. All t.... ...hlch blca'. delinquent on .nd aft.r
Janu.ry 1, 1982 will b..r Int.r..t at a rat. which will vary fro' c.l.ndar Ylar to calendar y.ar with that rat.
announc.d by the PA D.part..nt of Rlvenu.. Ih. appllcabl. Int.r'.1 rate. 'or 1982 through 1997 arel
!!!! Int.r..t Rat. Dally Inter..t Factor !!!! Int.rut Rat. Dally Int.r.st Factor
1982 20~ .000548 19117 .~ .00QZ47
1911 16~ .0004511 1988-1991 ll~ .OODSDI
1984 IU .000101 1992 .~ .000247
1985 In .000356 1993-1994 n .000192
1986 ID~ .000214 1995-1997 .~ .000247
--Inter..t Is c.lculllt.d .. folio....:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice Is.ued .'ter the t.x b.co.e. d.llnqu.nt will r.flect en Inter..t calculation to flft..n (IS) da~.
b.yond the date of the .......ant. I' pay.ant I. .ed. .ft.r the Int.r..t co~t.tlon date .hawn on the
Hotlc., addltlonlll Interllt .ust be calculeted.