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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
ql.J;
f OllllAll r.OI 01 AlII AlII n 11/:1 1111 t CIHo'.Il[fH
II A!;I'OU!:iAl
p( nl"" [ IT r, AI
HA~ R(PRESENTATIVE
Robert A. Reddy
~~.~q. ~.'! ~r.i.'!B~. )!~~;;.". !>.r.i:~~.................. _ _..
Cnm IIi 11, PA 17011
Eckert Seamans Cherin & Me llott
PoD, Box 121.8
il~.r':i~i;~j.r..:.i'ii - - i 'iios.:iii.ii...". ,......... ....
FILE NUMDER
J.I
(OUNlYCOnr
COM ~fti."I.\~h'~\'lf,.:trv1'Il'~rANIA
Ufl'T,2l\Ol'llJl
HAHIH5DOllti,I'A 11121.0601
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DECEOENT'S NAME IlAST, nmil, ANU MtU[JU INtfl^lI
Redd Normn A.
nrer [)(Nl'SCOMl'l( If ADonrS5
3B10 Cllrrinr,e 1I0une Drive
Cnml' lIill, I'A 17011
YeAl'
33':
NUMIH'n
SOCIAL SECURITY NUMnrfl
1/.5-1.6-8721
OAt[ or or ^TH
02/16/1lJ96
OMI 01 nU1I1l
12/08/llJl1
c P
o 0
R N
R D
E E
S N
- T
2. Supplomonlol Aorum
4a. Futuro InlOf05t Comprom5o
(10' dolos 01 doolh ahor 12-12-02)
o 8. Docodonl Dkld Toslolo 0 7. Docodonl Malnlalnod a Uvlng T.USI
(Anach co 01 WIll) (Anach a cop 01 Trusl)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
M.40UNT nrC[IVEUISE[ INSTRUCTIONSI
0.00
Aomoindor Aoturn
(lor dalos 01 doalh prior 10 T2-13-02)
Fodoral Eslalo Tax ROlum Roqulrod
TOlal Numbor 01 Salo Doposlt Box..
('1') f1.4 r,j~
COpyright lei 111114 form loftwar. only CPS,.lem',I"c.
County Cumherland
(If APf'LICAnl[ISUnVIVING SPOU5('5 NM4lllASr,rIll5' AND MUJOl[ INITIAll SOCIAL S[CURllVNUMU["
X 1. Original Rolurn
4. Umlod Eslalo
05.
o B.
NAME
Alvin II. Blitz
Es .
COMPUl[ MAILING ADDRESS
Eckert Seamans Cherin & Mellott
P.O. Box 1248
IInrrisbur I'A 17108 -1248
(1) None
(2) None
(3) None
(4) None
(5) None
(B) 40,087.64
(7) None
fELEPttON[ NUMOER
717 237-6000
1. Roal ESlalo (Schodulo A)
2. Slacks and Bonds (Schodulo B)
3. Closoly Hold SlocklPannorshlp InlOlosl (Schodulo C)
4. Mongogos and NOlos Rocolvablo (Schodulo D)
5, Cash. Bank Doposits & Miscollanoous Porsonal Proporty (Sch, E)
8. JoinUy OWnod Proporty (Schodulo Fl
7. Transfors (Schadulo G) (Schodulo Ll
B. TOlal Gross ABBoIS (Iolal Unosl-7)
9. Funeral ExponS09, Admnlstrativo Costs, Misco!lanoous
Expon...(Schodu~H)
10. DobIS. MDngago Uablllllos. Uons (Schodulo I)
11. Tolal Doducllons (Iolal Unos 9 & 10)
12. NDI Valuo 01 Eslalo (Uno 0 "'nus Uno 1 T)
13. Charllablo and Govommonlal Boquosls (Schodu~ J)
14. NOI Valuo Sub '10 Tax Uno 12 "'nus Uno 13)
15. Spousal Tran.lors (lor dalOS 01 doalh ohor 5-30-94)
Soo Inslruclklnslor Applicablo Porconlago on pago 2.
(Includo usluo. from Schodulo K or Schodulo M,)
18. Amounl 01 Uno T4 laxoblo al6"'(' .alo
(Includo valuos from Schodulo K or Schodulo M,)
17. Amount of Uno 141axablo 8115% raiD
(Includo valuos horn Schodulo K or Schodulo M,)
lB. Principal lax duo (Add lax hom Uno 15, 16 and 17,)
t9. Crodrts/Sp Povorty Prior Paymonls Dlscounl
+ + 92.26
:ZOo II Uno T91s groslor Ihan Uno 10. ontor Iho dllloronco on Uno 20. This Is lho OVERPAYMENT.
~ 0 ICheck hore" you aro requasU"llo refund 01 your ovo~ymenll
21. II Uno 10 's groalor fhan Uno 19, onlor lho drtforonco on Uno 21. Thls's Iho TAX DUE.
A. Entor Iho Intoros1 on tho balanco duo on Uno 21A.
B. EnlOf Iho lOiS' 01 Uno 21 and 21A on Uno 21D, ThiS Is Iho BAlANCE DUE.
Mako Chock Pa ablo 10: R Is'a, 01 Will.. A nl
~ ~ BE SURE TO ANSWER ALL OUESTIONS ON PAGE 2 AND TO RECHECK MATH . .
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C
A
P
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T
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(B)
(9)
9,234.34
40,087.64
9,334.34
30,753.30
30 753.30
0.00
1,845.20
0.00
1,845.20
92.26
0.00
1,752.94
0.00
1,752.94
Under plnalll" al perjury, I c1lcl4r. thall line ...mlned HUII,turn, IntlUCl!ng accomp.nytrlll scheduln Ind II.lt!ments, lnd to the best 01 my knowledge and bellel,ltlllrut,
co".cland compl.t.,I d.tl.l" that.1I ".II nl.t, hu bun leporl.d allru. ma'k.t "alu.. O.cl.lr.hM 01 pr.p....' oth., than the pellon.., IIpr.unl..tlyell baud on alllnfo'm.lhon 01
which prep..", hu ..ny .nowledge.
(10)
100.00
(11)
(12)
(13)
14
(15)
0.00 X
=
(16)
30,753.30 X.06.
T
A
X
e
o
M
P
U
T
A
T
I
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N
(17)
0.00 X ,15 =
(18)
Inlcrosl
(19)
(20)
(21)
(2IA)
(2IB)
OAIy ,/
Ijp'Ilft-
OAT[
.11 ;..q\ ~ v,
Fo'm 1500 IR.y. 7....'
'v'd "O~ pllrrnqwn:)
\Wr;' ,IH3\:)
81. l d t1Z ~d\J 96.
SU~f\\;" ,!~,.<~JnU
I') (' 1';,(1 [ 'lIJo:Jal:l
LETTER DATE
ITEM FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOUAR VALUE OF
NUMBER JOIKT OF ASSET " IKT. DECEOEKTINTEREST
TENANT JOIKT
1 A 02/13/81 Hellon Bank N.A. - Checking 246.79 50.00% 123.40
~ith Interest Account
No.252-l09-8356. Balance
did: $1029.79 less Social
Security check in the
amount of $783.00 directly
deposited into account on
2/2/96. Value per bank
statement attached.
2 A 03/03/86 4,622.676 shares T. Rowe 44,516.37 50.00% 22,258.19
Price - GNHA Fund No.
200863588-6.
3 A 09/08/82 3,573.1 shares T. Rowe 3,573.10 50.00% 1,786.55
Price - Prime Reserve Fund
No. 200094175-6.
4 A 03/18/93 2,822.606 shares T. Rowe 31,839.00 50.00% 15,919.50
Price - Spectrum Income
Fund No. 101471670-3.
TOTAL (Also onlDr on 1100 6. RecDP,tulat,on) 40087.64
Rrv- now EX. (U.III)
COMMO~WrAllll or "INNS"'l yAf.jIA
,." "",.ce lA' '" fU' .
R SIO(Nl0rclotNI
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Norma A. Reddy
Joint tonlnl(l):
5511 1,.~-,.6-8nl
02/16/1996
A.
NAME
Robert A. Reddy
ADDRESS
3810 Carriage lIouse Drive
Camp lIill, PA 17011
8.
c.
JolnUy-ownod proparty:
(II moro space is ncodod. insert add,tional shcots 01 some sizo,)
Copyrlghl(C) tlUl410ltll loltw.'eonly CPSys'.,"" Inc.
FILE NUMBER
RELATIONSHIP TO DECEDEKT
Son
Form 1500 Schedule F (Rev. ".11I1
REV- "'2 EX' 1t-I13)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.na Prlnl of T
FILE NUMBER
COMMONwrAL1U Of PENNSYLVANIA
lNtiERlfANCr TAX n[JURN
RESIDENt OECEDENf
EST/ire OF
Norma A. Reddy
55# 145-46-8721
02/16/1996
ITEM
NUMBER
1
DESCRIPTION
Cumberland Family Practice - medical expense.
AMOUNT
100.00
TOTAL (Also onlor on lone 10. Roca ilulation
(11 molD spaco Is noodod. Insalt addlllonal shoolS Dls8lT1O silO,)
Copyright It) ""14 form SOHWAre ani)' CPS)'ltema.lne.
s
100.00
Form 1500 Schedule IIRev, 1-03)
~ Mellon Bank
PERSONAL BANKING STATEMENT
2./? Ire:;
/.~--,
.
OIRECT I~QUIRIES TO. MELLO~ BA~K ~A 2
COMMO~MEALTH REGIO~
HAMPDE~ CAMf'HIlL
4101 CARLISLE PIKE
CAMPHILL PA 17011-4233
717-731-4848
1".111,..111",.,.11,..11.,,11.1..1..,11..1.11.1..1.1...1..11
NORMA A REDDY
ROBERT A REDDY
3810 CARRIAGE HOUSE DR
CAMP HILL PA 17011-1412
01878
0125
252-109-8356
PAGE 1 OF 2
STATEMEllT
FROM 01/20/96'THRU 02/20/96
..-,--_. ..--------.
FIND OUT HOW TO CONSOLIDATE YOUR BILLS ~'ITH A HOME EQUITY PERSONAL
CREDIT LINE. TO APPLY VISIT A MELLON OFFICE DR CALL MELLONDIRECT 24
AT 1 800 MELLOll - 24.
RELATIONSHIP SUMMARY
OE~OSIT ACCOUIITS
CH CKING HITH ltlTEREST
TOTAL
BALANCE
10033.12
1.033.12
LOAN ACCOUtITS
OUTSTANDING
CHECKING WITH INTEREST ACCOUNT 252-109-8356
IACCOutlT SUMMARY
OPEIIING BALANCE AS OF 011Z0/96
TOTAL DEPOSITS AND OTHER ADDITIOI~ INCLUDING INTEREST CREDITEO THIS PERIOO
C ECKS AND 0 IER HITllDRAHALS NC UOI IG EES NO CHARGES T IS PE 00
CLOSING BALM~E AS OF 02/20/96
AVERAGE ACCOUtlT BALANCE
AVERAGE COLLECTED BALAIICE FOR ANNUAL PERCENTAGE YIELO EARNEO
YOUR ANNUAL PERCENTAGE YIELO EAffilED FOR THIS STATEMENT PERIOD IS 1.48%
2.501.17
+786.33
-2 54 8
1.033.12
2.582.03
2.582.03
IACCOUllT ACTIVITY
DATE
OS 0 DESCRIPTION
01/20/96 DPENIIlG BALANCE
OUOU96 MISC AUTOMATED CRED us TREASURY 303
3031036030SOC SEC 1950536200 SSA 783.00
OUIU96 CHECK I 1065 . . 254.3B
OU16/96 CHECK I 1066 . 2.000.00
OU20/96 IIITEREST CREDIT 3.33
SE V C CHARGE .00-
OU20/96 CLOSIIlG BALANCE
DAILY
BALANt
2,501.17
3.284.17
3,029.79
~
- -
03 12
1,033.12
_ YOUR 1I0tlTIIL Y SERVICE CHARGE I SIIOWN TO TIlE RIGHT! HAS BEEN HAlVEB
TIllS I100lTI' BECAUSE YOU 11ET TilE MlIUl1Ul1 BALM ICE REQUIREMEllT III YOUR
CIIECKWG ACCOUlIT.
8.00
{/
(!- L,
REV-1547 EX AFP (12-95) ~
COH"ONW(Alttl OJ PthNSVIVANIA ~'U'..
DIIIAR1"1 NT 01 "' VI NUl ~ . ,,\.
BUAIAUOr INDIVIDUAL TAlliS II ~- "
011", ,'80bOl t::
ItAAIII SBURr., II, 111;"8-0601 ~,~..
HOTlCE or INHERITANCE TAK
APPRAISEMEHT. ALLOWANCE OR OISALLOWAHCE
or DEDUCTIONS AHD ASSESSMEHT or TAK
ACN 101
ESTATE=OF--~REDDV=-~--
DATE OF DEATH 02-16-96
. NORMA
A
FILE ND.
COUNTY
DATE 08-05-96
21 96-0334'
CUMBERLAUO
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION or THIS rDRM WITH YOUR TAK
PAYMENT TO THE REGISTER or WILLS. MAKE CHECK PAYABLE TO "REGISTER or WILLS. AGENT"
REMIT PAYMENT TO:
ALVIN H BLITZ
ECKERT ETAL
PO BOX 1248
HBG
REGISTER OF WILLS
CUMBERLAUD CO COURT HOUSE
CARLISLE, PA 11013
PA 11108
AlI10unt RBlIlitted
CUT ALONG THIS LINE .. RETAIN LDWER PORTIDN FOR YOUR RECORDS .....
REV: i5r."?" Eif-iiFi>--r iF 9SY-NOYi C E uciF"iNH ER"i'r AiicE - "flix - A' p piiA' is Ei-tENT -.- -iii.l-ciwiii-icE - ,(ill-- -- -- -- - -- - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF REDDY NORMA A FILE NO. 21 96-0334 ACN 101 DATE 08-05-96
TAK RETURN WAS: I X I ACCEPTED AS FILED
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE DF RETURN BASED DN: ORIGIIlAL RETURU
l'. Real Estate ISchedule A) 11)
2, Stocks and Bonds ISchedule OJ (2)
3, Closely Held stock/Partnership Interest (Schedule C) (3)
4. Hartgages/Notes Receivable (Schedule OJ (4)
S, Cash/Bank Deposits/Hisc, Personal Property ISchedule E) IS'
6, Jointly Owned Property (Schedule FJ Ib)
7. Transfers (Schedule GI (71
8, Total Assets
,00
,00
,00
.00
.00
40.081.64
.00
IBI
40.081.64
APPRDVED DEDUCTIONS AND EXEMPTIONS.
9. Funeral Expenses/Adm, Costs/Misc, Expenses CSchedule HI 191
10, Debts/Mortgage liabilities/liens (Schedule II CIOI
11, Total Deductions
12. Net Value of Tax Return
13, Charitable/Governnental Bequests (Schedule J)
14, Net Value of Estat. Subject to Tax
9.234.34
100,00
IllI
1121
1131
U41
9.334 34
30.153.30
.00
30.753.30
If an assessment was issued previously, lines 14. 15 and/or 1&. 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSHENT DF TAX:
IS, Amount of line
1&, Amount of line
17. Amount of line
18, Principal Tax Du.
NDTE:
14 at Spousal
14 tall:able at
14 taxable at
rat.
lineal/Class A rate
Col1ateral/Class Brat.
USI
Ihl
117)
.00 K .00:
30.153.30 K .06:
.OOK.15:
UBI
.00
1 .i145. 20
,00
1,845.20
TAX CREDITS:
PAYMENT
OATE
04-24-96
RECEIPT
NUMBER
AA1l2711
DISCOUNT I +l
INTEREST 1-)
92.26
AMOUNT PAlO
1.152.94
t TOTAL TAX CREDIT I
lBALANCE OF TAX DUE~
INTEREST AND PEN.
TOTAL DUE
1.845.20
,00
.00
,00
. Ir PAlO ArTER OATE INOICATEO. SEE REUERSE
FOR CALCULATIOH OF AOOITIONAL INTEREST,
Ir TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
Ir TOTAL DUE IS REFLECTEO AS A "CREDIT" ICR). YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE or THIS rORM FOR INSTRUCTIDHS.I
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RESERVATION: Estate. of decedents dying on or bofor. D.c8~b.r 12, 198Z .- If any future Int.ra.t in tho ostalo 1. tran,f.rrod
In possession Dr enJoy..nt to Clfts. B leol1a\.rol) bon,flciari.s of the decodent nftor tho ..pitatlon of any 8.tat. for
Ilf. or for year., tho Co..onw.8Ith herebY ..prossly re.orvo. tho right to appraise and 8IS0" trAnsfor Inheritance Ta...
et tho lawful Clau B leollat.rlll) rate on nny such future Intero.t.
PURPOSE OF
NOTICE:
To fulfill tho require..ntl of Section Z)40 of the Inh8rltanClI nnd (stllte flU Act, Act ZZ of 1'J91. 1l P.S,
Section 21100,
PAYHEHT:
Detach tho top portion of this Notlc8 nnd sub_It with your pay.ant to the Roglstar of wills printod on tho revor.. sid..
~-Hak. check Dr Iloney order paYllble to: REGISTER OF HILLS, AGENT
All payaents recolved shall first be applied to IIny inlerost which .ay bo duo with nny ro.ainder applied to the to..
REFUND ICRI:
A rofund of a ta. crodlt, which was not requosted on tho Tax Roturn, .ny be requested by conp1etlng nn "Application
for Refund of Pennsylvania Inheritance and Estate lnx" (REY-UUJ. Applications are Ilvlllloble lit the OHico
of the Register of Wills, any of the Zl Revanue District Offices, or by calling the specllll Z~-hour
answering service nURbors for for.s ordering: In Ponnsylvnnla 1-800-16Z-Z050, outside Ponnsylvania ond
within local Harrisburg area 0171 187.8094, lDD' (7111 71Z-ZZ5Z 1I1oarlng lapairod Only),
OBJECTIONS: Any party in Intorest not satisfied with the oppraise.ent. allowanco or disollowanco of deductions. or Ilssoss.ont
of tax I Including discount or Intorostl as shown on Ihls Notlco .ust object wllhin sixty 1601 days of racoipt of
this Notic. by:
uwrlthn protest to tho PA Oopart.ont of Rovonue, Board of Appaals, Dopt. ZalOZl, tlarrlsburg, PA 171Z8-IOZI, OR
"olocllon to have tho .altor dotor.ln.d lit oudH of tho Ilccount of tho porsonal repreuntatlv., OR
--appolIl to tho Orphans' Court.
AOHIN
ISTRAflVE
CORRECTIONS: Factual errors discov.rod on this nssoss..nt should bo addrossod In writing to: PA 00p8rl.ont of Rovonuo,
BureaU of Individual hxu, AlTN: Post hsns.ont Revlow Unit. Oopt. Z80601, Illlrrhburg, PA 171Z8-0601
Phonll (717) 181.650~. Seo pogo 1 of tho booklol "Instructions for Inheritance Tax Roturn for II Rosldent
DlCedent" (REV.ISOII for an explanation of ad.inlstrllllvely corrocloble errors,
.
OISCOUHT:
If Dny tllX dUll. paid within thr.o III calondar .onths afler the decadent's dOlllh, a flva porcont (~%) di.count of
tho tax paid Is allowed,
PENAlTYt
ThO 1~% ta~ a.nosty non"particlpallon penalty I. co.putod on the lotal of tho tax and Intore.t a'los,ed, nnd nat
paid baforo Jllnuary la, IlJlJ6, the first dllY aftor tho end of the tax a.nnly periOd, Thl. non-pllrllclpatlon
penalty is appoalable In Iho sa.o .IInner and In tho tho sa.e ti.e periOd ns you would appoal the tax nnd Inlerost
Ihat hIlS been IIsnuod al Indicated on thll notlco,
IHrEREST:
Intorest Is charged bog Inning with first day of delinquoncy, or nln. (lJ) ~onlhs and one (II day fro. tho date of
duth, to the date of plly.ant. tan. which bOCll.e delinquent bofor. JII"Ullry I, IlJ8l boar intorut at Ihe rale of
.i. (6~) percent per nnnu. calculated at a daily rate of ,OOOI6~, All laxas which boca~o dellnquont on and after
January 1, IlJ8Z will bear Interost at 8 rale which will vary froQ calondar yoar to calendllr yDllr with thnt rllte
announced by Ihe PA Oopllrt.ont of Rowanuo. The appllcablo Intorost ratas for IlJ8Z through lqqb lira:
~ Interut Altte Dally Intarll,t rae'or ~ Interest Rat. DIIlly IntorAst rllclor
19!Z ZO% ,OOOS4! IlJ81 lJ% .000Z'-1
1981 16% ,000438 IlJaa-llJlJl 11% ,000301
IlJar. 11% .000301 l?lJZ lJ% ,OOOZ~1
198~ 13% .000156 ll)lJl-llJlJ4 1'1. .000IlJ~
1986 10;( ,OOOlllt lCJlJ5.)IJlJ6 9;( .000Zc,1
uInhrnt Is calculDtad as followl:
INTEREST = BALANCE or TAX UNPAID X NunBER or OAYS DELINQUENT X DAILY INTEREST rACTOR
--Any Notlco Issuad after the lax beco.o, dellnqu.nt will roflocl nn Intorest calculation to flfto.n 11~1 days
boyond tho date of the asse".ont, If pay.ont is .lIdo after tho interest co_putation dllt. shown on tho
Notice, additional intornt IlUst b. calculated,
" /
I', ,i \ ' .II
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CDMMONWEALTH OF PENNSYLVANIA t... ,~..
DEPARTMENT OF REVENUE I -~
INHERITANCE TAX ~~.
STATEMENT OF ACCOUNT
It,.llll,1 ,"III.hl
DATE 12-02-96
ESTATE OF REDDV NORMA A
DATE DF DEATH 02-16-96
FILE NUMBER 21 96-0334
COUNTY CUMBERLAND
ACN 101
Anount R.llithd \
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
BUREAU OF INOIVIOUAL TAXES
INltfAllANCl u. DIVISION
DlP1. :1I0flOl
fIARAISIURG. PA IIUI'ObOl
ALVIN H BLITZ
ECKERT Ei'AL
PO BOX 1248
HBG
PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE I To Insuro propor crodlt to YDur occount, .ub.lt tho uppor portion of this for. with your to. plynont.
CUT ALDNG THIS LINE ~ RETAIN LDWER PORTION FOR YOUR RECORDS .....
ifEV: il.-oT EiCAiip-r03:9l.-,-------..ii-iNHERiYANC'E-i'AX-STATE tiENi'-OF-ACCOliNf""ii..---------------------
ESTATE OF REDOV NORMA A FILE NO. 21 96-0334 ACN 101 DATE 12-02-96
THIS STATEHENT IS PROVIOEO TO ADVISE OF THE CURRENT STATUS OF THE STATEO ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX OUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTEO INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD AOJUSTMENT: 07-29-96
PRINCIP~L TAX DUE: 1,845.20
PAVMENT5 (TAX CREDITS):
AMOUNT PAID
PAVMENT
DATE
04-24-96
RECEIPT
NUMBER
AA112711
DISCOUNT (+)
INTEREST (-)
92.26
1.752.94
TOTAL TAX CREDIT
1,845.20
.00
.00
BALANCE DF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
. IF PAID AFTER THIS OATE, SEE REVERSE
SlOE FOR CALCULATION OF AODITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIREO.
IF TOTAL DUE IS REFLECTEO AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUNO. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
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PAV"ENfl
O.taeh thl top portion of thl. Hotlel and ,ubelt with your ply..nt ..d. payable to the n... and addr.,'
printed on thl r.v.r.. lid.,
If RESIDENT DECEDENT ..It. chick or lonl", ordu payable tal REGISTER OF WILLS, AGENT,
If HON-RESIDENT DECEDENt lalla chick or lonl", order plyabl. tal COHHONWEAL TH OF PENNSVLVANIA.
All pay..ntl rlcllvld ,hall bl applied flrlt to any Int.r..t which .ay bl due with Iny r...lnd.r applied to the tiM,
REfUND (CR)I A r.fund of . taM cr.dlt, which wa. not rlqul.tld on the Ta_ R.turn, ..... bl raqua.tld by coaplltlna an
-APplication for R,fund of Pennsylvania Inherltancl and E,t,t. Ta.- (REV-ISIS), Applications ar. Ivellabl. .t
thl OffiCI of thl Rlglstlr of Willi, any of thl Zl RIVlnul DI.trlct OffiCI' or fro. thl Dlpart.lnt'. Z4-hour
an,wlrlng .lrvlcl nu.blr. for for.. ordlrlngl In Plnn.ylvanla 1-800-16Z-20S0, out.ldl Plnn.ylvanla
and within local Harrl.burg arIa (111) 181-8094, TOO' (111) 11Z-22SZ CHlarlng I.palrld only),
REPLY 10s
QUI.tlon. rlglrdlng Irror. contalnld on thl. notlcl .hould bl addrl..ld to: PA Dlpart.lnt of RIVlnul, Buraau
of Individual TaXI', ATTNI po.t A"I...lnt Alvllw unit, Dlpt. Z80601, Harrl.bUrg, PA 11128-0601, phonl
(111) 181-6S05.
DISCOUNTs
If any tax dul I. paid within thrll (]J callndar .onth. aftlr thl dlcldlnt'. dlath, a flv' plrclnt (SX) dl.count
of thl tax paid I. allowld.
PENalTY:
Thl 15% tax aanl.ty non-participation plnalty I. co.puted on the total of thl tax and Intlrl.t e..I..ld, and not
paid blforl January 1&, 1996, the flr.t day aftlr the Ind of the tax aanl.ty plrlod,
INTERESTs
lntlrl.t I. charged beginning with flr.t day of dlllnquency, or nine (9) eooth. end one CI) day froe thl dati of
dlath, to the datI of paY'lnt, TaXI' which blca.. dlllnqulnt blfor. January I, 19&Z blar Intlrl.t at thl retl of
.1x C6X) plrclnt plr annUl calculated at a dally rata of .000164. All taxI' which blca.1 dellnqulnt on and aftlr
January I, 1912 will blar Intlrl.t at a retl which will vary fro' callndar Ylar to callndar ylar with that ratl
announcld by thl PA Dlpart.lnt of Rlvenul. Thl appllcabll Intarl.t ratl' for 1912 through 1996 arl:
Vllr
Intlrl.t Rate Dally Intlrl.t Factor
Vear
Intlrut Ratl
Dally Intlrut Fector
n&2 lOX ,00054& 19&1 .X ,000241
n&S 16X ,OO04S& 19&1-1991 IlX ,ODGnl
19M llX ,ODGnl 1992 .X .000241
IUS IU .000156 1991-19'" 7X .DGOI'JZ
1986 lOX .000114 l"95-19" .X .DG02'"
-"Intlrllt 11 calculatld .. follow"
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF OAYS DELINQUENT X DAILY INTEREST FACTDR
--Any Notlcl I"uld aftlr thl tax bICC.I' dlllnquent will rlfllct an Intlrl.t calculation to flftlln CIS} dlY'
blyond thl datI of the a"I...ent, If plY.lnt I. ..dl aftar thl Interl.t cOlputatlon date .hown on the
Notice, additional Intlrl.t .u.t bl calculatad,