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I>EClmE OJo' PROHA TE ANI> GRANT OF LETTERS
AND NOW :la:i 30TH 19~, in con,ideration of Ihe petilion on
Ihe reverse ,ide hereof, ,"ti,f"clOry proof hllving been pre'ellled hefore lIIe,
IT IS DECREED thllt Ihe in'trulllent(') dllted .TllnUnl':,' 2[3. 1')1]7
de,cribed therein be lIdntilled 10 probale lInd filed of record "' the last will of ..__.._._
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Della :;.
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(, R,gll,cro'WiU(' MARY C. LEWIS
FEES
Probate, Lellers, Elc. ......... $ 25.00
Short Certificate'll) ..... . .... $ 3.00
Renunci:llion ................ $
X-Pages (3) $ 9.00
JCP TOTAL_$ 5.00
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J. ~ebert Stauffer (J06356)
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MAILED LETTERS AND ORDER TO ATTORNEY ON 5-31-96.
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(A) I give and bequeath the SUIll or One ThousLlnd
($1,000.00) Dollat":; apiece to each of lilY grandchildren
who LIre living LI t the time 0 f my decease, and di rec t
that the Inheritance Tax on suid bequest be paid out or
my residuary estate. In the event that any of said
grandchildren arc minors at the time, I direct that
their share in my estate be deposited in a savings ac-
count with 0 local bonking institution until such time
as they attain the age of eighteen (18) years, at which
time the same shall be turned over to them absolutely.
(8) I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to the Shepherds town United Methodist
Church, which is located in the Village or Shepherdstown,
Cumberland County, Pennsylvania.
(C) I give, devise and bequeath all the rest,
residue and remainder of my estate, of whatsoever nature
and I~heresoever situate, to my chi ldren, share and share
alike, per stirpes.
I. .
LASTLY, I nominate, constitute and appoint my \~ife,
DELLA E. BEITZEL, Executrix or this, my Last Hill and Testament,
and in the event my said wife should predecease me, or should
she for any reason be unwilling or unable to serve in such
-2-
capacity, then in such event, I nominate, conBtitute and appoint
my son, DENNIS EllGENE BEITZEL, Executor of this, my Last Hill
and Testament, in her place ond stead. In this respect also, I
direct that the commission of my said son, as Executor of my es-
tate, be limited to two and one-half (2~%) per cent., rather
than the five (5%) per cent. fee normally paid Executors for
their services.
IN IHTI1ESS HIIEREOF, I have hereunto set my hand and
seal thiB ?rl17-- doy of January, A. D. 1987.
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F. Beit:tel
(SEAL)
Signed. scaled, published and declared by the above-
named IIARRY F. BEITZEL, as and for his Last Hill and Testament,
in the presence of us, who, at his request and in his presence,
and in the presence of each other, have hereunto subscribed our
nameB as witnesses.
I
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CON~lONHEALTll OF I'ENtlSYLVANIA
)
)
SSe
COUNTY OF CUHBERLAND
I, llAI\RY F. BI~ITZEL, the TeBtator whoHe name is signed
to the attached or foregoing ins trument, beinl~ duly qualified
according to lat~, do hereby aclmowledge that I sip,ned and exe-
cuted the instrument aH my LaHt Hill and Testament; that I signed
it willingly; and that I signed it as my free and voluntary act
and deed for the purposes therein expressed.
S\~orn and affirmed to and acknO\~ledl~ed before me this
day of January, A. D. 1987.
28th
Hy Commission
Expires:
September 21, 1987
" ..L" "
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__ ~ '. .." _ .' h5j:. ../.""....,,7
llotary l'u lic
(SEAL)
COHNONHEALTll OF PENNSYLVANIA
)
)
SS.
COUNTY OF CUHBERLAND
He, the undersigned, J. Robert Stallffpr and
~larilY.ILJ:;.a.lLE,"1kin ' die-witnesses \'lho:;e names are signed
to the a ttacned or foregoing ins trument, being duly qualified ac-
cording to law, do depose and say that we were present and saw
the Testator, HARRY F. BEITZEL, sign and execute the instrument
as his Last Hill and Testament; that the said Testator, HARRY F.
BEITZEL, signed the same willingly; and that the said HARRY F.
BEITZEL executed it as his free and voluntary act for the purposes
therein expressed; that each of us, in the hearing and sight of
the Testator, signed the Hill as witnesses; and that to the best
of our knowledge, the Testator was at the time, 18 or more years
of age, of sound mind, and undyr no constraint or undue influence.
) J / /}I ' .
-::..:/--t c'-C-' I.' _ ,(;,t, ~ // <: ~
/~, ~ t~7 t:l
Sworn and subscribed to
before me this 28th
day of January,~~7:--
.L2:;1j~ e:r:;Zbl}~1
Ny Commission Expires:
September 21, 1937
-/1-
-
CERTIFICATION OF NO'rICE UNDER RIJLE 5.6(al.
Name of Decedent:
'IAI1I1Y p. nfu'r~8L
J.!arch 3. 1996
Date of Death:
W1l1 No. 1996-00h29
Admin. No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6{a) of the Orphans' Court Hules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Juno 3. 1996
~
Address
De 11a E. Be i tzel-B 1 Granthatn Road Grantham PA 1 02
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except liona
Date: June 10. 1996
Signaa:-t& e ~~
Name Della G. Beitzel
Ii'
.1
;n::>
'olJ
Address 841 Grantham Road
Grantham, PA 17027
Telephone(71T 766-h87rJ
~t: ,,; 9- d~; Capacity: x
Personal Representative
.
u
Counsel for personal
representative
R(VnOO (J;. l'fHI
'"
...
)(:!:'"
U....
",o.U
:caa
U......
0."'
0.
..
I! " / ( . (, ~, (?
.... . .: J"
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS) COUNr~ C(JOE ).2'1(, VEA~ 00h29 tjUMBE~
1)IUP'll1!l(UMrUII Ap411~!1
I 11 {Jl'l111tIHUI nand
(ll'untItUltl, 1'/\ 1"(02'1
(O~~lrAMUU~~ ~li11~~~?i ~J~~1u( I.Qt.!l1
JIOllO-E~ltl1tO 1n Inao1vont
on ~~___. ...._ _.__.__~__
I] 3. Remainder Return
(for dates of dealh prior 10 12.13.82)
lJ 5. Federal estote Tax Return Required
..2.. 8. Totol Number of Safe Deposit Boxe,
" 'n;I;~) ;';;i~!].-
1",(,,, "(U'''',;'''''''' '
l(J;l-12-lJl(,
I-I 2. Supplflmnnlnl Rlllur"
['J do. fulure Inlerest Cnmplomis"
(fa, dalel of dealh ohor 12.12.821
Decedenl Died Teltate r J 7. O~cedenl Mainlain~d a U"ing Trult
IAllach copy of Willi (Allmh copy of Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
20. If line 19 is greater than line 18, enler the difference on line 20. This is the OVERPAYMENT.
Ii! 0
~4
,,~J;O:;A}(\
-JoltG~
(OMMOHW[Alltlor NtlUSYIYArllA
O(PAAIMIHI 01 A[Y(NU(
Dfrl 2"U601
tlAAAtS8UAG. rA 111280001
...
15
a
'"
L'
'"
co
lJH.IOIIH!I rIAM( IIASI. '1II!oI. MHl Mlili;~(i'~'TI-ill
n;~re:~t~r" Enl'!';." F.
~~~~~;.;_~~;;;Q9~ _~'----'16;>~~~~i~:'
1'1 .''''t.~lll \V.""'lO "(lU,r ,,,.,,,".,, I'~~' AlII' """I'll '","All
E
-
fOA OATIS Of DIAlH AnlA 12/31191 CHICK HIAI
If A SPOUSAL '
P~OV!~!,Y.S!l,II]Il_ISCLj\IM.rO.,1J ~,.. ,~__.__
fill NUMBIA
COMrt( I( MA'WIQ ADOlf !os.
I ;al'l~c t :,;'1unro BIde.
iloohU111cnb\ll~/) FA 17055
-: .. .~.
II) up , ,_u' ~.Q.90
(2) ~___~..._.~_2,.90:I....~5,
(3) 0.00
14 I ~._,... n ,__9~. 00
15 I__~____._.__ _o,..9.Q.
161 _~~_____.._._9. 00
171 _____~_~._J!&.Q.
"1
2,,281. 25
Dol1n I~;. Boit;::al
---.--. -----_. ~---_..._----
bd I. O.iginal Return
o 4. limited e'lale
(;'l6.
,...
:315
.."
..z
8~
~~AME
,T. nOjJ'~nrl' :jlrt\liF>'j~;n,
llifPtlOpiE UUMBU
i\'.r'i~" .
19) ______~_9J.7].5~.00
(101 ~ '_00_'" ~_._~. 00
IB)
z
a
;:::
:5
:>
t:
0.
..
U
W
..
I. R.ol Eliot. (Sch.dul. AI
2. S.ocll ond Bond. ISchodul. B)
3. Clo,ely Held Slock/Partnership Inlerelt (Schedule q
d. Mortgagel and Noles Receivable (Schedule 0)
5. Ca,h. Bank Deposits & Miscellaneous Personal P.op~rty
(Sch.dul. E)
6. Jointly Owned Property (Schedule FI
7. Tlon,I." ISch.dul. G) (Sch.dul. l)
9. Tolol Gran Anets (Iotalline, 1.71
9. funeral Expense,. Admini'lrative COlh, Miscelloneous
expenses (Schedule HI
10. Debts, Morlgage liabilities. liens ISchedule I)
11. Tolol Deduction, ('0101 line, 9 & 10)
12. Net Value of esla'e (Une B minus line 111
13. Charitable and Governmental Bequesh (Schedule JI
14. Net Value Subjeclto Tox (line 12 minus line 131
15. Spousal Transfers (for dale' of death after 6.30.941
See In,tructionl for Ar,plicable Percentage on Reverse
Side. (Indude values ram Schedule K or Schedule M.)
16. Amounl olUne 1d taxable at 6% role
(Include values from Schedule K or Schedule M.)
17. Amount of line 1d 10kable 01 15% role
(Include value, from Schedule K or Schedule M.I
18. Principal lox due (Add tax Irom Une, 15, 16 and 17.)
19. Credits Spousal Poverty Credil Prior POlments
0,00 + V.OO +
(15)
(11)
112)
(13)
(14)
n,_______0.!00 .._=
9,715.00
0.00
0_.00
0&.0
0.00
0.00
z
a
;:::
~
:>
0.
:oe
a
U
><
~
(161 ________0,,00__. .06 c
(17) _,_,,__, _~_...Jl",9_0,. .15 =
0,00.
0,00
(IB)
Discount
0.00
Inlerost
0.00
(19)
120)
0.00
0.')0
Check here II you ore requesting 0 refund of your ovotpaymanf.
(21)
121AI
(21B)
0.00
==~~-==- _..._0.0'0 ,
OJ OQ.
21. If line 19 is grealerthan line 19. enter the differenco on Uno 21. Thi, i, the TAX DUE.
A. Enler Ihe inte,est on the balance due on line 21 A.
B. Enter Ihe Iota I of line 21 ond 21A on linft 21B. This is tho BALANCE DUE.
Make Check Payable 101 Register 0' WlII., Agenl
!-;':. ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -0(-0(
Under penalti~s of perjury. I dedare that 1 have (tusminfld Ihi, relurn. including accompanring Ichedul~, and stalements. and 10 the belt of my knowledge and belief.
il i, hue. correc! and compl~te. I declare that allreol estate hos b~en reporled ollruo market vCllue. Declaration 0' preparer olhN thon Ihe penonal represenlative i,
based on 011 information of which propar!'r has any knowlrdge.
"GNA,""O'''' ,,,,,q'.'~""'o'rG;n,...-- ApOm, 1'11,1 Grnn\;Il!1.1l1 'nand - ~-- OAII ''0 V; .t,
1.t3 ^ .-&~~)'(L~___Ql.'.f\lJj;l1n.ln,_))J1_. 17.Q;;1 ._~__' I 1,-_.'1
,"o'"'f"r7,m"'1lilVl,/ 'AOO""I:nl'l~ot,.SqUnl,'e Dld,L;." J o~'! .
',~ " ""== llochntHo3b\l1'g,__1'i\_J,70~S_~ 7;/j/91.'
Act #48 of 1994 provldol for Iho roductlon of Iho laK ralollmpolod on Iho nol valuo of Iransforllo or for
11111 UIO of Ihe IpOUIO. Tho ralol 01 prelcrlbod by Iho Italulo will bo:
. 3% (.03) will be appllcablo for Ollalel of decedonls dying on or after 7/1/94 and before 1/1/96
. 2% (.02) will be oppllcablo for eslalol of docedonls dying on or after 111/96 and before 111/97
. 1% (.01) will be oppllcable for ellalol of docodenll dying on or after 1/1/97 and bofore 111/98
. Spoulal tranlferl occurring on or after 1/1198 will be eKempl from Inhorllance taK.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK tv) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent moke 0 tronsfer ond:
o. retoin the use or income of the property tronsferred, .......................................................
b. reloin the righllo designote who shol\ use the properly transferred or its income, ...............
c. retoin 0 reversionory interest; or ...................................................................................
d. receive Ihe promise for life of either poyments, beneFils or co rei .......................................
2. 11 dealh occurred on or before December 12, 1982, did decedent within two yeors preceding
deoth tronsfer property wilhout receiving adequote considerotioni 11 deoth occurred ofter
December 12, 1982, did decedent tronsfer property within one yeor of deoth without receiving
odequole conslderolioni....... ..................... .........,.................................... ............. ............
3. Old decedent own on 'in trust for' bonk occounl 01 his or her deolhi......................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
. .
II~Ulll.. I''',
~..
~~
I SCHEDULE H I
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
-- MISCELLANEOUS EXPENSES _ _ Ploa.e P,lnl 0' Type ~
[FILE NUMBER :?l-9G-OOJ,,29-3tnto
_u ---____u______ ---____h_ 1'J')6-001~29-CoulJty
DESCRIPTION AMOUNT
COMMOUWUUfI or I'fIHWrlVAUh\
INlllRITANcr 'All: ItflURU
R(SIDltH Or(fOr",
EsiATEOF - -----------....
------------..---.--
!U\~H~Y ;;1, Tr.:,~',Pi~EL
ITEM
NUMBER
A.
-_._---_._._-~-_._-----_.
I.
Fune,al Expen.e..
17;"'01'0 Ii'Utlcl1nl HOlllO, Ille., J"l ;.;. Iintn St.,
bt\l,[;, Ponno;.-l vania, f'ullornl OJ:POlloon.
6,003.00
liochnni<:n_
,'.
,,,
B. Admlnl.trallve Co....
4.
C.
1.
2.
J.
4.
5.
6.
7.
8.
1.
Personal Reprosentolivo Commissions - r 0 no
Social Secu,ily Numbe, or Personal Represenlolive:
Yoar Commissions paid
0.00
2.
AllorneyFees J. I:obCl't 3taUl'fol', ;,aq., attol'II0Y'n 1'eo.
75.00
J. Family Exemplion
Cloimanl Dolla E. Doi tzel Relolionship lfife
Address or Claimonl 01 decedenl's deolh
Slreel Address Jhl (h'~~loatl.____ "___
Cily Grantham 51010 PA Zip Code 17027
3,500.00
Probale Fees noC;io tel' of l'lills of Cumberland County,
ronna~,.l vania, r,et tel's Ten tamentnry.
Mlscellaneou. Expen.e"
1~2 . 00
nogistor of \1111s, 1'11 lnG Insol vont Ponnsyl vania
Inheritance T~~ noturn.
15.00
---------.
TOTAL (Also enlor on line 9, Recapilulolion)
s
9, 715.00
(If more 'poee I. needed, In.e'l addlllonal .h.." ol.ome .lzo.J
, .
lit nUllo 11'"
~.~~ .~
ft.( I .'(\
...... U'f>
(O",lolOtlWUllll 0' 'r"'.\".....,,,,,
INHUUANCI In I"UIN
lI'IOINt OICIOINf
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER 2I-96-001~29-Stut(
'___'_' ____!.296- 001 ~29-C oun t y
AMOUNT OR
RELATIONSHIP SHARE OF ESTATE
lIAHIlY F. m:I'l'imrJ
.---- ---------------.-----...--.. -.,.-----.--.-.' ---...- .------.-"
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
. -------------_.__._----_._-_.._----~.._--- .-- ..--. ---.-. -.'--" .---------
A. T oltoble Bequln":
1.
DolIn E. Doitzol
01,_1 Grnnthmn noud
Grunthulll, PA 17027
llifo
Entiro E3tate
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental Beque"s:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aho enler on line 13, Recopitulo'ion) S
(If more space I. ""d.d, Inu,' additional .h..,. of lome du)
-
COHHONW[AI III III 1" NNSYI VANIA
O[P"IUIUN' 01 "'VI NUl
BUill AU 01 INDIVIDUAL Ullt S
DEPT. ;'110&01
tlARRISBUIlC, I" III;'ft-ObOI
J:;~~
'4fJ~
NO.21 96-0',29
96129697
08-15-96
f
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
III lhlll I" II UI
EST. or HARRV F BEITZEL
5.5. NO. 189-09-4808
DATE or DEATH 03-03-96
COUNTY CUMBERLAND
TVPE OF Accourn
o SAVINGS
o CHECKING
[J TRUST
[Xl CERTIF .
BARRV J BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND co COURT HOUSE
CARLISLE. PA 17013
PNC BANK h.u provided the OePllrtllQnt with thll l"forllIlHle" Ilstod belolf which has blum used in clIlculatlng thll
pohnU"1 hit dUll. Iholr records Indlcltta Ihnt ilt thll (111.1\11 of tho ,ltlOI/O dQcndant, yoU werll i1 joint ownor/bQnoflclnry of this account.
If you 10.1 this InforoatJon Is Incorroct, ploftse oblnl" wrltton corroctlon frail tho flnAnclnl Institution, nttRch a copy to this for~
and roturn it to tho abovII Itddross. This Account Is t".lIble In accordance with tho Inhorltnnco Tn. laws of tho Co~.onwoalth of Ponnsylvania.
Quoltlonl .ny bo answered by calling (111) 181-83Z1.
COMPLETE PART 1 BELOW .
Account No. 21001012693
FILING AND PAYMENT INSTRUCTIONS
. . SEE
REVERSE SIDE FOR
04-24-92
Oat.
Established
10 Insure propor crodIt to your account, two
(2) caples of thIs notlco nust acconpany your
plly."nt to tho P"glshr of Wills. Hal<o chock
payablu to: "Roghhr of "'ills, Agent".
Account Salance 10,012.89
Percent Taxable X 16.667
A.ount Subject to Ta. 1, 66B. 85
Tax Rat. X .15
Potentlel le. Due 250.33
PART TAXPAYER RESPONSE
COI FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT BASED ON THIS NOTICE
A. I~ Iho abavo Infarnatlan and ta. duo Is corract.
~ I. Vau ~ny chao so to ro.lt pay.ent to tho Roglstor of "'ills with two coplos of this notlco to obtain
8 discount or avoId Interest. or you _ay chock bo. ~A" nnd roturn this notice to tho Roglster of
willi nnd an official nssoss.ont will bo Issued by tho PA Depart.ent of Revenue.
NOIE: If ta_ pay.onts Are .nda within throe
(3) .ooths of tho decedent's dato of death,
you .ay deduct a 5% discount of tho ta. duo.
Any inhoritance ta. due will beco.e delinquent
nino (9) nonths after tho date of doath.
l- CHECK ]
ONE
BLOCK
ON LV
B. c=J The abovo assot has boen or will be rnportod and ta_ paid with the Pennsylvania Inheritance Ta. return
to be flied by the docodont's ropresontatlve.
c. )2J The nbove Infor_atlan Is Incorrect nnd/or dobts and deductions wero paId by you.
You .ust co.pluto PART :2 I and/or PART ~ bulow.
PART
~
If you indicate a different tax rate, 7lease state your
relationship to decedent: -;~, f.
OFFICIAL USE ON LV 0 AAF
PA DEPARTMENT OF REVENUE
TA}: ru:.URr:
CO:::~:';i:'TION
~~
u,
T;'~ :m JOI:~i,'i:\:;3i ;.coo:.;::.:;
PHU
LINE
1. Date Established
2. Account Salance
3. Percent Taxable
4. A~ount Subject to Tax
5. Debts and Deductions
6. A~ount Taxable
7. Tax Rate
8. Tax Due
x
I c.1 (.
/Cr:./~
DEBTS AND DEDUCTIONS
K
/!- (: ~:. 't' ..)
1
2
3
4
5
6
7
8
CLAIMED
On
1
2
3
4
5
.
7
8
PART
~
DATE
PAID
PAVEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on line 5 of Tax Conputation)
$
Under penalties
conPle~ to the b,st
/0'/vU< f)
TAXPAVER S!6NATURE
of p.rju~y, 1 declare that the
of ~y knowledge and belief.
..) ,~-
, /, ", /
facts I have reported above are true, correct and /
ct'j / .;j(
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OfFICIAL TAX ASSESSHENT wlllt '1I'1I11cIIIIIII In'.'''~' hll\ud (In Info,utton
SLlb_Ut.d by Ihe U",mel...' In'lltulion.
1. Inh.rltlW1cII t'Ul beCDIlI.' delinquent nine 1II0"lhl "ftur Ihll tJllc.dlln", dllln of dll/lth.
1. A joint account 11 '''./tble IIVlln thOUV'l thll dueechm.', Mill.. Will lidded ,,, ".",Uor of convllnlonclI.
ft. Account. I Including Ihou hllld but...." hUlbllnd "nd wlf., which thll tllle.dent put In joint nn.u within ono Yllar Ilrlor to
dll.th "rill fully t"~lIbl. n. tran,f.r..
~. Accounts ..tflblhhlld Jointly b.tw..n hUlbtmd "nd wife 1lI0r. thlln onll yent prior to IInth ",. not ',unblo.
b. Accounts held by a dllClldllnt "in trult for" nnother or olhllr. Mil t.unblu fullv.
REPORTING INSTRUCTIONS - PART
I
- TAXPAVER RESPONSE
1. BLOCK A . If the Infor.allan and COllpu'"tlon In th. notlc. ar. corrQct Olnd d.ductlons nr. not b.lng clnl.gd, plac. an "X"
in block "A" of Part 1 of tho "ta.pay.r Rospon'e" ,.ctlon. Stgn two cop Ius nnd sub_It thu. with your chuck for th. a.ount of
tall to the Roglster of Willi of the county Indlcotud. Ihu IIA DgpMteunt of Ruvunuu will islue an official au.neunt
tFore REV~IS~8 EXI upon r.celpt of thu ruturn froe th. Ruyl,tur of Wills.
2. BLOCK B _ If the aSlut speclfi.d on this notic. has buen or will be ruport.d and ta. paId with the PennsYlvania Inheritance
ra. Return filed by the decedent's repr.lentative, plnce nn "K" In block "BOO of Part I of the ..tallpnyer Respon'e" suction. Sign one
COpy and return to the PA Depart.ent 0' Rgvenue, BurAau of Individual hus, DApt ;o80bOl, lIarrhburg, PA 171cll-ObOI in thll
envelope provided.
3. BLOCK C _ If the notice Inforuatlon I_ Incorrgct and/or deductions aru being clalued, check block "C" and couplet. Parts Z and 3
!l~,:~~d!"g t': tnfO I"f~r,-,~~Io". ".1(''' !I:o'" t.,1:' e')"'.. ..... I,...,~lt .h.... ..Ith ~.....~ ~"."" ,..~ th. ".~'J"~ ~f '11" P!t~'!lJ'q t., lto.. D.,::II'::~
of Wills of thu county indicatlld. thG PA Dgpnrt.ent of RuvenuG will Issue an official assessuent (For. REV~IS~II [X) upon receipt
of the roturn fro. the RlIgister of Wills.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
I. Entllr
NOlE:
the date the account originally was established or titled In tho .annGr e.istlng at datu of dGath.
For a dGcedllnt dying aftllr 12/12/82: Accounts which thu dGcodent put In joint na.es within on. III yGar of doath are
tauble fully as transhrs. 1I0wevGt, thurel 11 an ullcluslon not to u.cud 13,000 pGr transfer.. rogardless of the vlllue of
the account or the nu.ber of account' held.
If a double astllrlsk (._1 appoars bofore your first na.e In tho address partlon of this notice, the '3,000 eMclusion
already has bOGn deducted fro. the Dccount balanCG as reported by thg financial Institution.
Z. Enter the total balanCG of the account Including Interost accrued to the date of dGath.
3. the percent of tho account that Is takable far oach survivor Is deter~inGd as follows:
A. the percent ta.able for joint assots established aorG than one year prior to tho decGdant's death:
DIVIDED BY tOTAL NUHBER OF
JOINt OWNERS
ElIa.ple: A joint asset registered
DIVIDED BY tOUL NUHBER OF X 100 . PERCENt TAXABlE
SURVIVING JOINt OWNERS
In the nft.G of the dacedent and two othor pGrsons.
I DIVIOED BY 3 (JOINt OWNERS' DIVIDED BY 2 (SURVIVORS' . .161 X 100
Ib.1~ (tAXABlE FOR EACH SURVIVOR'
B. the percent tallable for assets croated within one yoar of the decadent's dGath or accounts owned by tho dGcodent but held
In trust far another Indlvldualts) (trust beneficiaries):
1 DIVIDED BY tOtAL NUHBER OF SURVIVING JOINt
OWNERS DR tRUST BENEFICIARIES
X 100 . PERCENt TAXABLE
ElIa.ple: Joint account registorGd In the na.e of the dGcodent and two other pllrsons and established within one year of dGath by
the dGCGdent.
I OIVIDED BY 2 (SURVIVORS' . .SO X 100 . SO~ (tAXABlE FOR EACll SURVIVOR)
~. tho a.ount subject to ta. (line ~, Is deter.lnod by .ultlplylng tho account balance tlinG Z' by tho percent takable (1lno 31.
S. Ent.r the total of the dGbts and deductions listod In Part 3.
b, the a.ount tawabl. Illnu 6) Is detllr.lnlld by sUbtracting the dGbts and doducttons (line ~I fro. the a.ount suojGct to tall (Jlno ~J.
1. Enter the appropriate tall ratll (line 11 as dGternlned below.
A. Far date' of dllath occurring aftllr b/30/9~, the tall rntos for transfers to spouses are a, follows:
I. Date, of dGath on or after 7/1/94 and beforo 1/1/9S the rate Is 3~.
2. Date' of death on or after 1/1/9~ transfers to spousos will be taMed at O~ ta. rato.
Note: For dates of dGath prior to 7/1/94 transfors to spousos aro ta.able at b%.
B. Transfers to lineal doscendants including father, 80thor, son, daughter. grandchildren, son-In-law,
daughtGr-ln~law, stepchild and their issuo are tallable ~t sill porCGnt (6~).
C. Transfers to all others Including brothor, slstor, unclG, aunt, nophew and nleco aro ta.able at flftgen por~ent (IS%I.
D. If you change the ta. rnlo, please specify your rolatlonshlp to thG docedont In th. aroa provld.d.
8. the aeount of ta. duo (line 8) Is delllrulned by .ultlplylng the a.ount tallable (1In. 6) by the tnk rnte 111ne ,).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEOUCTIONS CLAIMED
Allowable dGbts and deductions are doter~InGd as follows:
A. You legally are respon,lble for pay.ont, or the ostato subject to ndulnlstratlon by a personal reprllsontative Is Insufficient
to pay the deductible Ite.s.
B. You actually paid the dobts after death of the declldGnt and can furnish proof of pav.ent.
C. Dobts b.lng clal.ed .ust be ite.iled fully In Part 3. If additional spacG Is needed, u,e plain paPGr II l/Z" Mil". Proof of
pay.ont .ay be requ.stod bv tho PA Dopart.ont of Revonue.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE. CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF ItlDIVIDUAL TAXES. TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327. TDDI (717) 772-2252 (HEARING IMPAIRED ONLY)
(OHHOHWlAllll Of IIIHHSVIVAHIA
IllllANIMlHl 01 NI.Vl HUI
IlUNl AU or INDIVIDUAl IUI S
DU1T. ,;'80tJOI
ItARNIS!lUNC,IIA 1/1,;'B'QbOI
r%~
FILE
ACN
DATE
NO.21 96-0',29
96129662
08-15-96
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
,.,.a.II' ,I' " t\l
TYPE OF ACCOUtH
EST. OF HARRY F BEITZEL
5.5. NO. 189-09-4808
DATE OF DEATH 03-03-96
COUNTY CUMBERLAND
,~
l_.l SAVINGS
[J CHECK ING
[:'::1 TRUST
IX] CERTlF .
TO:
DIXIE L RIDER
B41 GRANTHAM RD
GRANTHAM PA 17027
REHIT PAYHENT AND FORHS
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
PNC BANK has prOllldGd tho Oopnrt""lnt I,lith tho In'or"'lItlon Ihtod holow which hAS bORn usod In cAlculating tho
potontlnl tax duo. Their rocords Indicate thAt At thll dlll1th of the ahovD cJflcudont, yoU warn II joint ownor/bor15lflclary of this account.
If you 'Gol this Infor.atlon Is Incorroct, pluDse obtaln wrlttGn corroctlon 'ro. the flnnnclal institution, ~ttnch /1 COPY to this for.
and roturn It to thG Aboll. addross. This Account is tn.nbl. In /1ccOrdancD with thG lnhorltnnco Ta. Laws of tho (o",.onwol1lth of PonnsvlvAnla.
Quostlons .ny b. answ.rod by calling (117) 187-83Z7.
COMPLETE PART 1 BELOW .
Account No. 21001012350
. . SEE
REVERSE SIDE FOR
11-01-88
FILING AND PAYMENT INSTRUCTIONS
Date
Established
To Insuro proper crodit to your Account, two
IZI copies of thlt notlco nust ncco.pnny your
pAy...nt to thG Register of wills. Hn~o chec~
paYllblo to: "Registar of wills, A9I1nt".
PART
m
10,002.93
16.667
1,667.19
.15
250.08
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED
ON THIS NOTICE
Account Balance
Percent Taxable
Anount Subject to
Tax Rate
Potential Tax Due
K
NOT[: If tnl( pAY"lInts Bra ..ado within throll
131 "onths of the dllcodent's dato of doath,
you ",ay deduct A ~~ discount of thO tAl( duo.
Any inherltAnco tn. duo will beco_e delinquent
nino Iql "onths aftor tho date of death.
Tax
x
[CHECK ]
ONE
BLOCK
ONLY
A. n The IIbovo Inforlllatlon and tA. dUll Is corroct.
~ 1. You .ay chooso to rOllllt pay"ont to tho Register of Wills with two copies of this notice to obtllin
II discount or allold intorost, or you .IIY chock box "A" nnd roturn this notlco to tho Roglstor of
Wills IInd ar official assoss_ent will b. Issued by tho PA Departlllont 0' ROllenu..
/-\ ;
B. L-J The nbovo assot has boon or will be roportod and ta. paid with tho PennsyIVftntA Innerltnnc. TaK roturn
to bo filad by tho docodont's ropresentatlve.
c. ~ The above Infor.Atlan IWncorroct ...nd/Or. dllbts .lnd deductions ....re paid by you.
!, You lIIust co_pleto PARI ~ nnd/or PART ~ billow. .
PART
~
T:'~
LINE
If you indicate a different ta~,rate. please state your
relationship to decedent: U,l,J ,Yh t (' ,'"
,
n::TUnN CCf~~Ur:'TION C~ -r:,:: m: ..:o::r;','T~U:;T A:C::':::1':::
OFFICIAL'. USE ONLY [j AAF
PA DEPARTMENT OF REVENUE
'l ;: '7
" i
FAn
1
2
3
4
5
6
7
8
CLAIMED
1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
5. Debts and Deductions 5
b. Attount Taxable b
7. Tax Rate 7
8. Tax Due 8
x
K
! <
~ r
/ (. C t-.)
DEBTS AND DEDUCTIONS
PART
~
DATE
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line S of Tax Computation)
.
Under penalties of perjury. I declare that the fBcts 1 hBVB reported abov. are tru.. correct and
conp~ete to the best o,f my knowledge and bel hf. HOME )
./ ,. . / WORK () ..
/1" ; . .
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with ItJlpllcnlll. in'.r.., lI"ud on Infonu.llon
lub_ltt.d by the financial Institution.
Z. Inhultanca tlU beco... dallnqUlmt nln. aonth. IIfhr the dauilent" data of d."th.
1. A Joint account I. la_able aven though In. dacadanl.' nil.. wal added nl " ..tt.r of convenience.
~. Accounts (Including tho.a held betw..n husbnnd nnd wlfol which the dllcedont put In Joint nil... within on. year prior to
d..th ar. fullv t..nble a. tran,f.r.,
!i. Accounls 8'llIbll&hod Jointly bah...n hu.band And wlf. aor. Ihn" ana VIII't 'lrlor to 1I.llth IIr. not ,,,."bl..
b. Account. hold by . dacadant "In trust for" another or oth.r. nt. tn_nbl. fullv,
REPORTING INSTRUCTIONS - PART
I
- TAXPAYER RESPONSE
1. BLOCK a ~ If tha Infor.etlon and eo.putatlon In th. notlc. Mill corrlllct And dlllductlon. ar. not b.ing clal..d, Iliac. an "X"
In block "A" of Part I of th. "Ta~pay.r R.spon.... s.ction. Sign two cop I.. nnd sub.lt th.. with your ch.ck for th. a.ount of
ta. to the RllIgI.t.r of Will. of th. countv Indlcat.d. Th. PA D.part..nt of R.v.nUIll will issu. an official n.......nt
(for. REY-154a EX) upon r.c.lpt of the r.turn fro. th. P.glst.r of wills.
Z. BLOCK B - If the a,..t ~p.clfi.d on thl. notlc. hRs be.n or will bill rDport.d nnd to. paid with the p.nn.vlvanln Inh.rltnnc.
ta~ R.turn filed bv the d.cadlllnt's r.pr...ntntlv., ploc. An "M" In block "a" of PArt I of the "ta_pay.r R.,pons." ,.ctlon. Sign on.
coPV and r.turn to th. PA Depart..nt of R.v.nu., Bur.Au of Individual Ta.... D.pt Z80bOI, lIarrhburg. PA I7IZ8-0bOI in tha
IlInvllllop. provided.
3. BLOCK C - If the not Ie. Infor.atlon I. incorr.ct and/or deduction, at. b.lng clal..d, ch.ck block "C" and COlllpl.t. Part. Z and 3
accordi.,!: te ~.,. I"I~"\.!,:~I~I'" b!:le'" ~la" t.,o cerl.. ,,,,.. ....,.." ,,,.. wi'" ~'""r r:....." f.... ..,. .......~"t ..I t..v ".~,."l. to .... D.~I.....
of Will, of the countv Indlcat.d. the PA Oepart.ent of Pevenu. will Issu. an official ass..,.ent (for. REV-1548 EM) upon receipt
of the r.turn fro. the R.glster of Will..
TAX RETURN - PART
2
- TAX COMPUTATION
liNE
I. Ent.r the date the account original Iv was .stabllshed or tltl.d In the .ann.r ..Istlng at date of d.ath.
NotE: for a deced.nt dvlng aft~r IZ/IZ/8Z: Account. which th. d.cllld.nt put In joint na.., within on. 11) v.ar of death ar.
ta.abl. fully.. tran.fer.. Howev.r, thar. I. an ..clu.ion not to a~ceed S3,OOO p.r transf.re. regardl.s. of th. valu. of
th. account at th. nu.ber of accounts held.
If a doublll1 astarl.k (__) app.ar, b.fora your first na.e In the address portion of thl. notice, th. S3,000 e~clu.ion
alraady has b..n d.duct.d fro. the account balane. a. reportad by th. financial Institution.
2. Enter th. total balanc. of the account Including int.rest accru.d to the date of d.ath.
3. The perc.nt of tha account that i. taxabl. for .ach surulyor II d.ter.ln.d a. follow.:
A. the parcont ta~able for Joint a".ts establlsh.d .or. than on. y.ar prior to th. d.e.dant'. death:
DIVIDED BY tOtAL NUHBER Of
JOINT OWNERS
Exa.pl.; A joint as,.t r.glstar.d
DIVIDED BY tOTAl NUHBER OF M 100 . PERCENt tAXABLE
SURVIV(NG JOINt OWNERS
In th. na.. of the d.ced.nt and two oth.r per.ons.
I DIYIDED BY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) . .161 X 100
16.1~ (TAMABLE fOR EACH SURVIVOR)
B. Th. p.rc.nt ta.abl. for a,s.t. creat.d within one year of th. d.c.d.nt's d.ath or accounts own.d by the d.cadant but h.ld
In tru.t for another indivldual(s) (trust ben.flclarl.,):
1 DIVIDED BY tOtAL NUHBER OF SURVIVING JOINt
OWNERS OR tRUSt BENEFICIARIES
K 100 . PERCENt tAXABLE
ExaMPle: Joint account raglster.d In the na.. of the dac.d.nt and two olher p.rsons and ..tabllsh.d within on. y.ar of death by
the d.C8d.nt.
I DIVIDED BY Z (SURVIVORS) . .50 M 100 50% (tAMABLE FOR EACH SURVIVOR)
~. The a.ount subj.ct to tax (1In. 4) t. det.r.ln.d by .ultlplvlng tha account balance Illn. Z) by th. per cant taxabl. (1In. 1).
S. Ent.r the total of the d.bts and deductions Ilshd in Part 3.
6. The a.ount ta~abl. tlln. 6) Is detar.ln.d by .ubtracting the aebts and d.duc\lons Ilin. !II tro. th. a.ount 'UO).ct to td_ lii"e ..,.
1. Ent.r th. appropriate ta. rat. (line 1) al d.t.r.ined below.
A. For date. of d.ath occurring aft.r 6/30/9~, th. ta. rat.. for tron.f.rs to spou... are as foilows:
I. Oat.s of death on or aft.r 1/1/9~ and before 1/1/9~ the rat. Is 3%.
Z. Oat., of death on or after 1/1/95 tran.fers to spou... will b. ta.ed at 0% ta. rate.
Not.: for dat.s of death prior to 1/1/94 transfers to spousal or. ta.abl. at 6%.
B. transf.r. to Iln.al dUC8ndants inCluding father, Moth.r. ,on, daught.r. grfmdehildr.n, son-In-law,
daught.r-In-Iaw, ,t.pchild and thalt iSlue are lawRbl. at ,I_ p.rc.nt (6%).
C. transf.r. to all oth.rs Including broth.r, ,Istar, unci.. ount, neph.w nnd ni.c. nr. ta.abl. at flfta.n p.rcont (15%1.
D. If yoU change th. tft. rate, plaa.. .paclfy your r.lationshlp to the d.cedent In the ara. provided.
8. th. a.aunt of tax dug (1In. 81 I. d.ter.lned by .ultlplylng the ..ount tawable (lln. 6) by th. taw ral. (1lna 11.
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
AIlowabl. d.bts and d.ductlon. ar. det.r.lned as follows:
A. You I.gally ar. r..ponslble for pay.ent, or the .,tate subj.ct to ad.lnlstratlon by ft p.rsonal r.pr.sDntativa Is Insufficient
to pay the deductible It....
B. You actually paid the d.bt. aft.r d..th of the dee.d.nt and can furnish proof of pay..nt.
C. D.bts b.lng clal.ad Must be It..lz.d fully In Part 3, If additional ,pac a I. ne.ded. u.. plain pap.r 8 l/~" _ II". Proof of
pay..nt .ay b. requ.,t.d by the PA O.part..nt of R.vanue.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY)
/'
CO"I"IONWlAlTll or IIINNSVIVANIA
D[IIART"fNI 01 III VI Nut
!UJlUU Of INlllvlnUAI JutS
DIP', ;'80bOI
tt'''''ISBURC. II" 1/10'1I-0bOI
*
FILE NO. 21 96,0',29
ACN 96129696
DATE 08-15-96
INFORMATIOH NOTICE
AND
TAXPAYER RESPONSE
Ih-.hlII tl. "\\1
TVPE OF ACCOUtH
EST. OF HARRV F BEITZEL
5.5. NO. 189-09-4808
DATE OF DEATH 03-03-96
COUNTY CUMBERLAND
:~ SAVINGS
~_~ CIIECK ING
''', TRUST
iX~ CERTIF .
TO:
DENNIS E BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
REHIT PAVHENT ANa FORHS
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 170J3
PHC BANK hIts prollldlld thll Oopnrtlumt with the inforl'lntion listad below which has buon used In cnlculAttng Ih_
potllntlal ta~ duo. Thlllr rllcords IndlcatA Ih,,' ,,' thQ dllath of thll ilbova dOClldDnt, YOU woro " joint ownllr/bllnllflclary of this account.
If you f.1I1 this infor.nllon is Incorroct, ploa,. ob,,,jn wrlttlln carroctlon fro. tho financial institution, "tt~ch n COpy to this for.
and 'IIturn it to the "bo"a addtll's. this account is t"~,,blll In "ccord~nce with tho Inhorltance taw laws of tho Co.aonwoalth of Ponnsylvania.
Questions aay be answorad by calling 11111 181.a311.
COMPLETE PART 1 BELOW · ·
Account No. 21001012854
. SEE REVERSE SIDE FOR
Oate 04-30-93
Established
FILING AND PAVMENT INSTRUCTIONS
to Insura propar cred! t to your account, two
(11 coplos of this notice "ust aCCOMpany your
ptly.ent to the Roglstor of "'UIs. Hnke check
payeble to: "Raglstar of Wills, Agent".
PART
m
10,005.56
16.667
\,667.63
.15
Z50.14
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS
NOTICE
Account aalanca
Percent Taxable
Anount Subject to
Tax Rate
Potential Tax Due
x
Not[: If taw payaonts are aada within thrae
(1) ~onths of the docedont's dato of death.
you aay deduct a S% discount of the taw due.
Any Inhorltance taw due will boco.e delinquent
nino (9) nonths after the date of death.
Tax
x
[ C~~~K ~_I
BLOCK
ONLY
A. c:J the abovo Inforaatlon and taw duo Is correct.
I. You .ay choose to ro.lt payaont to tha R091star of "'Ills with two capias of this notice to obtain
a discount Dr avoid Interast, or you .ay chack bow "A" and return this notice to the Register of
Wills and on official assossaent will ba Issued by the PA nepartaont of Revenue.
8. c=J tho above osset has beon or will be raportod and taM paid wtth the Pennsylvania Inhorltanco taw return
to bo filed by tha decadont's representative.
C. ~ the abowe Infor.atlon Is Incorroct and/or debts and deductions wore paid by you.
You .ust coaplete PARt ~ and/or PlRt [!] below.
PART
~
T"~
LINE
If you indIcate a different tax r~e. please state your
relationship to decedent: . ~', /\.
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
j:'~ :m JC:::":'.'j~u::r :.cCO~mTC
".~
"'"
^"
w,-
CC:~~Uj:'j:ON
........-..
",,'''''''1.
1
2
3
4
5
6
1
8
CLAIMED
I
2
3
1, Date Established
Z. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
S. Debts and Deductions
6. Anount Taxable
7. Tax Rat.
8, Tax Du.
1/: /
./
, .
Co j
x
"
5
&
7
8
x
(II...
0' ( (' . /' "
DEBTS AND DEDUCTIONS
PART
~
DATE
PAID
PAVEE
DESCRIPTION
AMOUNT PAID
I
I
TOTAL (Enter on LIna S of Tax ConputatlonJ
$
, .
of parJ.ur,~. I ~lara ~h.t the facts I
of ~~~ ed andtlief.
'-;~t: ,. C i
have reported above are true, correct
HOME (7' 7 I (J (( 7 - J 9~: /
WORK () /' I S (. / - II C :':>
L"nHONc NUMheR
(/ f /~t)
M
and
<,
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OffICIAL TAX ASSESSH[NT ..Ith .1fl11lll..lhltl Inhn." b""wd "" Inln,...,'jo"
lub.lltod by tho 'I""nel,,' Inltitutlon,
Z. Inh.rltftnCA tall boea... dollnqUlml nln. .o"~hl n'tof tha dIoCllclo"", tI"t. of 1I."lI1.
.s. A Jolnt nccount h t,..."blo avo" thouGh th8 dAcedo"t', ""." Wltl mlctAd nl n lMthr "' CIIIIVIUlIIoI1'..
ft. Account. lincludlnQ thOl1l hold b.t...." hUlb,md nnd wlfo' which tlliI d..c:ulhln' put In Joint n.'OIlI wtthln ono ..,..", Ilrlot to
duth .r. fully IIU"bl. ". Ira"S'.f',
Ii, Accounts ..tnblhhod jointly but...." hu_bllnd ftnd wHu 1III0tll thnn unA v."t prior to (IIMlh ,.tll not tn."b1a.
ft. Accounts hold by n dueAdont "In trult for" "nother or olhllf' "f. t,,_lIbl. fully,
REPORTING INSTRUCTIONS - PART
I
- TAXPAYER RESPONSE
1. BLOCK A _ If tha Inforlllatlon nnd co.putotlon in Ihe notice Hre corrQct illld dQducUon' Me nol being chi.lld, place an "I("
In block "A" of Purt I of thll "Tallpnyllr Response" ,ectlon. Sign two copies ilnd sub.1t th.. with your ch.ck for thll a.ount of
tall to thll Reghtll,. of Wills of thll county Indlc.,ted, The PA OIlPart.ent of Revenue will inulI nn official Muss.ent
(For. REV-l~~8 El(I upon rllcelpt of the return fro. tha Registllr of wills,
2. IILOCK B _ If tha aSSAt spacifhtd on this notice hn bun 0" will bll raportod ilnd ta. paid with tha Pannsylvania Inharitnnca
TIlUI Raturn filed by tha dacodant" ropresontatlvo, placa nn "I(" in block "B" of Part 1 of the "Ta.payu" Rosponu" uction. 51Qn ono
copy nnd rotu,.n to the PA DIIPart.ent of Ravllnuo, Bur.Au of Individual Ta.es, Dllpt 0'8060l, ,",,.rl"burg, PA 17128'0601 In tho
envolope providod.
1. BLOCK C _ If tho notlco Infor_atlon Is Incorrect nnd/or doductlons are bolng clai~ed, chack block "C" nnd co~plete Pnrts 2 nnd 1
,.~~nrrtlno to t..... inslrucllons bolow. Sian twn roo I"" a.,,, cuhJllt th". wl'l1 v...ur rt,.,rl,. r"r t.... ~..,.l'..t ,.' ...... ~.,......'. to t... D.~I.'."
of wills of tho county Indlcatod. Thll PA Dopnrt.ant of Rllvenuo will issue nn official assass.ont (ror_ REV-l~48 EX) upon rocoipt
of the ,.aturn fro_ the Rllglsh" of Wills.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
I. Enter
HOTE:
thll date tho account o,.lglnlllly was establl"hod or titled in thll lIannllr ..Istlng at datil of dllath.
For" dllcedont dying afte" 12/12/82: Accounts which tho decedont put In joint na~as within one (11 Yllar of dllath are
tl!lllabl. fully 8S tnnslllrs. tloWllvor, therll is an o.elusion not 10 OllClllld "1.000 pe" Iransforao rogardlo" of thll value of
Ihll account 0,. thll nuebo,. of accounts hllld.
If a doublo asto,.ls~ I..) appal!l"S before your first naee In the addross porllon of Ihis notlco. tha Sl.OOO allcluslon
alrlladY has beon deductod frOB the account balanCII as ,.opo,.ted by tho financial Instilutlon.
2. Entll" thll total balance of Ih8 account Including interllst accruod to tho datil of dealh.
1. The pllrcent of the account that is tallable fa,. lIach survivo,. is delorMined as follows;
A. The pllrcont taMable fa,. joint assots ostabllshad .oro than one Yllor prior to the doclldonl's doath:
DIVIDED BY TOTAL NUMIIER OF
JOINT OWNERS
EJlBeple: A joint 8UOt reghtllrlld
DIVIDED BY TOTAL NUHBER or x
SURVIVING JOINT OWNERS
In the naee of Ihe doc.dont and two othllr
100 . PERCENT TAXABLE
persons.
1 DIVIDED BY 1 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) . .161 I( 100 . 16.7:(; (TAKABLE FOR EACtI SURVIVOR)
B. Thll parcont taMoblo for assllts crol!llad wilhln one Yllar of Iha dllcodllnt's doath or accounls ownad by the dllcodant but hllld
In trust fa,. anothllr individual(s) Itrust boneflcll!lrlos):
I DIVIDED BY TOtAL HUHBER or SURVIVING JOINt
OWNERS OR TRUST BENEFICIARIES
I( 100 . PERCENt TAXABLE
EMa.pla: Joint account ,ogistored In tha naell of Ihe dllclldent ond two olho,. persons and ostabllshad wllhln ona yoar of doalh by
Ihe dllcadllnt.
I DIVIDED BY 2 (SURVIVORS) . .50 I( 100 . ~07. CtAXABLE FOR UCll SURVIVOR)
4. Thll aMount subjact to tall (1In. 4) is deto,.elned by Multiplying Ihe account balanca (llna ~) by Ihll porcont laMablo (llna 1).
S. Entll" Ihe total of Ihll debts and dllduclions listod In Part 1.
b. thll aeount taMabl. Illne &J Is dotor.inod by subtracting tho dobts and doductlDns Iltno ~l frOM the aMount suOlect to t8M lllna _I.
1. Ento" thll approp,.lale taM ,.ate Illno 1) as dotor.lnlld bolow.
A. For dales of d.ath occu,.,.lng aft.,. b/10/~4, Iho tall rllllls fa,. transf.,.s to spousos arll as follows:
I. Datos of doath on or afte" 1/1/~4 and be for. l/I/q~ Ihll rato is 17..
2. Dates of death on 0" aftor I/l/~~ transfors 10 spousas will bll ta_od al 07. tall rate.
Note: Fo,. dales of dllath prlo" 10 7/1/94 transfors to spouses arll t~_ablll at &7..
B. Transfers to Ilnoal descondanls Including falhor. nothor, son, dAughtor, grandchildren, son-in-lAW,
daughtllr-in-law. stepchlld and Ihol,. Inuit are tauble At sill porcont (&%1.
C. Transfers to all olha"s Inciudlng brothe", sister, uncllt, aunt, nophew Bnd nioco arll to_obI. at flftoon porcont (1~%1.
D. If you chango the tall rato. plllasll spocify you,. rlllationshlp to the docedent in thll aroa providod,
8. 1he oeount of taM duo Illne 8) Is dotereinlld by Multiplying thlt a.ount taMoblll (line 6) by Ihll la_ rat It (line 1).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowablll dobts and doductlons are dlller.lned BS follows:
A. You 10gallY are rllsponslblll for paYllllnt. or Iho ostate subJllct to od.lnlstrnlion by a porsonal rllPrasonlolivlI is insufflcillnl
to pay Ihe deducUble Ite...
B. You actually paid the dobts afto,. dllath of the dllcedonl nnd can furnish proal of paYllant.
C. Dobts b.ing clai.lld .ust be Iloellad fully In Part 1. If additional spaca is nlllldlld. use plain papor 8 I/O'" - 11". Proof of
pay.ltnt .ay bll reque.tlld by thll PA Dopartellnt of RltvonulI,
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TDD' (717) 772-2252 (HEARING IMPAIRED ONLY)
..
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COHHOHwt &lIlt 01 III NHsvt VANIA
DlIlARIHIHI 01 RI VI NUl
BUREAU Of INDIVIDUAl lAltl S
DlPt. lBObOI
IIAIlIUSBURC, III 111....0"01
~
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
NO.21 %,0',29
96129682
08-15-96
FILE
ACN
DATE
111-1,.11111'" t"
TYPE OF ACCoutn
:J SAVINGS
iJ CHECK ING
iJ TRUST
[Xl CERTlF .
EST. OF HARRY F BEITZEL
5.5. NO. 189-09-4808
DATE OF DEATH 03-03-96
COUNTY CUMBERLAND
VERNON L BEITZEL
BOX 64
841 GRANTHAM RD
GRANTHAM PA 17027
RENIT PAYNENT AND FDRNS TO:
REGISTER OF WILLS
CUMBERLAND CO CDURT HOUSE
CARLISLE. PA 17013
PNC BANK hno .,.vld.d Ih. D.."I..n' .ith Ih. Inf....tI.n ",I.d b.I.. .hl,h "". b..n und In <o1,ul.tln. 'h'
..,.ntl.1 ,.. du.. ",.1, ",..d. Indl<ol. Ih.1 ., 'h. d..'h .1 I". .,".v. d.<od.nl. v'u .... n J.ln' ..n"'b.n.lId.,, .f 'hi. ","un'.
I' ,.u f..1 'hi. Inf.,..'I.n I. In,.""" .1.." .blaln .,I,I.n ,.".,II.n f". Ih. fln.n,lal In.'I'u'l.a. .,Ia,h . ,.., ,. 'hi' f.,.
.nd ,,'u,n I' .. .h. .b.v. add"'" Ihl. a".un' I. ,.,"" In .".,d.n" .llh Ih. Inh.,I'an,. la' I..' .f Ih. c....n...llh nf ..nn,,'v.n'.,
Questions ~fty be ftn~~.rod by calling (1111 lBl-.521.
COMPLETE PART 1 BELOW · ·
Account No. 21001012780
. SEE REVERSE SIDE FOR
Data 01-10-93
Eshblished
FILING AND PAYMENT INSTRUCTIONS
to In~ure proper credl t to your account. two
(ll caple. of 'ht. notice ~u.t nccO~pftnY your
p"y~ont to 'he Regts'er of Wills. Ha~. chock
poyable to: "Register of wlUs, 19.nt'..
PART
m
~
10.028.25
16.667
1.671.41
.15
250 .71
TAXPAVER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
Account aalance
P.rc.nt Taxabl.
Anount Subject to
Tax Rate
potential Tax Due
Hon: II ta_ pay..nts are .lId. within thr..
(1) ~onths of tho deced.nt.s date of death,
you oay d.duct a ~X discount of the tn_ duo.
Any Inheritance ta_ duo will beco.. delinquent
nino (~) ~onths aftor tho dllte 01 death.
K
Ta.
K
A. r=J tho above Infor~atlon and ta_ due I. correct.
I. ,.u .., ,h"" ,. r..I' ..v..nl I. 'h' ...1.'" .1 ulll, .llh ,.. ,..1.. .f Ihl. n.,I,. I. .b,.ln
. dl.,.un' ., .v.ld In'.,"" ., ,.u .., ,h'" b.. ... .nd ,,'u,n Ihl. n..I,. I. 'h' ...1.1., .f
willi and an official n.......nt ~111 b. I~sued by the PA Dep8rt~ent of R.venue.
[CHECK -,
DNE I
BLOCK _I
ONLY
.. L:J lh. ab.V' a.'" h.. b..n ., .111 b. ,.p.".d and 'a. ..Id .llh 'h. ..nn,,'v.nl. Inh.,I,.n,. la' ,.'u,n
to b. fU.d bY the deced.nt's npresontatlvo. (.}/
C. ~ lh. .baV' In..,..'I.n I. In,."'" .nd'.' d.b" and d.du,ll.n. ..,. ..Id. b, V.u.
You ~u,t co~plete PlRt ~ and/or PAAt ~ below.
PART
~
If ~ou indicate a different tax rate, ple.se state ~our
relationship to decedent: ,- -,/\ N
OFFICIAL U~E OIlLV 0 AAF
PA DEPARTMEIl~,.OF REVEIlUE
~.n
......
1'.".~ C~: ~C:~:T.'in~ST :'CCCC~IT::
cr
1
Z
3 X
4
5
&
7 X
0:
nETcn~: - COHrUTATION
1. Date Established
2. Account Oalance
3. Percent Taxable
4. Anount Subject to Tax
5. Debts and Deductions
&. AnDunt Taxabl.
7. Tax Rate
8. Tax Due
1
2
3
4
5
6
7
8
CLAIMED
,,"
TAY.
LINE
,.s4'-./
/{ IJ /,
{I/..
; /{'.(J. )~
DEBTS AND DEDUCTIONS
PART
@
DATE
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
,
TOTAL tEnter on Line 5 of Tax Computation)
end
hav. report.d above ar. true, correct
HOME (.5'IL') t1 C 1 "I'.f:r 7
WORK ( )
TELEPHONE HUMBER
der panaltlas 0 perjury, I declare that tha facts I
at. to t~. ...best f.~_k~owledge and beUef.
(1M' ,/< :.l'l'1,.t C
TAXPAYER SIGNATURE /1
/l'& he,
D E
1. FAILURE TO RESPONO WILL RESULT IN AN OffICIAL TAX ASSESSHENT .It" o,.,.II,.h1' 'n.....1 h...d nn 'n'n,..II.n
.ubaUhd by the f I"anclal tnlUtulton,
Z. Inh.rltance ,,,. hoeo..' dal1nfluent nine lIIon'hl aftur the IIOUII18'1". dItto nf 11.,.th.
S. A Joint nccount h ta."b18 avan though the decadant" n,,". WII' ndlllilll n~ .t .",lttlr of convwnlnnt..
.. A"ounll IIn<ludln. ...... h.ld b.I...n hu.b.nd .nd .It., .h"h ,h. .,.u.'.n' pu' In join' n.... .lth'n nn. ,." ,.dn, '0
duth fir. fullY tn.nlllo ,n t,an,f.r'.
,. A"ounll ....bll.h.d Jo'nll' b,'...n "".b.nd nn. .11. .0.. lhon on. ,.., ,..10' '0 d..'" .,. no' 1...b1..
6. Accounts hold by a dacodant "In trult for" "nothar or otho" rlr. tn."blo fully.
GENERAL INFORMATION
l. ",0" A . l' .h. Inlo,..lIon nn. ,o.pul.llon In .h. noli" ". '0"'" .n. dn.u,lIon. ",. no' b.ln. <1.1.... pl." nn ",V
'n .10" "A" 0' 1'''' I 0' .h. ",..pn," ...pon.." ...lIon. SI.n ..0 ,01'1.. nnd .ub.I' .h.' .lIh '0.' ,",,' 10' ,h. ..oun' 0'
.., '0 ,h. ...1.'" 0' will. 0' ,h. .ount, Indl..t... 'h. pA D.p.,t..nt 01 ..,.nu. .111 I...' .n 01'1...1 ........nt
(for. REV-l~4a EX) upon racoipt of tho return fr08 'ho Ragl".' of Will,.
REPORTING INSTRUCTIONS" PART
1
" TAXPAVER RESPONSE
z. alDCK a . I' .h. ....t '1'..111.. on thl. no' I'. h.. ...n 0' .111 .. ,.po,t.. .n. 'n, p.ld .I.h tho p.nn.,.,nnl. 1nh.,lton..
!a. .,'u,n III.. ., tho ."...nt'. ..p....n...I... pI..' .n "K" 'n blo,' ..." 0' P.,t I 0' tho "'''P'''' ...po..... ...lIon. SI.n on.
.0P' .n. ,.tu,n to tho pA D.p"".n' 0' ....nu.. au...u pI 1n.I,ldU.1 ,..... D.pt .."01. ,,,,,I...'.. pA lIm.'''1 I. tho
anvelop. provided.
3. alOe' C . l' tho not'" Inlo,..tlon I. 'n.o"." .n.'o' ......Ion. .,. ..Ing .1.1.... ,h'" .'0" "CO .n. ,o.pl.'. 1"'" , .n. 3
",co,aln, .. 'h. l."t.-..,"o.. t.:... "'. too.. ,0P'" .." ,..,It \I.... .1\1. ..'" ..,.,.... t:.. ......, .: ,.. ,.,.C:. .. ".. ..,1....
01 Will. 0' .h. countv In.l<ftt... Ih. pA D.."...nt 01 ....nu. .111 I..u. .n off 1<1.1 o.......nt IFo.. .[V-l'" EX' upon m"pt
of tho return fro. tho Rogistor of wills.
TAX RETURN " PART
2
" TAX COMPUTATION
LINE
1. [nt.r the det. tho account originallY was established or tltlad in the .anner __lstlng ot date of death.
NOI[. Fo" ......n' .,Ing .,.., I'/IZ/'" A"oun" .hl,h tho ..,...nt put In Joint n.... .Ithln on. II' ,..r 01 ...th .,.
.....1. lully .. .,.n."'" Ho....'. th." I. .n ..,lu.lon not to ..,... .'.0" 1'" t,.n.I.,.. ,...,.1... 0' tho ..Iu. 0/
the account or the nuaber of accounts hold.
If . .0u.l. ..t.d., In' 'PP"" ..'0" ,0.' II..' n... In tho ....... po,tlon 0' .hl. nolleo. ,h. ".00' ....u.lon
already has b..n deducted froo tho account balance 85 roported by tho financial institution.
Z. Enter tho total balanc. of the DCCDunt Including lntor.,t accrued to tho date of death.
S. The porcent of tho account that 1. taxable for each survivor Is detor.lnod BS follows:
A. The p.rcent taxable for joint allots established .or. than ono yonr prior to tho decodent's death:
DIVIDED av TOTAL HUHBER OF
JOINT OWNERS
[.aopl.: A joint assat r.glst.rad
1 DIVIDED BY 1 (JOINT OWNERS) DIVIDED BY Z tSURVIVORS) . .1&7 )( 100 . l&.n: lUXABLE FOR Hen SURVIVOR'
DIVIDED BY TOTAl NUHBER OF X 100 . PERCENT UXABlE
SURVIVING JOINT OWNERS
In the na.a of the d.c.d.nt and two oth.r parson..
.. Th. p.".n' '....1. '0' ....t. ,r..'.. .I.hln on. ,.., 0' tho ..,...nt'. ...th 0' ."oun" o.n.. ., tho ..,...nt .u. h.l.
in trust for another Indlvldualt.) ttrust b.naflclari.s':
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100 . PERCENT TAXABLE
[...pl.: Joint ..,oun' ,..l.t.,.. In .h. n... 0/ .h. ..c...n' .n. ..0 oth.' p.,son. .nd .....,I.h'. within on. V..r 0' ...th .,
the d.cadant.
1 DIVIDED BY Z (SURVIVORS) . .SO )( 100 . SO% tTAXABlE FOR EACH SURVIVOR'
.. Th. ..oun' ...j.ct to .., Illn. ., I. ....,.In.. .y .ul"plvlng tho .,count ..Ionc' tlln. " ., tho p.,c.n' t....,. Illn. 3'.
s. [nt.r the total of the d.bt. and deductions li.ted In Part 3.
.. Th. ..ount .....1. II'n. ., I. ....,.In...' .u..r..tlng tho ..... .n. .....tlon. Illn. ,. "0' ,h. ..oun' .u.J.,. '0 t., Illn. ...
7. Entar the approprlat. tox rate (Iina 7) as d.t.rained balow.
A. for dat.s of death occurring aftlr &/30/94, the talt ratn for trllnsf.r. to spousas are as follows:
1. Datas of daath on or aft.r 7/1/94 and bafore I/1/9~ the rate is 1%.
Z. Date' of death on or after l/l/9S transfers to spouses will b. talt.d at 0% talt rata.
Hot.: for dat.. of death prior to 7/1/94 transfers to spouse. are taltabla at 6%.
B. Transf.rs to Iln.al dascendont. Including father, aother, lon, daughter, grandchildren, son-In-taw,
dIlUght.r.ln-low. st.pchlld and their ISlue are tllltllble lit silt perunt (&%J.
C. 1"."",'0 011 oth.,. Inclu.lng b,olh.,. .1.'.', .ncl.. .un'. n.ph.' ... ni.'. .,. t....l. .t Ilft..n p.".nt 11''-'.
D. If you chllnge the talt rat., pleas. spacifY your relationship to the decedent In the area provided.
.. Th. ..oun' 0' t., ... Illn. ., I. ..t.r,'n..., .ul'lol,ln. tho ..oun' t....I. Illn. ., ., tho t.. ,.t. Illn. ".
CLAIMED DEDUCTIONS " PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowllbl. debts and deduction. are det.raln.d as follow':
A. Vou ,...11' .,. ,..pon...I. /0' p.,..nt, 0' tho ..t... .u.J." to ...Inl..,.tlon ., . p.,.on.1 '.o,...nt..I.. I. In,,"I.I.n'
to pay the deductible It....
B. You actually paid the debts aft.r d.ath of the dacadent and cftn furnish proof of pav.ent.
C. D.... ..In. ,1.1... .u.. b. 1...1". 'ullv In P.,t ,. 1/ ...ltlon.1 .p.,. I. n...... ... pl.ln p.o.' · 11'" . 11". 1"00' 0'
pavaent aay ba reque.tad by the PA Daparta.nt of Revenue.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY)
CDHHOHVfAlIIl Of IIIHH5VtVAHIA
blPAIIIHfHI Of IuvnfUI
IUflUu or INDIVIDUAL lAltlS
DlPI. 110'01
HARRISBURG, PA l1UI'O,OI
*
!.,.,
. I
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21
ACN 9612(.0(.0
DATE 06-20-96
1..1\0111". II '"
EST. 01' HARRY F BEITZEL
5.5. NO. 189-09-4808
DATE 01' DEATH 03-03-96
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
~ CERTlF.
BARRY J BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
REHIT PAYHENT AND FORHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
"EAIDIAN BANK has provided the nepart.ent with the Infor.,.tlon listed below which hili blllln u'lId In calculating the
potentl.1 tax due. Their record' Indicate that at thll dllath of the abovll dllcedent, you were II joint owner/ben.'iclary of thl. account.
If you f..l thl. Infor..tlon Is Incorrect. pilla.. obtain written correction frail the financial Institution, attach II copy to this for.
and r.turn It to thtl above addr.... Ihls account Is tn_abl. In accordanc. with the Inheritanc. II\x law' of the Co..onwulth of Pannsylvanla.
Qu...li...,1I ~., bJ ..l1.i.lluvJ~, c::.1,;..... =;~;~ ,':'; .::.:....
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Account No. 4003501469
. SEE REVERSE SIDE FOR
Doto 10-07-93
Esbblished
To Insur. propar credit to your account, two
(l) copies of this notlca aust acco.pany your
pay.ent to the Ragl.ter 01 wills. Haka ch.ck
paYable to: -A.glstar 01 Wills, AII~t-.
. .
PART
[!]
10,022.70
16.667
1,670.48
.15
250.57
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTICE
Account a.lanc.
Pe,.c.nt Taxabl.
Aoaunt Subjoct to
Tax R.te
Potenti.l T.x Du.
K
HOTE: II tax pay.~ts .ra .ad. within three
e}) aonths of the decadent.s date of d.ath,
you .ay deduct a ~~ dhcOU'tt of the tllll du..
Any Inheritance tall du. will b.co.. dtIllnqu.nt
nln. (9) aonths after the date of death.
To'
x
[CHECK ]
ONE
BLOCK
ONLY
A. c=l The above Infor..tlon and tax due is corr.et.
1. You eay choos. to re.lt pay.ent to the Register of Wills with two cop Ie. of this notlc. to obtain
a dl.count or avoid Int.re.t. or you .ay check box -A- and return this notlc. to the Realster of
wills and an official fts.e....nt will b. Issued by the PA nepart.ent of Aevenue.
B. c=J The above as..t ha' b..n or will b. rllported and tax paid with the Pennsylvania Inh.rltanc. Tall r.turn
to b. filed by tha decedent's repr...ntatlve.
on
c. ~ The above Inforaatlon I. I~corract and/or debts and daductlons were peid-bY you.~.'
, You IlUSt coaplot. PART 0 and/or PART m below.
If you indicate a diffo,..nt t~x.r.t., pl.... stat. you,.
,..hUonshlp to doced.nt: ~;/"> "
9FFICIA~~,USE ONLY 0 AAF,
DEPARTH~ilT OF REVENUE '
1
J
PART
~
TAX RETURN - COMPUTATION
LInE 1. L.lM EstabllshMd
2. Account aalance
3. Pa,.cant T.xabl.
4. A~ount Subject to T.x
S. Debts .nd Deductions
6. Anount T.xabl.
7. Tax A.t.
8. r.x Du.
PA
OF TAX ON JOINT/TRUST ACCOUNTS
x
. ,
(, ~.
~ .
. ..,
PAD
1
2
3
4
5
6
7
8
CLAIMED
-.1
.
~:.'
2
3
4
5
6
7
8
t.o ....,
'-:.' ,..:
.....',..
x
H(,
/(.?J(~
I r!',.
PART
~
DATE
DEBTS AND DEDUCTIONS
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
Und.,. penalti.. of
coaplet. to the b.lt of
.,d'),c.~~<- ),
TAXPAYER SI~NA~URE
I
I
TOTAL CEnt.,. on Line 5 of Tax Conput.tlonl
p.~ju,.y, I docl.,.e that the fact. I
n, knowl.dg. and b.li.f.
~ .
it. j t: I
I
I
.
h.ve ,..po,.tad above .,.. t,.u., car,..ct and
HOME (': 1") ;.' .;.; ~'.~:.; ,
WDRK ( )
TELEPHONE NUMBER
"
S/ll 'I G
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFfICIAL TAX ASSESSHEHT with ""plluble inhrut bUed on Inloru\lon
,ubaltled by lhe financial Institution.
1. Inheritance t.. beea... delinquent nine .onlhl ftftat the decedent', dAti of death.
S. A Joint ACCount I. ,..Bbl. evan though 'hi dacldant', "".. wa. lidded ftl . ..tt.r of convenl.nc..
4. Account. (Including tha" held between husband and wlf.) which thl dacld.nl put In Joint na'.' within on. Y'.' prior to
d..th at. fully ,...al. a. ttftnlf.r..
5. Account! ..tlbl hhed Jointly batwa.n husband and wlf. aor. than on. 'Uar prior to duth lit. not \II_rlbl..
6. Account. held by . dlced.nt "In (ru.1 tor" nnothat or other. "t. t../lbl. fully,
REPORTING INSTRUCTIONS - PART
1
- TAXPAYER RESPONSE
1. BLOCK A . If the Infar.atton and co~t.tlon In the notlc. .t. corract And deductions are not baing clnl..d, place an ~XW
in block wAw of Part 1 of the ~fa,payer Re.pon'.~ lectlon. Sign two caples nnd lub.lt the. with your check for the a~t of
tall to the ReQlster of wills of the county Indicated. The PA Depart.ent of Revenue will Inue Itn offlcla. 81.....ent
CFor. REV.l~~8 EX) upon receipt of the return fro. the Register of will..
Z. BlDCK B _ If the a.set specified on this notice has been or will be reported and tall paid with the Penn'Ylvanla Inheritance
Tall Return filed by the decedent's representative. place en RXR In block ~BR of Part I of the RTa.payer Re,ponleR .eetlon. Sign one
copy end return to the PA Depart.ent of Revenue. BurllllU of Individual fau.. Dept Z8060l, Harrisburg. PA 11118.0601 In the
envelope provided.
S. BLOCK C _ If tha notice Infor.atlon I. Incorrect and/or deduction. are b.lng clal.ed. check block RCR nnd co.plete Parts Z and S
.'.....oi:.\.. ~.. '.:,_ lIH......:~!..nJ, t.lf,.... :>:c:-. t".... ..:.P:.J &:..1 :;..t;:t tt...~ ..:1:'1 .....r :"1~,"j,.: '..r t~,. :;.ceur.t "f h.: ~r...r.:'h to: ~:;. ;,:.;1:~~.'
of wills of the county Indlcahd. The PA Deput.ent of R.venue will Is.ue an offlcl.1 ........nt Cror. REV-1S48 [X) upon receipt.
of the r.turn froe the R.gl.t.r of Will..
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
I. Enter the data the account originally was a.tabll.had or tltlad In the .annar alll.tlng at data of da.th.
NOTEs for a decadant dying aftur 12/12/811 Account. which the decadent put In joint n.... within ona CI) year of d.ath are
tanble fully a. tran.hrs. However, thare Is an ucluslon not to ellcelld n.oao p.r transferee regardle.. of tha valua of
the account or tha nuabar of account. held.
If . doubla .st.rllk (..) appa.r. bafore your flr.t n.ee In the addre.s portion of thl. notlca, the '5,000 allclu.lon
alraldy has bean daductad froe the account balance a. reportad by the financial Institution.
Z. Entar the total balanca of the account Including Interast accruad to the data of d.ath.
S. The percant of tha account that I. ta.abl. for .ach survivor Is d.tar.ln.d as follow'l
A. The percent t.xable for joint a...ts established .or. than one year prior to the dac.dant.s d.aths
I DIVIDED BV TOTAL HUHBER OF
JOINT OWNERS
EXBapl.1 A joint ....t reglster.d
DIVIDED BV TOTAL NUHBER OF X 100 . PERCENT TAXABLE
SURVIVINC JOINT OWNERS
In the naee of the d.c.dent and two oth.r per.on..
I DIVIDED BY 5 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) . .167 X 100 - 16.7~ (lAXABtE FOR EACH SURVIVOR)
B. Tha p.rcent tallable for a...t. cra.ted within ona yaar of the docad.nt.s d.ath or accounts own.d by the d.cadent but held
In tru.t for anoth.r Indlvldual(.) (trult b.neflclarle.)s
I DIVIDED BV tDTAL NUHBER OF SURVIVING JOINr
OWNERS OR TRUST BENEFICIARIES
x laD . PERCENT TAXABLE
Exaapl.s Joint account reglstared In tho naa. of tha d.c.dent and two other p.r.on. and a.tabllsh.d within one year of daath by
the d.cad.nt.
I DIVIDED BY 2 CSURVIVORS) . .SO X 100 . ~O~ (TAXABLE FOR EACH SURVIVOR)
4. The aaount Subject to tax Ulne 4) Is d.t.reln.d by aultlplylng the account balMCe Cline Z) by the parcant tallable ClIne 3L
S. Entar the total of the dabts and deduction. II.ted In P.rt 3.
'" T'" _If'l. ...v.....l. (11"... 1.1 Is d...tar.l"ed bv subtractlno the debt. and deductions (lIne S) fro. the a.aunt subject to tax (lIn. 4).
7. E~tar tna =~;r:~rlat. t~ rate (l~~c /) a. deta:.lr._: balo..
A. For dat.s of d.ath occurring aftar 6/50/94, the tax rat.s for trftn.f.r. to spousa. ara a. follow.:
1. Dates of death on or aft.r 7/1/94 and before 1/1/9S tha rate 1. 3~.
Z. Datas of danth on Qr aftar 1/I/9S tran.fers to spous.. will be ta.ed at a~ tall rata.
Notes For dat.s of death prior to 7/1/94 tran.fars to spous.. are ta.able at 6~.
__ B. Tren.hrs to lineal d.sc.ndants Including fathar. aother. son, daughter. grandchildren, .on.ln-lftw,
dllUghtar.ln.law, stepChild end th.lr Inue are te.ebl. at six parc.nt C6~).
C. Transfar. to all others Including brothar, slst.r, unci., aunt, n.phew nnd nlllca are ta.able at flftaan perc.nt (IS~).
D. If you change the tax rete, pl.as. specify your relatlon.hlp to the d.cadont In the ar.a provldad.
II. The aeaunt of tax due (line III Is dat.r.ln.d by aultlplylng the ".ount t".Rbl. t lIn. 6) by the tall rate (line 11.
CLAIMED DEOUCTIONS - PART
3
OEBTS AND DEDUCTIONS CLAIMED
Allowable dabt. and daductlon. are dat.raln.d as follow.:
A. You I.gally are r..ponsIble for pay.ent, or the .stata Subject to adolnl.tratlon by . p.r.o"nl represantatlva Is In.ufflcl.nt
to pay the daductlble It....
B. You actually paid the d.bts aftar d.ath of the dec.d.nt and can furnish proof of pay.ent.
C. D.bts baing claleed au.t b. It.elzed fully In Part 1. If additIonal spaca I. "..d.d, UI. plain paper 8 1/2" x Ilw. Proof of
pay.ent eay be raque.ted by the PA D.part..nt of Ravanu..
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WIllS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY)
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OfFICIAL TAK ASSESS"ENT with ftPpllc:ftbla Int.rut b...ed 011 Infor..llon
.~lttlHl by the UnMeI.' Inltttutlon.
Z. tnh.rl~InC' tl. baea... delinquent nln. aonth. a,t., Iha dle.dant', data of death.
S. A Joint ltCC~t I, ,...bl. .",.In though the dlcadent" n,," wn added ftl a .athr of (:on"."I."cI.
4. AccounU (Including tho.. held b.t...." hUsband and .,lIll which thl dlcedent put In Joint na... ..Uhln ona 'I"" prior to
d..th .r. fully ".able a. trenl'.r..
5. Acc~unt. .,t_bl.shad Jolntlv b,t..,." husband and wlf. lor. thftn on. y..r prior to d...th .r. not 'a.abl,.
6. Account. held by . dlcadent "In truI' for" anothar or ot~r. ar. I"..ble fully.
REPORTING INSTRUCTIONS - PART
1
- TAXPAVER RESPONSE
1. BLOCK A a If the Infor..tlon and co~t.tlon In the notlcl ar. corr.et find deductlonl ar. not baing clal..d, pl.c. en .X.
In block -A. af Part 1 of the -la.pay.r R.spons.. I.ctlon. Sian two copl.1 ftnd lub.lt th.. with your chack for th. a.aunt of
taM to the Raglst.r of Wills of the county Indlcat.d. Th. PA C.part..nt of RlIv.nu. will Illue an official allell.ant
(For. R[V-1548 ~X) upon racelpt of th. r.turn fro. the R.gilt.r of Will..
Z. BLOCK. _ If thtl asut Ipeclflad on this notice has baen or will b. raported and ta. paid with the PeMlylvanl. Inh.rltance
TaM R.turn fllad by the decad~t'S rapr.lantatlve, plac. an .X. In block -a. of Part 1 of the -la.payar RelPonla- I.ctlon. Sian one
copy and return to the PA C.Pllrtllent of R.v.nue, aurel'lu of Inc:llvldual Ta.... O.pt i"80601, Uarrhburg, PA 17lZ8-0601 In the
envelop. provld.d.
3. BLOCK C _ If the notice Infor.atlon II Incorrect and/or dedUctlanl ere being clel.ad, check block .C. and cOllplet. Pllrt. 2 end 3
~~~::!''!I_: t.. t;.... t..,t"v-=t,...,. b.'..... ~I:" ...... ..t'l~,.. ...... '1....-1. ...... w!'" ~'"I'" r....,... I..,. .... to...,,"' "' ..... r........1. 'n ..... D.CI.'."
of will. of the county IndIcated. Th. PA C.part.ent of Ravenue wIll I.sue an offIcial al..lleent Cror. REV-I~~8 EX) upon rec.lpt
of tha return frail the R.gister of MUll.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Entar the date the account origInallY we. eltablllhed or titled In the .annar exlltlng at date of death.
HOTEs For a decadent dylna .fter IZ/I21aZ: AcCOuntl which the decedent put In Joint n.... wIthin one CI) y.er of daath ar.
taxable fully as transfers. How.ver, th.re Is an e.elutlon not to excead U,OOO p.r tran.f.,..a r.gardleu of the value of
the account or the ~r of account. h.ld.
If a doubl. atterltk (ww) app.ar. before your flrtt "... In the addr... portion of thl. not Ie., the $3,000 a.clullon
already hat been deducted fro. the account balanc. as r.ported by the financial In.tltutlon.
2. Enter the tot.l balance of the account Including Inter..t accrued to the data of death.
3. Th. p.rcent of the account that I. taxlble for each .urvlvor I. dater.lned as follow'l
A. The percent taxable for Joint a..ats established 1I0ra than one year prIor to the decedent't da.ths
1 DIYIDED BY TOTAL HUHBER Of
JOINT OWNERS
Exaapl.s A Joint asset registered
CIVIOED av TOTAL HUHBER Of X 100 . PERCENT TAXABLE
SURYIVING JOINT OWNERS
In the naae of tha decedant and two other par tons.
I. the p.rcent taxable for alsatl cr.ated wIthin one y.ar of the decadent's death or accounts owned by th. decadent but hald
in tru.t for another IndlvldualCs) (trust b.nefielarlel)l
1 DIVIDED IV 3 (JOINT OWNERS) DIVIDED BV Z CSURVIVORSI . .167 X 100 . 16.7X (TAXABLE FOR EACH SURVIVOR)
1 DIVIDED BY TOTAL HOHlER OF SURVIVING JOINT
OWNERS OR TRUSl BENEFICIARIES
x 100 . PERCENT TAXABLE
[xBllPle, Joint account regl.tar.d In the n..e of tha d.cedent and two other person. and establlst.d within on. yaar of d.ath by
the d.eedent.
I DIVIDED BY Z (SURVIVORS) . .SO X 100 . 50le (TAXABLE FOR EACH SURVIVOR)
4. The eaount .ubJect to ta. (lln. ~) I. detaralnad by aultlplylng the account balance Cline Z) by the percent taxable (llna 3).
S. Ent.r the total of the debts and deductIons llst.d In Part 3.
6. The ..ount taxable (line 6) Is deteraln.d by subtracting the debts and deduction. (line S) fro. the aeount subject to taM Clln. 4).
7. ~tl:~ t~~ e=~l':;td:,~. ~1~ r"~~ nll'.a 1~ ':': :!:~:a:-.l,.~~ t:~lc\'.
A. For dates of d.ath occurring aft.r 6/30/94, tha tax rates for tran.fers to spoula. ar. a. follows:
I. Dat.s of d.ath on or after 1/1/94 and b.fore 1/1/95 tha rate I. 3~.
2. Oatas of d.ath on or after 1/1/95 trantf.rs to Ipouse. will be ta.ed at ax taM rat..
Notal For dat.. of d.ath prior to 7/1/94 transfers to Ipoules ar. taxable at 6X.
a. Transfer. to lineal dalcendants Including father, aoth.r, son, daughter, grandchildren, Ion-In. law,
daughter-In-law, stepchild and their 1.lu. are taxable at sl. parcent ('Xl.
C. Transfers to all others Including broth.r, slstar, uncia, eunt, nephew nnd nlec. are taxabla at flft.en parcent (I~:CI.
D. If you chang. the tax rat., plaa.. .peclfY your relatlon.hip to tha dacedent in tha area provided.
a. Tha a.uunt of tax due Cline 81 Is d.teraln.d by aultlplylng the aeount taxabla Cline 61 by the taM rate (line 71.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowable debt. and d.ductlons ara d.teralnad e. followss
A. You l.gallY ar. responsible for pay.ant, or tha e.tata lubJect to ad.lnlstretlon by a p.rsonal rapresentatlve i, In.ufflclent
to pall' thfl deductlbl. It..s.
a. You actually paid the d.bt. aftar d.ath of the dacedent and can furnish proof of pay,ent.
C. Dabt. b.ing elal.eeI IlUlt be It..lzad fully In Plitt 1. If additional Ipace h ne.dad, uu plain paper a lIZ. II. 11". Proof of
payeent al'lY b. requested by the PA aepartaant of Revenu..
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAX PAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY)
CCHHOHWUlTH OF PENNSYlVANIA
DEPAATHtNT or R(VU'J[
aUREAU Of INDIVIDUAL TUts
OCPT. 180601
ttARRISauRC, PA 11126-0601
*
'IJC/
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 - '-/1.
96124041
06-20-96
1I1-I"IlIlI' .'-"1
TYPE OF ACCOUNT
o SAVINGS
C CHECKING
o TRUST
00 CERTlf.
EST. OF HARRY F BEITZEL
5.5. NO. 189-09-480B
DATE OF DEATH 03-03-96
COUNTY CUMBERLAND
DIXIE L RIDER
841 GRANTHAM RD
GRANTHAM PA 17027
REHIT PAYHENT AND fDRHS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
HERIDIAN BANK ha. provided tho Depart.ent with the Infor.atlon lhtod bolotl which ha. b..n und In calculallnQ the
pol.nll.. I.. du.. Ih.lr r.cord. Indlc." 'hol 01 'h. d.o'h o. 'h. obo,' d.e.d.n'. ,ou ..,. 0 Join' o.n.r'bon.'lclor, o. thlo occoun'.
If you f..l thl. lnfor..tlon I. Incorrect, plea'. obtain wrltt.n correction fro. the financial In.tltutlon, attach III C~py to thl, for.
and r.lurn II to 'h. obo,' .ddr.... Ihl. occount I. ,..ob'. 'n oceo,done. .Ith tho (nh.rl''"c, 10' .0" of 'h. Co..on..olln o. P.nn.v',onlo.
__.,....,Jo .., b. dll_.-.11"~ iI' "d:':... ::"::": :-::,-::::-.
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Account No. 4003579044
. . . SEE
REVERSE SIDE FOR
11-05-93
10 In.ure propor cr.dlt to ~our account, two
(2) caple. of thl. notlco ou.t acco~any your
pavoent to the ROQI.tor of will.. "ake chock
pavabl. to: "Regl.ter of Will" Agent".
Data
Established
PART
ill
10,030.74
16.667
1.671.82
.15
250.77
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNEHT BASED ON THIS HOTICE
Account Balanca
Par-cant Taxabla
Amount Subject to
Tax Rata
Potantial Tax Dua
x
H01[: If tax pay.ent. aro .&do within thr..
(1) oonth. of tho d.codent', date of d.ath,
you .ay dedUct a 5~ dl,count of tho tax duo.
Any Inh.rltanc. tax duo will b.co" delinquent
nln. Iq) .onth. after tho date of doath.
T..
x
[CHECK ]
ONE
BLOCK
ONLY
A. 0 Th. abo". Infor.allon and tax due h corr.ct.
I. You .ay choo,. to re.lt pay.ent to the AeQI.ter of will. with two caple. of thl, notice to obtain
a dl,count or avoid lntore.t, or you .ay ch.ck be. "A" and r.turn this notlc. to the Register of
Will, and an official a"o,s..ot will b. Is,ued by the PA Copart.ont of Ro"onu..
B. c=l The abo". a"et has beon or will b. roported and tax paid with the penn,yl"anla Inh.rltanco T.. ruturn
to be fll.d by tho decodont.s repre.entatl"..
C. ~ Th. above Infor.atlan I' Incorroct and/or dobt' and doductlon. were paid by you.
You oust co.plote PART ~ and/or PARI ~ b.low.
PART If you indicata . dHfar.nt taf\ rata, pla~sa .!tata your
rz1 ral.tionship to dacadant: tJ.ll,. ';' b "I....~. ;'
~ ,1/
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. U.ta fstablishad i
2. Account Balanca 2
3. P.rcant Taxabla 3 M
4. AMount Subj.ct to Tax 4
S. Dabt. and Daduction. 5
6. AMount Tax.bla 6
7. Tax Rata 7 X
8. Tax Dua 8
." ,. IAL"YSE O!WP 0 AAF
PA DEPARTMENT OF REVENUE
'".'
PAD
T-;';
~
1
2
3
4
5
6
1
/{\{'. '< I 8
DEBTS AND DEDUCTIONS CLAIMED
I
-.J
N.?!
)'1..
l.t
;'1
0\
~~~ :..
(,(.
PART
~
DATE
AMOUNT PAID
DESCRIPTION
PAVEE
i
I
I
I
$
PAID
I
\
TOTAL lEntar on Lina 5 of Tax Computationl
Undar panaltia.
conplata to tha ba.t
. . - /
~~. f./. - -, .
TAXPAYER SIGNATURE
of parjury, I daclara that tha facts I hava raportad abova ara trua, corract and
of MY knowladga and baliaf.
HOME ( )
WORK ( -; )
TELEPHONE NUMBER
DATE
I,
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with I\PPllcabl_ lnt.r..t ba'ld on 1"'ot...lIoo
IUbIIlU.d by thl Onenela. Institution.
Z. I~rlt~. tlX been..' dallnqu.nt nlna .on'hl aft.r thl dICldlnt', data 01 d..th.
S. A Joint .ccount I, t..abl. av.n though thl decadent', n.... "I'll ftddad ... a ..ttar of convenlenc..
~. Account. (Including tho.. held b.tween husband and wlf,1 which thl dlcadent put In Joint na... within onl y..t prior to
d.ath .t. fully t..abl, al 'r.ntl.r.,
S. Acc~t. .,Iebllshad Jointly batw.en husband and wlf. aot. than on. y..t prior to d.ath .t. not ,..abl..
6. Account. held by . dlcadent ~In trust forM another or othar. at. t..abl. fully,
REPORTING INSTRUCTIONS - PART 1
- TAXPAVER RESPONSE
1. BLOCK A _ If thl Infor.atlon and co~t.tlon In thl notlcl ar. corr.et nnd deductions at. not baing el_l,ad, plec. an .X.
In blrck "A" of Part I of the .laMpay.r R..pon.a" ..ctlon. Sign two cop I.. and subalt tha. with your ch.ck for the a.aunt of
t.. to the Ragl.t.r of Will. of the county Indlc.tad. Tha PA Dap.rt.ant of Rav.nu. will I..u. an offlcl.l .......ent
(For. REV.1S48 E.) upon rac.lpt of the r.turn fro. the Raglster of Will..
Z. BLOCK I . H the ....t specified on thh notlce has b.en or wUI b. nport.d nnd tn p.ld with the P.nn.ylvanla Inh.rltence
t.. R.turn tiled by the dec.dent.. r.prasantatlva, placa an "X" In block "I" of Part I of the "fa.pay.r R.spon.." s.ctlon. Sign one
copy and r.t~rn to the PA Dep.rt.ent of Ravlnu., Burlau of Individual TaMa., Dapt Z10601, Harrl.burg, PA 171ZI.0601 In the
.nv.10Pa provIded.
s. BLOCK C . If tha not Ie. Inforeatlon I. Incorract and/or d.ductlons ar. b.lng clel..d, chack block "C" and co.plat. P.rts Z and S
.ccordlna to the Instructions b.low. SIQn two cool.. and sub.lt th.. with your ch.ck for tha aeount of taM "~~abl. to the Raol.tar
of Wilts of the county Indicated. Th. PA D.p.rt..nt of R.vlnu' will I..ue an offIcial ........nt CFor. REV-IS~I EX) upon r.c.lpt
uf the r.turn fro. the R.gI.t.r of Will..
TAX RETURN - PART 2 - TAX COMPUTATION
LlHE
1. Entar the date the account orIginallY wa. ..tabllshad or tltlad In the .enn.r ..Istlng at d.t. of d.ath.
NOTE I For a dee.dant dying aftar lZlIZlIZ: Account. which the d.c.dant put In Joint n.... within ana Cl) y.ar of d.ath ar.
ta.Bbl. fully.. tran.f.r.. How.v.r, th.r. I. an a.clu.lon not to ..c..d tS,OOO p.r tran.far.. r.gardl... of the valu. of
the account or the nuabar of account. h.ld.
If . doubl. a.t.rl.k (..) .ppear. bafor. your flr.t na.. In the addr..' portion of thl. notice, the tS,OOO ..clu.lon
alraady ha. baan deducted fro. the account balanc. .. raport.d by the financial In.tltutlon.
Z. Ent.r the tot.l balanca of the account Including Int.r..t .ccruad to the date of d..th.
S. the p.rcent of the account that I, t..abl. for ..ch survivor 1. d.t.ralned a. follow.:
A. The parcent ta.abl. for Joint ....t. a.tabll.h.d aor. than ana y..r prIor to the dee.dent.. d.ath:
1 DIVIDED IV tOTAL h\JH!EA OF
JQINT OWHERS
E.sapl., A JoInt ....t r.gl.t.red
DIVIDED IV TOTAL HUMBER Of' X lOa . PERCENT TAXAILE
SURVIVINC JOINT oWNERS
In the na.. of the d.c.d.nt and two oth.r par.on..
1 DIVIDED IV S (JOINT OWNERS) OIVIDED IV Z CSURVIVORS) ".167 X 100 . 16.7X CTAXABlE FOR EACH SURVIVOR)
I. The p.rc.nt t..abl. for ....t. cr..ted within on. Ylar of the dlc.dant'. d.ath or account. owned by the d.cedent but h.ld
In tr,.t for anoth.r IndlvlduaIC.) Ctru.t b.n.flclarl,,)1
1 DIVIDED IV TOTAL NUMBER OF SURVIVINC JOINT
OWNERS DR TRUST BENEFICIARIES
X 100 . PERCENT TAXABLE
E...pl'l Joint account r.gl.t.r.d In the nea. of the d.cadent and two oth.r p.r.on. and ..tabll.hed within on. yaar of d..th by
the d.c.dent.
1 DIVIDED IV Z CSURVIVORS) . .so X laO . SO~ CTAXABLE FOR EACH SURVIVOR)
~. Th. IIItOI.nt .ubj.ct to t.. Clln. 4) It dehraln.d by eultlptylng the &CCDU'lt balanc. UJna Z) by the parcent t.Mabl. Uln. 3).
S. Ent.r the total of the d~t. and deduction. ll.t.d In Part S.
6. Th. aaount taxabl. (line 6) I. d.t.ralned by .ubtractlng the d.bt. and d.ductlon. (lIne 5) fro. the a.DU'lt Subject to ta. (lln. 4).
1. E,'\tar t,..... pt:;It'~rlt.t. ':Ui ratl air,. 11 .U (lc':traln..!:: :>:11(;....
A. For dat.a of d.ath occurring aft.r 6/30/94, the t.. rat.. for tranlf.r. to .pou.a. ar. .. follow.'
1. Oat.. of d.ath on or aft.r 7/1/9" and b.for. 1/1/95 the r.t. I. 3~.
Z. D.t.. of daath on or aft.r 1/1/95 transf.r. to 'POUI.' ...lll b. tax.d at OX ta. rat..
Not.: For data. of d.ath prior to 7/1/94 tran.f.r. to .pou... ar. ta.abl. at 6X.
I. Tranlf." to lineal d..candant. Including f.th.,., .other, son, daughter, grandchildren, .on-In.lItw,
daught.r.ln.law, .t.pchlld and their I..ua are taxabl. at .1. p.rcant C6~).
C. Tran.f.r. to 811 oth.r. Including broth.r, .I.t.r, unci., aunt, n.ph.w and nloc. ar. taxabl. at flft.an p.rcent (IS~).
D. If you chenge the tax r.t., pl.... .peclfY your r.latlon.hlp to the dee.d.nt In the .r.a provld.d.
a. The aaount of tax due Clln. I) Is d.t.r.ln.d by eultlplylng the ..aunt ta..ble elln. 6) by the te. rat. Clln. 7).
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allow.bl. d.bt. and d.ductlonl .r. d.t.relned a. follow'l
A. You l.gal1Y ar. r..pon.lbl. for p.y.ant, or the ..tat. .ubjact to adalnl.tr.tlon by . p.r.onal repr.s.ntatlv. I. In.ufflclant
to pay the d.ductlbl. It....
a. You actu.lly p.Jd the d.bt. aft.r d..th of the d.c.d.nt and can 'urnl.h proof of p.y.ant.
C. D.bt. b.lng clalBed .u.t be It..lz.d fully In Part S. If addltlon.1 .pac. I. n..ded, u.. plaIn pap.r I l/Z" . II". Proof of
pay..nt ..y be r.qua.t.d by the PA D.p.rteent of R.v.nua.
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327, TDD' (717) 772-2252 (HEARING IMPAIRED ONLY)
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PURPOSE OF
NOTICE I
P'V~ENh
REfUND (CR)I
.'
0U
To fulfill the requlre..nt. of S.ctlon 21~0 of the Inherltanc. and [.tat. ra. Act, Act 22 of 1991. (ll P.S.
S.ctlon 21~0).
D.tach the top portion of thl. Not Ie. and .ub.lt with your pay..nt to the Regl.ter of wills printed on the
r.v.r.. .Id..
.. Hake check or .oney order payable tal RECISTER Of WILLS, ACEHT.
All pay.ent. received .hall flr.t be applied to any Inter..t which eay be due. with any r...lnd.r applied to the t...
A refund of a tax cr.dlt. which was not requ..t.d on the tax return, .ay be reque.ted by coaplatlng an "Application
for Refund of Pann.ylvanla Inherltanc. and E.tat. Ta." (REY-I1I]). Application. ar. avallabl. at the Offlc. of
the Ragl.t.r of Will.. any of the 2] Rav.nue DI.trlct Office. or by calling the .peclal 2~'hour an.werlng ..rvlce
nueb.r. for for.. ord.rlng: In Penn.ylvania 1-800-]62-20S0, out. Ide p.nn.ylvanla and within local
f1arrhburg ar.a (111' 781-809~. TOO' (111' 112-2252 IfI.arlng I.palred Only).
OBJECTIONS; Any party In Int.re.t not .atl.fl.d with the apPral....nt. allowanc. or dl.allowance of d.ductlonl or a....s.ent
of tax (Including discount or Int.r..t' a. .hown on thl. Hotlce .ay obj.ct within .Ixty (60) day. of rec.lpt of
this Notice by:
--written prote.t to the PA D.part..nt of R.v.nue, Board of App.al.. O.pt. 281021. f1arrlsburg. PA 11128-1021. OR
--.l.ctlng to have the aatt.r det.r.lned at the audit of the account of the p.rsonal r.pr.s.ntatlv.. OR
.-appeal to the Orphans' Court
ADHIH-
ISTRATIYE
CORRECTIONS I
DISCOUNT:
PrNALTYI
INTERESTI
factual .rror. dlscov.red on thl. as......nt .hould b. addr....d In writing to: PA D.parta.nt of R.vanu..
Bur.au of Individual Ta.... ATTNI Po.t ASI..s..nt Rlvl.w Unit. DEPT. 280601. Harrl.burg, PA 17128-0601
Phone (111) 187-6S05. See page ] of the bookl.t "In.tructlon. for Inheritance Tax Return for a R..ld.nt
Oac.d.nt" (REV-ISOl) for an e.planatlon of adalnl.tratlv.ly correctabla .rror..
If any tax due I. paid within thr.. I]' cal.ndar .onth. aft.r the dec.d.nt'. d.ath. a five p.rc.nt e5X)
dl.count of the tax paid I. allow.d.
The lSX tax aan..ty non-participation p.nalty I. coaputed on the total of the tax and Int.r..t as..s.ed, and not
paid b.for. January 18, 1996. the flr.t day after the end of the tax a.n..ty p.rlod. Thl. non-participation
p.nalty I. appealable In the ...e .ann.r and In the the .a.. tl.. p.rlod a. you would app.al the tax and Intere.t
that h.. b..n .......d a. Indlcat.d on thl. notlc..
Int.re.t I. charg.d b.glnnlng with flr.t day of d.llnqu.ncy. or nine (9) aonth. and on. el, day
fro. the date of death, to the data of pay..nt. Tax.. which b.ca.. dallnqu.nt before J.nu.ry 1. 1981
b..r Intlr..t at the rate of .Ix 16XJ p.rCant per annu. c.lculated at a dally r.t. of .00016~.
All tax.. which b.c... dellnqu.nt on or aft.r Janu.ry I. 1982 will be.r Interest at a rate which will vary fro.
cal.ndar y..r to cal.nd.r y.ar with that r.t. announc.d by the PA Depart.ent of R.venu.. the appllcabl.
Inter..t rat.. for 1982 through 1996 ar.:
V.ar Int.r.,t R.t. D.ily Int.rnt faclor .....r Interut Rat. Dally Intar.st Factor
1982 lOX .ODOS~8 1981 9< .0002~7
198] 16X .000418 1988~1991 I1X .D001Dl
198~ llX .OOUOI 1992 .~ .D002~1
1985 UX .0001S6 199]-199~ 7~ .DOOI92
1986 lOX .000Z7~ 1995~1996 9< .0002U
ulntarut Is calcul.ted .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
--Any Hotlce I..u.d aft.r th. ta. beco... dellnqu.nt will r.fleet an lnt.re.t ealcul.tlon to fifteen CIS) day.
b.yond the data of the ........nt. If pay..nt I. .ad. after the Int.r..t co.putatlon date .hown on the
Notle., addltlon.1 Int.rut IN.t be calculated.
DNO. AA 146600 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
~j.~,O
~
1I\l1l62111~'''1
RECEIVED FROM:
i
ACN
ASSESSMENT r:'I
CONTROL ~
NUMBER
AMOUNT
DELLA E DEIT2EL
OOX 64
841 GRANTHAM Rono
GRANTHnM. PA 17027
r~6124042
$100.12
ESTATE INFORMATION:
I:t FilE NUMBER
lIlI 21'-1996-0429
EJ NAME OF DECEDENT (lAST]
II DATE OF PAYMENT
EJ POSTMARK
COUNTY
S5N 189-09-'.800
(FIRST) --(Mil
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
..100 12
OELLA E DE ITZEL
CW
SEAL
CHECI<11 5577
RECEIVED BY
J
SIGNATURE
REGISTER OF WILLS
~lARY C. LEWIS
REGISTER OF wILLS
I
,
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REV-1548 EX AFP 112-951*1
COMHONWEAltH or PENNSYLVANIA
DEPARtMENt or REVENUl
BUREAU or INDIVIDUAL tAXES .
DlP'. lBObot
HARRISBURG, PI 11126-0&01
NOTICE OF INIIERITANCE TAX
APPRAISENENT, ALLOMANCC OR OISALLOMANCC
OF DEDUCTION., AND ASSCSSNCNT OF TAX ON
JOINTLY IICLO OR TRUST ASSCTS
DATE 09-30-96
ESTATE OF BEITZEL
HARRV
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
S.S/D.C. NO. IB9-09-480B
ACN
96124042
DENNIS E BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
Anount R."t t ted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiv:isiis-E)f-AFii-iiif:ijsj------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-30-96
ESTATE OF BEITZEL
HARRY
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
TAX RETURN WAS:
S.S/D.C. NO. 189-09-4808
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96124042
FINANCIAL INSTITUTION: MERIDIAN BANK
ACCOUNT NO.
4003501170
TYPE OF ACCOUNT, () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 08-23-93
Account Balance
Percent Taxeble X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,011.64
0.166
l,66B.64
.00
1.668.64
.06
100.12
NOTE. TO INSURE PROPER CREDIT TO
VDUR ACCOUNT. SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT
DATE
08-06-96
RECEIPT
NUMBER
AA146600
DISCOUNT (+)
INTEREST (-)
.00
AMOUNT PAID
100.12
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN '1. NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CRI. VOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
100.12
.00
.00
.00
uo
PURPOSE OF
HOnCE:
To fulfill the requlr...ntl of Sactlon ll~O of the Inheritance and Estata Tax Act. Act ZZ 01 1991, (12 P.S.
Sactlon ZIUJ.
paYHEHT:
a.tach the top portion of thl. Not Ie. and sub.lt with your pay..nt to the Raglstar of Will. printed on the
ravu.. ,Id..
.. "aka chack or .onay order payabl_ tOI RECISTER OF WilLS, ACENT.
All pay..nts r.calved shall 'Ir,t ba applied to any Intar..t which .ay ba dua, with any r..alndar applied to the tax.
REFUND (CAll
A r.fund of a tax cradlt, which was not requa.tad on the tax r.turn, 8ay ba requa.tad by co.platlng an "Application
for R.fund of Pennsylvania Inheritance and [stat. Tax" (R[V-1313J. Application. ar. avallabla at tha Offlc8 of
the Raglster of Willi, any of the 21 Rav.nu. District Offlc.s or by calling the sp.clal 24-hour answ.rlng ..rvlc.
nu.b.rs for (or.s ord.rlngl In P.nnsylvanla 1-800-362-Z050. outsld. P.nnsylvanla and within local
Harrisburg arn (111l 781-8094, TOOl (717) 772-ZZ5Z Ulaadng I.palr.d Only).
CSJEC1ICNSl Any party In Int.r.st not .atlsfl.d with the apprals..ent, allowance or dlsallowanc. of d.ductlons or as......nt
of tax (Including discount or Int.rest) as .hown on this Notice .ay obJ.ct within sl.ty (60) days of r.celpt of
thl. Notice bYI
~-wrltten prot.st to the PA Depart.ent of Revenue, Board of Appeals, a.pt. 2810ZI, Harrl.burg, PA 17128-1021, OR
..elactlng to have the .att.r d.tereln.d at the audit of the account of the personal repre..ntatlve, OR
.-appeal to the Orphan.o Court
AO"IN-
ISTRATlVE
CORRECnOHS:
F.ctual error. dlscover.d on this ........nt should b. .ddrelsed In writing tal PA aepart.ent of R.venue,
Buraau of Indlvldu.1 Ta.... ATTN: POlt hu.u.nt Review Unit. DEPT. 280601, It.rrlsburg, PA 1112&-0601
Phon. (717) 787-6505. Se. page] of the bookl.t -In.tructlons for Inheritance Tax Return for. Resident
Decedent- IREV-ISOI) for an e.pl.natlon of ad.lnl.tratlvely correctabl. errors.
DISCOUNT:
If any ta. due I. paid within three (3) c.l.ndar .onth. afler Ihe decedento. d.ath, a flye p.rcant (S~)
discount of the tac paid Is allow.do
PENAL TV:
The IS~ t.. aane.ty non-participation penalty Is coeput.d on the total of the tax and Interest assesled, and not
paid before January 18, 1996, the flr.t day after Ih. end of the tax a.ne.ty periOd. This non-participation
p.nalty I. appe.labl. In the sa.. .ann.r and In Ih. thl la.. tl.a p.rlod as you would appeal Ihe t.. .nd Inler.st
Ih.t hal b..n ..s....d .. Indlcat.d on this notice.
INTEREST I
Inlere.t I. charged blglnnlng wllh flrsl d.y of dellnqu.ncy, or nln. (9) .onlhs and one 11) day
fro. the dal. of d.alh, to the date of pay..nt. Ta... which blen.a delinquent b.for. January I, 1982
bear Intere.t at Ihe rate of six 16%) p.rc.nt per annul calculaled at a dally rale of .000164.
All ta.e. which b.ca.e delinquent on or after January I, 1982 will bear Interl.t at a rale whleh will vary fro.
cal.ndar Ylar to cal.ndar year with that rat. announced by the PA Depart.enl of Rev.nue. Th. appllcabl.
Int.re.t rat.. for 198Z through 1996 arol
V.ar Inter..t Rale Dally Int.re.t Factor
1982
1983
19&4
1985
1986
--Inter..t
20~
161:
Ill:
U~
10~
I. calculal.d a.
.000S48
.000438
.000301
.000356
.000214
follows:
Vear Inte,ut Rat. Dally Inlerllt Factor
1987 .~ .000241
1988-1991 11% .000501
1992 .~ .000247
1993-1994 ,. .000192
.995-1996 .~ 0000Z47
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice Is.u.d after the la. b.co..s d.llnquent will raflact an Inl.,e.t calcul.tlon to flft..n liS) day.
beyond the date of the ........nt. If pay..nt I. .ad. aft.r the Int.,..t co.putallon dal. shown on the
Notlc.. addltlon.1 Inter..t lUst be calculated.
.
(J I()~)
Y COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
\../
*'
BUREAU OF INDIVIDUAL TAXES
IJrtUHAHCE tAX DIVISION
DlPr. ZI0601
HARRISBURG, PA 17UI.0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
In-lUlU'" II'-MI
J ROBERT STAUFFER ATTY
MARKET SQUARE BLOG
MECHANICSBURG PA 11055
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-22-96
BEITZEL
03-03-96
21 96-0429
CUMBERLAND
101
HARRY
F
Anaunt R..1tt.d
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE"v:iS'4i-Ex-iiFP-njF96T"NoYicniF--iN'HERii'ANcE-YAX"ii'PPRAisEHENr;-iiLi.-owANcE-oR'---m--m-m--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BEITZEL HARRY F FILE NO. 21 96-0429 ACN 101 DATE 10-22-96
TAX RETURN WAS: I X I ACCEPTED AS FILED
I I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rod Eatoto (Schodulo Al III
2. Stock. ond Bondi (Schodulo BI 121
3. Clos.ly Hald stDCk/P.~tn.rshlp Int.r.at (Schedul. C) (3)
4. "artgaga,/Hot.. Rec81vabl. (Schedul. OJ (4)
5. C..h/Bank Deposits/Hilc. Parlonal Property (Schedul. E) IS)
6. Jointly Ownod Proporty ISchodulo FI 161
7. Tronlflr. (Schodulo GI 171
8. Total "...t.
NOTE: To Insure proper
credit to your account,
sub.it the upper portion
of this forn with your
tax pay.ant.
.00
2.081.25
.00
.00
.00
.00
.00
IBI
2,081.25
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funeral Exp.nl../A~. COlta/Hllc. Expans.. (Schedule H) (9)
10. Dlbt./Hortglgo Lllbllltlol/Llonl ISchodulo II 1101
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governnental Seque.t. (Schedule J)
14. N.t Value of E.tate Subject to Tax
9,115.00
.00
1111
1121
1131
1141
g.71~ 00
7,633.15-
.00
1,633.75-
If an assossmont was issuod provious1y. 1inos 14, 15 and/or 16, 17 and 18 will
refloct figuros that includo tho total of Ahh roturns assessod to date.
ASSESSMENT OF TAX:
IS. A.ount of Line 14 .t Spou..l rat. (15)
16. A.ount of Line 14 taxable at Lin.al/Cla.. A rate (16)
17. Anount of tine 14 taxable at Collateral/Cla.. Brat. (17)
18. Principal Tax Due
NOTE:
.00 X .00=
.00 X .06=
.00 X .15=
IIBI
.00
.00
.00
.00
TAX CREDITS:
PAYHENT
DATE
DISCDlRIT 1'1
INTEREST I-I
RECEIPT
HUHBER
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
< IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
, i{
RESERVATION: E.tat.. of dec~.t. dying on or b.for. o.c..ber 12, 1'12 .. If any future Int.re.t In the e.tat. I, tren.f.rred
In po.....lon or enJo~t to Cia.. I (coll.teral) beneflclarle. of the decedent aft.r the expiration of any e.t.te for
Ilf. or for y.ar., the Coa.onwealth ~raby aKPr...lv r..erv.. the right to appral.. and ...... tran.far Inheritance T.xe.
at the lawful Cia.. I (collat.ral) rat. on any .uch futura Int.r..t.
I'URl'OSE llt'
NOTICE I
PA\1€HT:
REFlJfD(CAh
DI~CTIOHS:
....IN
ISTRATlVE
CORRECTIONS I
DISCOUNT I
PENAL TV:
INTEREST I
To fulfill the requlr..-nt. of section 214a of the Inherltanc. and E.tata Tax Act, Act 22 of 1991. 7Z P.S.
Section 21"a.
Detach the top portion of thl. Hot Ice and .ubalt with your pa~t to the RIII.t.r of Will, printed on the r.v.r.e .Id..
.."Bke cMck or .uney order payable tal REGISTER OF MILLS, AGENT
All p.~t. rec.lved .h.ll flr.t b. applied to any Int.r..t which ..y be due with any r...lnder applied to the ta..
A nft.nd of . tax credit, which w.. not rltqUe.ted on the T.x R.turn, ..y b. rltqUe.ted by co.pl.Ung an "Appl1aUon
for R.fund of Penn.ylvanla Inherltanc. and E.tat. T.x" lREY-IS1]). Appllc.tlon. .r. av.llabl. at the Offlc.
of the R.ght.r of Willi. any of the Z3 Revenue District Offlc.., or by c.lllng the .peel.1 24.hour
answering ..rvlc. rAlllbers for fora. ordering: In Penn.ylvanl. 1-laO-]62-Z05a, outside penn.ylvanla and
within loc.l Harrisburg .ra. (717) 781-UM, TOO' (717) nZ-22SZ (....rlna 1....lred Only).
Any p.rty In Int.re.t not satl.fled with the appr.I..aent, allowanca or dl.allowance of deduction., or ......eant
of tax (Including dl.count or Int.r..t) .. ahown on thl. Hotlce .u.t object within .Ixty (6a) day. of receipt of
th.. Notlc. by:
--wrltt." prot..t to the PA Dep.rt.."t of R.VWlOll, Board of Appe.", Dept. 211021, Harrisburg, PA 171za-Ia21, OR
--alecUon to have the .aU.r det.ralned at eudlt of the acCOU"lt of the perianal upre.ent.tlv., OR
nappeal to thl Orphan.. Court.
Factual .rror. dl.cov.r.d on thl. .......ent .hould b. .ddr....d In writing tal PA Oapartaent of R.venu.,
Bureau of Individual Tax.., ATTHI Po.t A.....eant R.vlew unit, oapt. 280601, Harrl.burg, PA 17128-06al
Phone (717) 717-6505. Sea page 5 of the bookl.t "In.tructlon. for Inh.rltance T.. R.turn for. R..ldant
Oec.dent" (REV-ISOI) for an .xplanatlon of ect.lnhtraUvaly correctable .rrors.
,
If any tu: due Is paid within thr.. UI c.lendar MM\th. aft.r the dec.dent.. death, . flv. perc.,t (S:O dltcOd1t of
lha t.x p.ld I. allowed.
.
The 151 tax .."..ty non-participation penalty I. c~ted on the total of thft tax and Int.r..t a.....ed' and not
paid balore January II, 1996, the flr.t day .ft.r the end of the tax ~.ty period. Thl. non-partlclp.tlon
penalty Is appe.lable In the .... .annar and In the the ,MI. tI.. period .. you would appI.1 the t.. and Internt
that hat b..... ......~ .. Indlc.tDd on th" notice.
Int.r..t It ch.rged baIIlmlng with first d.y of delinquency, or nlna (9) IIonth. and OM (1) d.y frOll the date of
de.th, to the d.t. of P.ywent. Taxe. which bee... d.llnquent bafore Janu.ry 1, 1912 bear Int.r..t .t the rat. of
.1. (6X) p.rcent p.r ~ calcul.ted at n dally rat. of .aaal64. All tax.. which bec'" dallnquent on and aft.r
January 1, 1912 will b..r lnt.r..t .t . rate which will vary fro. c.lendar y.ar to calend.r y..r with that rat.
announced by the PA O.p.rt..nt of R.venue. The appllcabl. Inter..t rata. for 1912 through 1996 .r.:
'!.!!! Int.r..t R.ta Dally Int.rnt FftCtor !!!!' Int.r..t R.t. Oally Intlr'st Factor
1982 lOX .aDOS41 1917 'X .aD02U
1983 16;( .aaaue 1918-1991 IIX .OaDSal
19" llX .a00301 ..., 'X .aaOlU
1915 UX .aoDSS6 1993-1994 n .aaal92
.... laX .oaOl7" 1995-1996 .X .00a2"7
ulnten.t .. calcul.ted 00 foUOW.1
INTEREST = BALANCE OF TAX UNPAID X HUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hatlc. I.sued aft.r thl t.x bacOll. delinquent will r.flact an Int.r..t c.lcul.tlon to flftaen (151 day.
beyond the data of the .........,t. If pa.,..,t h eada .ft.r the Intlrnt ~tatlon d8ta shown on the
Notice, adcUtlonal lnt.r..t .u.t be c.lculated.
,') ./U~ -8
*
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c
BUREAU OF INDIVIDUAL TAMES
IHltlAlfANC( faX DIVISION
OCPf. 280&01
HARRISBURC, Pi 1712a-ObOI
NOTICE OF INHERITANCE TAM
APPRAISEMENT. ALLOHANCE OR DISALLOMANCE
OF DEDUCTION., ANO ASSESSMENT OF TAM ON
JOINTLY HELD DR TRUST ASSETS
1I,-tUIII ai' III.tll
DIXIE L RIDER
841 GRANTHAM RD
GRANTHAM PA 17027
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
11-25-96
BEITZEL
03-03-96
21 96-0429
CUMBERLAND
189-09-480B
96129662
Anaunt R..ltt.d
HARRY
F
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R-EV:i5~8-E)f-AFii-(07-:96i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE DR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-25-96
ESTATE OF BEITZEL
HARRY
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
TAX RETURN WAS,
S.S/D.C. NO. 189-09-4808
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96129662
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
21001012350
TYPE OF ACCOUNT, () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 11-ol-8B
Account Balance
Percent Taxabla X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,002.93
0.166
1,667.19
.00
1,667.19
.06
100.03
NOTE: TD INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE
10-07-96
DISCOUNT (+)
INTEREST (-)
.00
AMOUNT PAID
100.03
RECEIPT
NUMBER
AA146828
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN Sl. NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl. YDU NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
100.03
.00
.00
.00
PURPOSE OF
HOTICEI
To fulfill thtl nqulr...ntl of S.ction ZlU of the Inh.rltance and E...t. 18x Act, Act ZZ af 1991. (1Z P.S.
S.ction ZlU).
PAVtEHTI
Detach the top portion of thl. Ho.lca and .ubelt with your ply.ant to .ht1 R.gl.t.r of Will. prlntld an ,h.
ra"lr.. .Ida.
__ "eka ch.ck or .only ordar p.y8bla tal RECISTER Of WILLS, ACEHT.
All pay.ent. r.c.lv.d ,h.ll flr.t b. appll.d to any Int.r..t Mhlch ..y b. ~, with any r...lnd.r appll.d '0 thtl t...
A refund of . t.x cr.dlt, which wa. no' requ..ted on the tax raturn, ..y be r.qu..t.d by caaplatlng en ~Appllcetlon
far R.fund of Pann,yl"anl. Inh.rltence and [.t.ta T.x~ (REV-)]IS). Appllc.tlan. ar. 1",lleble .t .h. Office of
the Rlgl.tar of Will., any of the ZS R."anu. DI.trlct Offlc.' or by c.lllng the .p.clll Z~-hour .n.warlng 'Ir"lce
~er. far far.' ardarlngl In Pann.ylvanla 1-800-S6Z-ZaSa, aut.ld. Pann,YI"enl. and within local
H.rrl.burg ar.a (717) 787-1094, TOO' (717) 77Z-ZZ5Z (H..rlng I.palred Only).
REFUND C CR ) I
OBJECTIONS I Any plrty In Int.r..t not .atl'fl.d with the appral,...nt, allowanca ar dl..llawftnc. of d.ductlon. or ..'.....n.
of tax (Including dl.caunt or Intarl") .. .hown an ,hl. Hatlc. ..y objact within .I.ty (6a) d.y. af r.calpt af
this Notice byl
--wrl.ten prat..t to tha PA D.p.rtaant of R.vanul, Board of App.al., D.pt. ZIIOZl, Harrl.burg, PA 17IZI-laZI, OR
--al.ctlng to hava thtl ..ttar d.tar.ln.d .t the audit of ,h. accoun' of tha par.ana. rapra.ant.tl"., OR
--appl.1 to thtl Orphan.' Court
ADttIH-
ISTRATIVE
CORRECTIONS I
Fee.u.1 arrar. dl.ca".rad an thl. ........nt ,hould b. .ddr....d In writing tal PA Dap.rt..nt of R.venue,
Bur.au of Indl"ldu.. T.XI', ATTHI Pa.t A.......nt Ra"l.w unit, DEPT. Z806al, H.rrl.bUrg, PA 171ZI-0601
PhOn. (717) 787-6505. Sa. p.g. 5 of the bookl.t ~In.tructlon. for Inh.rltancl Tax R.turn far' Ra.ldan'
D'cldant~ (REY-1501) far an .xplanatlon of adalnl.tr.tl".ly corr.ct.bl. .rrar..
DISCOUNTI
If any ta. due I. plld within thr.. (S) clllnd.r .onth. Ift.r thl d.c.d.nt'. d..th, I fl". p.rc.nt (5%)
dl.count of the tax p.ld I. .llaw.d.
PENAL TVI
Th. 15% t.x aan..ty nan-p.rtlclpltlon plnalty I. cOlputld on the totll of tha t.x .nd Intara.t ..,....d, and not
p.ld b.far. Januery II, 1996, thl flr.t d.y .ftar tha .nd of the t.. aanl.ty p.rlod. Thl. non-plrtlclp.tlan
pan.lty I. .ppa.l.bl. In the .... lann.r and In the the .... tl.. parlod a. you would app..l the t.x and Int.ra.t
that hI' b..n .......d .. Indlc.t.d on thl. notlc..
IHTERESTI
Int.r..t I. ch.rg.d b.glnnlng with flr.t dlY of d.llnquancy, ar nln. (9) lanth. and on. (I) day
fro' thtl d.te of death, to thl d.ta af pay..nt. Tlx., which blc." d.llnqu.nt b.farl Janulry I, .98Z
b.ar Int.r..t at the rat. of .Ix (6%) p.rclnt plr annua c.lcul.t.d at . d.lly rata of .OaOI6~.
All t.x.. which b.ca.e delInquent on ar .ft.r J.nuary I, 191Z will b.ar Intara.t at . r.ta which will "ary frol
c.lend.r year to calendar y..r with that r.ta announcad by the PA Dap.rt.ant of R.v.nue. Th. applicable
Int.....t r.ta. for 191Z through 1996 ar'l
V"I'" Intarllt R... Dally Int,,,"t ractor Veer Int.rllt Rat. Dally Int.rllt ractor
nlZ ZOX .ooas.a 1911 .X .OOOZU
19U 16X .00008 19Ia-I991 lIX .a00501
198~ IU .000501 199Z 'X .oaOZ~7
nls 13% .000556 1995-1994 7X .00D19Z
1986 lOX .000Z7~ 1995-1996 'X .OOOZU
--Intarllt I. calculat.d a. follow"
INTEREST = BALANCE OF TAX UNPAID X NU"8ER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..ued eft.r tha tex baco." d.llnqu.nt will r.flact an Int.r.,t c.lculatlon to 'Ifta.n (15) dlY'
bayond the d.t. of the .......ant. If p.y.ant II .ad. aft.r thl Int.r..t co~tatlon d.t. lhown on thl
Notlc., addltlon.1 Intarllt w.t be celculatad.
1IV.1WIX 1""AI
146855 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OffiCIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
~.!Jt.
.iJ
D NO. AA
RECEIVED FROM:
D
ACN
ASSESSMENT r:t
CONTROL ~
NUMBER
AMOUNT
'Ib I ~91:iB2
~lUU.ca
DELLA E BEITZEL
PO BOX 1>4
841 GRANTHAM ROAD
GRANTHAM. PA 17027
'OtOHUf
I
j_fotOHUf
.
ESTATE INFORMATION:
I!:t FilE NUMBER
g 21-1996-0429
I!:t NAME OF DECEDENT (LAST)
~ BEITZEL HARRY F
II DATE OF PAYMENT
L1 POSTMARK DATE
COUNTY
S5N 109-09-',800
(FIRST) (MI)
CUMBERLAND
DATE OF DEATH
fa TOTAL AMOUNT PAID
'UOO.28
CW
REMARKS
DELLA E BE nZEL
SEAL
CHECK" 5/,13
RECEIVED BY :
,
$ICNAJURl
.'
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
\"
I,
I
,~
1:;:'>
I
.
...,
~
"
__1
~
~ -- '",
, '.
-:~: ~.-_._"~-...~~.
.,'
;.....'
/) ,Ii~:; J
BUREAU OF INDIVIDUAL TAXES
IHltERllANCE ux DIVISIO,.
D[Pf. 2101b1ll
HARRISBURG, PA UUI-0601
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
'*
NOTICE OF INHERITANCE TAX
APPRAISENENT. ALLOMANCE DR OISALLOMANCE
OF DEDUCTIONs, AND ASSESSNENT OF TAX ON
JOINTLY IIELO DR TRUST ASSETS
'11-lh' "I" III.'"
VERNON L BEITZEL
BOX 64
841 GRANTHAM RD
GRANTHAM PA 17027
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
11-25-96
BEITZel
03-03-96
21 96-0429
CUMBERLAND
189-09-4B08
96129682
Al'lount R."ttt.d
HARRY
F
HAKE 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 ~
Rifv=is4-a-E)[-AFfi-io7-:96i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-25-96
ESTATE OF BEITZEL
HARRY
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
TAX RETURN WAS:
S.S/D.C. NO. 189-09-480B
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96129682
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
21001012780
TYPE OF ACCOUNT: () SAVINGS
DATE ESTABLISHED 01-10-93
) CHECKING ( ) TRUST (lO TIME CERTIFICATE
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,028.25
0.166
1.671.41
.00
1.671.41
.06
100.28
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TD THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT
DATE
10-18-96
RECEIPT
NUMBER
AA146855
DISCOUNT (+)
INTEREST (-)
.00
AMOUNT PAID
100.28
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER TillS 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 NAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
100.2B
.00
.00
.00
OBJECTIONS: Any party In Int.ra.t not 'atl.flad with tha appral.aa.nt, allowanc. or dl.allowanca of daductlon. or a..a".ant
of tax (Including dl.count or Intar..t) a. .hown on thl. Notice .ay objact within .Ixty (60) day. of racalpt of
thh Notlca by:
--wrltt.n prota.t to the PA Dapart.ant of Ravanua, Board of Appaal., Dapt. 281021, Harrl.burg, PA 11128-IOZl, OR
--alactlng to have tha .attar daterlllnad at tha audit of tha account of tha parsonal rapr..antatlve, OR
--appaal to the Orphan.' Court
PURPoSE OF
NOUCE:
PAYMENT:
REfUND (CR):
AUtUN-
ISTAAUYE
CORRECUDHS:
DISCOUNT:
PENALTY:
IHJEREST:
To fulfill tha raqulre.ant. of Secllon ZI~O of tha Inharltanca and E.tata Tax Act, Act 2Z of 1991. C1Z P.S.
Sactlon ZI40).
Datach tha tap portion of thl. Notlca and .ub.lt with your pay.ant to tha Ragl.tar of Will. printed an the
ra"ar.a .Ida.
-. "aka chack or .oney ordar payabla to: AECISTER OF WIllS, ACENT.
All paya~t. racalvad .hall flr.t b. appllad to any Intara.t which .ay ba du., with any ra.alnd.r appll.d to the tax.
A r.fund of a lex cr.dlt, which was not r.quaUad on the tax r.turn, .ay b. raqu.st.d by coaplatlng an "APPllcatlon
'or Rafund of Penn'Ylvanla Inharltanca and E'tata Tax" CREY-13l3). Application, ar. avallabl. at tha Offlc. of
tha Ragl.tar of Will., any of the Z3 Re"enua DI.trlct Offlca. or by calling the 'paclal Z~-haur answ.rlng ..rvlc.
nuabar, for for., ordarlng: In PannsYlvanla 1-800-36Z-20S0, out,lda Pann'Ylvanla and within local
Harrl.burg .raa (111) 181-809~, TOOl (111) 712-22SZ (Haarlng lapalrad Only).
Factual arror. dl.covar.d an thl. a..a'..ant should ba addra..ed In writing to: PA Dapart..nt of Aevanua,
Buraau of Individual Taxa., ATTN: Post A..as..ant Aa"law unit, DEPT. 280601, Harrisburg, PA 17128-0601
Phon. (711) 781-6505. Se. page S of tha bookl.t "Instructions for Inh.rltanca Tax R.turn for. Aa.ldant
D.c.d.nt" (REY-ISOI) for an axplanatlon of adelnlstratlvely corractable errors.
If any tax dua I. paid within thraa (]) calandar .onths aUar the daced.nt's death, a flv. percent (S:U
discount of the tax paid Is allowed.
Tha 15X tax san.sty non-participation panalty I. coaputad on the total of tha tax and Intar..t a..e..ed, and not
paid b.fora January 18, 1996, tha first day aft.r tha and of the tax a.na.ty parlod. Thl, non-participation
p.nalty Is appealabla In the sa.e .annar and In the the .a.a tie. parlOd .s YOU would appall tha tlx and Intar..t
that h.s be.n I..a'.ad a. Indlc.ted on thl. notlc..
Int.r..t I. chlrg.d b.glnnlng with first day of dallnquancy, or nlna (9) .onth. and ona (I) day
froe the data of da.th, to the data of pay.ent. T.x.. which bac.e. dallnqu.nt bafor. January 1, 1982
baar Int.rest .t the rata of .Ix (6XI parcent per annu. c.lculated at a dally rate 0' .00016~.
All tax.s which baca.e dallnquent an or a'tar January I, 1982 will baar Intere.t at a rata which will vary Ira.
calandar Ylar to calandar yaar with that rat. announcad by the PA nepart.ent a' Revanua. Th. appllcabl.
Int.r..t rat.. far 198Z thrOUgh 1996 ar.:
Vaar Intarut Rat. Dally Int.rut Factor V.ar Int.r..t Rata Dally Interut Factor
19U 20~ .0005~8 1981 .~ .0002~7
1983 16~ .000~38 1988-1991 1I~ .000301
198~ lU .000301 1992 .~ .OOOZ"
1985 U~ .000356 1993-19M 7~ .000192
1986 1D~ .QOOZ1~ 1995-1996 .~ .OO02~1
--Intarut Is calculatad .. follows: - .
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
--Any Notlc. IS.uad alt.r the tax b.co... dallnquent will r.flact an Int.r.st calculation to flft..n (IS) day.
beyond the data of the .......ent. If paY..nt Is ead. aft.r the Int.r..t coaputatJon data .hawn on tha
Notlc., additional Int.ra.t au.t b. calculatad.
I '
PURPOSE OF
HorrCEI
ro'fulflll thl raqulr...nt. of Section Zl~O of 'hi Inheritance and E'tala ra~ Act, Act 220' 1991. (72 P.S.
Sactlon 21~O).
PAYHENT,
Detach the top portion of thl, Notlel and sub_It with your paY"nt to the Register of Will, printed on the
rav.r.. .Id.,
-- Haka chick or lonlY order payable tOI RECISTER OF WIllS, ACENT.
All pay..nt. recllvld Shall flr.1 b. applied to any Inter"1 which .ay be dUI, with any r..alndar applied to thl tax.
REFUND (CR)I
A r.fund 0' . tax crldlt. whiCh was not requ..tad on the ta. return, .ay b. raqu..tad by coaplltIng an "Application
for Refund of Pennsvlvanla Inheritance and E'tat. rax" (REV-I1Il). APPlications ar. avallabl. at the O'flcl 0'
the Algl,t,r 0' Will., any of thl 25 Revenue DI.trlct Office. or by calling the special 24-hour answering .ervlce
nuaberl for fore. ordering: In PennlYlvanla 1-800-162-Z0S0, out.lde Penn,Ylvanla and within local
Harrisburg area (717) 787-8094, TOOl (717) 77Z-Z2SZ (Hearing I.palred Only).
08JECTIONS: Any party In Int.r..t not satlsfl.d with the appral.e..nt, allowance or disallowance of deductlonl or a'.e".lnt
of ta. (Including dllcount or Int.re.t) a. .hown on thll Notice eay obJ.ct within .I.ty '60) day. 0' rlcelPt 0'
thl, Notice by:
--wrlttln prot.lt to the PA Oepart..nt 0' R.venu., Board 0' ApPlall, D.pt. Z810ZI, HarriSburg, PA 17128-1021, OR
.-.lectlng to have the .att.r dltlreln.d at thl audit 0' the account of thl plr,onal repre'lntatlvl, OR
--appeal to the Orphan.' Court
ADMIN-
ISTRATIVE
CORRECTIONS:
Factual Irrorl dlscovlred on thll al.e.I..nt should b. addrll'.d ln writing to: PA Oepart..nt 0' R.v.nuI,
Burlau of Individual Ta.ll, ATTN: POlt A".I...nt Review unit, DEPT. 280601, HarriSburg, PA 171Z8-0601
Phon. (717) 787-650S. S.. page 5 of the bookl.t "Inltructlonl 'or Inhlrltancl Ta. Return lor. R.lldent
Dlc.d.nt" (REY-1501) lor an I.planatlon 01 ad.lnl.tratlvlly corrlctabll .rrorl.
DISCOUNT:
I' any ta. dUI II paid within three (5) cal.ndar .onth. altlr the d.c.dent'l dlath, a Ilv. Plrc.nt (5~)
dl.count of the taw paid I, allow.d.
PENAL TV:
Thl 15~ ta. aenelty non-participation penalty II co.puted on the total of the tax and Inter.lt a"II'ld, and not
paid bl'or. January 18, 1996, thl Ilrlt day a't.r the end 0' the tax a.nl.ty period. Thll non-participation
plnllty II apP.alabl. In the .a.e .annlr and In the the sa.e tl.1 plrlod a. YOU would applal thl ta. and Intlrl.t
that ha. blln a"I,sld as Indlc.ted on this notlc..
INTEREST:
Int.re.t I. chargld blglnnlng with Ilr.t day 0' dlllnquency, or nlnl (9) eonths and ani (1) day
'ro. the dati 0' death, to thl date 0' paYI.nt. T.... which blcaee delinquent be'ore January 1. 1982
bear Intere.t at the ratio' II. (6~) percent plr annue calculatld at a dally rate 01 .000164.
All taxe. which beca.e dlllnquent on or afler January I, 1982 will bear Interl.t at a rail which will vary frol
cal.ndar y.ar 10 calendar year with thai rate announced by the PA Depart.lnt 01 Rlvlnul. Thl apPllcabl.
Inllrl.t ratl' for 1982 through 1996 are:
~ Inllrl.t Ratl Dallv Intlrl.1 raclor
Vear Inlere.t Rail Dally Inllre.1 Faclor
1987 .% .000~7
1988.t9~1 11~ .000101
1992 .% .000247
1~91-1994 1% .000192
1995-1996 '% .000247
198Z
1983
1984
1985
1986
--Intere.t
za,
'6'
Ig
15~
10~
II calculatld a.
.000548
.000438
.000301
.000356
.000274
follows:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlee IssUld after Ihe la. blco.e, dlllnquent will refJocl an Inlorlsl calculallon 10 fllllen (15) day,
blyond Ihe det. 0' Ihl .".Is..nt. I' paY.lnl 1, nade afler Ihl Inl.rl'l coeputallon dal. shown on Ihl
Notlcl, additional Int.rl.t .usl bl calculated.
,
.~n62Utj"AI
146603 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.
D NO. AA
RECEIVED FROM:
&
ACN
ASSESSMENT r:t
CONTROL ~
NUMBER
AMOUNT
DELLA E BEITZEL
OOX 64
841 GRANTHAM ROAD
GRANTHAM, PA 17027
'f()IC..v40
",IOu.23
ESTATE INfORMATION:
Et fiLE NUMBER
~ 21-199b-01129
!:I NAME Of DECEDENT (LAST)
~ BE I TZEL HARRY F
II DATE Of PAYMENT
B POSTMARK DATE
COUNTY
SSN 189-09-11808
(fiRST) (MI)
CUMBERLAND
DATE Of DEATH
m TOTAL AMOUNT PAID
SIOO.23
CW
REMARKS
DELLA E DE ITZEL
REGISTER OF WILLS
SEAL CHECK" 5576
_d__ .._._~ - -+- -.- ..
-- - ~'7."'--'--'1-~:
.
"
~"
I
}
~... '
i!. .
~
~ .
.'
--.,
.,,-..,..-..-
_-: _. ___.-.___---..~.~..... _ I; _ .,.-:. .
;:i'-/i::_'1"Y
BUREAU Of INDIVIDUAL TAXES
INldAIlAHCI IAI DIVISIOH
orPI. :ao"ol
U1RAISBUIIC. Pi 111:/1 oh01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~").~~ '
;'Ri~ '~~
~.ott~l. ~ .
NOTICE or I1I11ERITAlICE TAX
APPRAISEM[lIT l ALLOWANCE OR DISALLOWANCE
or DEDUCTION>. AND ASSESSMLIIT or TAX 011
JOINTLY IIELD OR TRUST ASSETS
'1I.1~.' II lit ,:, ,..
BARRY J BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-02-96
BEITZEL
03-03-96
21 96-0429
CUMBERLAtm
IB9-09-4808
96124040
HARRY
F
Anount R.~itt.d
1':-=-.-=0_=-";"'". --
!
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 ....
Rifv:is4-a-EX--AFFi-foi-:9&i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-02-96
ESTATE OF BEITZEL
HARRY
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
TAX RETURN WAS:
S.S/D.C. NO. IB9-09-4BOB
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96124040
FINANCIAL INSTITUTION: MERIDIAN BANK
ACCOUNT NO.
4003501469
TYPE OF ACCOUNT: () SAVINGS
DATE ESTABLISHED 10-07-93
) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10.022.70
0.166
1.670.4B
.00
1.670.4B
.06
100.23
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
08- 06- 96 I
I
RECEIPT
NUMBER
AAI46603
DISCOUNT (+)
INTEREST (-)
.00
AMOUNT PAID
100.23
TOTAL TAX CREDIT
BALANCE OF TAX DUE
'-INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER TillS DATE. SEE REVERSE fOR CALCULATION OF ADDITiONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN $1, ND PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR I. YOU MAY BE DUE A REFUND,
SEE REUERSE SIDE OF TillS FORM FOR INSTRUCTIONS. 1
100.23
.00-
.00
.00
",
PURPOSE Of
NOllCEI
To fulfill thl reqult...nt. of SectIon 1140 of thl InherltanCI and [,tat, J.~ Act, Act 12 of 1'91. 112 P.S.
hello" 21"0).
PAYMENT,
Detach thl lap portion of thl. Hotlc. and ,ubalt with your pay..nt to thl Aeal.t.r 0' Will, printed on the
t.var.. ,Ida.
-. "aka chack or .on.y order payabl. tOI REGISTCR OF WIllS. ACENT.
All Ply..nt. r'Cllvld shall 'It,t bl apPlied to any Inl.rl.t which '.y ba dUI, with any r...lndar applied to thl t...
REFUHD (CAll
A r.fund of . t.. cradlt. which WI' not raqu..t.d on thl t.. r.turn, "y b. requllted by coaplltlng an "Application
for R.fund 0' Penn'vlvanla Inhlrltancl and (,t_t. r.." IREY-1311), Application, .r. avallabl. at thl OffiCI of
thl Rlgls'.r of Will., any 0' the 21 Ravlnul Ol.trlct Offlc.. or by c'lllng Ihl .pacl.1 24.hour .n.w.rlng ..rvlc.
nu.b.r. far far.. ord.rlngl In P.nn'YI~anl. 1-8aa-16Z-ZaSa, outsld. Pann'Ylv.nla and within local
Harrl.burg .r.. 11111 181.8a94, 1001 (111) 17Z-ZZSZ (H..rlng I.p.lr.d Onlyl.
OIJECTIONSI Any p.rty In Int.r..t not .atl.fl.d with the .ppr.I....nt, .Ilowanc. or dl..llowanc. of d.ductlon. or ........nt
a' t.. I Including dl'count or Inl.r..t) .. ,hown on thl. Notlc. "'1 obJ.ct within .I.ty (6a) d.v. of rlc.lpt of
thl, Notice bYI
..wrltt.n prot.,t 10 the PA O.part..nt a' R.v.nu., lo.rd 0' App.al., O.pt. ZalaZI, H.rrl.burg, PA 1112a.laZl, OR
...llctlng to h,vI the ..tt.r d.t.r.ln.d at the audit of the .ccount 0' the p.r.onal rlpr...nt.llv., OR
..app.al to the Drph.n,' Court
AD"IN.
ISTAATlVE
COAAECTlONSI
F.ctu.1 .rror. dl.cov.rld on thl. .....'..nt .hould b. .ddr....d In writing tal PA D.p'rt..nt of R.v.nuI,
lur..u 0' Individual ,...., ATINI Po.t A.......nt R.vl.w Unit, OEPI. Z8a6al, H.rrl.burg, PA 111Z8.a6al
Phone 11111 '1'-6SaS. 5.. page 5 0' the bookl.t "In.lructlon. for Inh.rll.nc. Ta. A.turn for a A..ldent
O,cld.nt" (AEV.ISOI) for .n ..plan.tlon 0' .d.lnl.tr,tlv.IY correcl.bl. .rror..
DISCOUNTI
If InV ta. dUI I. paid within thr.. (3) c.l.ndar .onth. .ft.r the d.c.dlntO, d..th, . flv. p.rclnt IS~}
dltcount 0' Ihl t.. paid It al1ow.d.
PENALIYI
Th. IS~ ta. .an..ty non-partlclp.tlon p.nalty II coapul.d on the tol.1 of the t.. and Int.r..t .......d, .nd not
plld b,'ore Janu.ry la, 1996, the 'Ir.1 dey .fl.r the .nd of the t.. a.n"lv p.rIOd. Thl. non-partlclp.tlon
p.nalty I. .pp..I.bl, In the .... .ann.r and In the Ih. .... tl.. p.rlOd .. YOU would .pp..1 the tl. and Int.r..t
Ihat h.. bl.n .......d a. Indlcal.d on Ihi. not Ie..
INTEAESTI
Int.r..t I. ch.rg.d b.glnnlng wllh 'Ir.t day 0' d.llnqu.ncv, or nln. (91 'onth. .nd on. II) d.v
fro. th. date a' d..tho 10 th. d.l. 0' pav..nt. r.... which b.c... dlllnqu.nt b.forl J.nuary I, 198Z
b..r Int.r..t at the rate of .1. (6~J Plrc.nt p.r annul c.lculat.d .t . d.ily r.t. of .OaOI64.
All t.... which b.ca.. d'llnqu.nt on or .ft.r J.nuary I, 19az will b..r Inl.r..t at . ratl which will v.ry frol
cII.ndar y..r to c.l.ndar y..r with Ih.t r.l. announcld by thl PA Olparla.nt 0' RI~.nu.. 'h. appllcabll
Int.r..t r.t.. for 1982 Ihrough 1996 ar'l
Ylftr Inlerllt A.I. Dalh Interllt Faclor V..r Inler..t Ral. 01111., Inter..t factor
1982 ZO~ _000S108 1981 'x .0aOZ'"
1981 16~ .Oa0418 198a.1991 U:c .000101
191" 1I:C .000101 )IJlJZ ., .000247
1985 UX .000lS6 IlJlJ]-ICJlJ" 7i: .OaOI9Z
1986 IU .OOOZ1lo llJ9S-1996 'X .OOOZ41
uInterllt It calculated os follo"'1
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..An., Hotlc. I"u'd .ft.r the t.. b.co... delinquent "Ill r.'lecl nn Intere'l calcul.tlon 10 fl'I..n CIS) day.
b.yond Ih. d.l. 0' the ........nl. If p''''.nl Is nlld. "'t.r thl Inl.r.'1 co.put.tlon date shown on Ih.
Notlc.. ~ddltlon.1 Inter..t au.t b. calculat.d.
D NO. AA
146931 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
drb
IIVOI161IllI....'
RECEIVED FROM:
6
ACN
ASSESSMENT Il'
CONTROL ~
NUMBER
AMOUNT
DELLA E F1EIT7.EL
PO DOX bit
841 GRAN1HAM ROAD
GIlANTHAM. PA 17027
'/6 1 2.,t;<16
..100.0;5
ESTATE INFORMATION,
~ filE NUMBER
~ 21-1996-0,,29
~ NAME OF DECEDENT (lAST)
Ij;iI BEITZEL HflRRY F
II!I DATE OF PAYMENT
Iii 11 /12/96
m POSTMARK OATE
COUNTY
tiSN 109-0'7-1,000
(FIRST) (MI)
CUMFlERLAND
DATE OF DEATH
03/03/96
REMARKS
DELLA E BEITZEL
m TOTAL AMOUNT PAID
90100.05
CW
SEAL
CHECK" 562[1
'. .
RECEIVED BY /:/,. ;,'~f -. ,:.,.1.;.'. ,/
,I SlGNAT~E.
REGISTEI1 OF WILLS
MArlY C. LEWIS
REGISTER OF WILLS
,., "
r
. ~*~. ._._ _. '.0 _. _ H. - ...
. .
..-, -~
. _ - -.'--"'~.~ .~"'q... ."..
IS'Ie):, S
BUREAU OF INDIVIDUAL TAXES
INt..RIfAHCE fAll DIVISION
DEPr. zaOftal
tlARRlSBURC, Pi l11:a.0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
.,
(/
NOTICE OF INHERITAHCE TAX
APPRAISEMEHT, AllOMANCE OR DISAllOMANCE
OF DEDUCTIONS. AND ASSESSMENT or TAX ON
JOIHTLY HELO OR TRUST ASSETS
11'01'''11 ,,. lit.,,,
DENNIS E BEITZEL
841 GRANTHAM RD
GRANTHAM PA 17027
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-30-96
BEITZEL
03-03-96
21 96-0429
CUMBERLAND
189-09-4808
96129696
Amount R...itt.d
HARRY
F
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 ~
Rifv:is4-8-E)f-AFii-(i2-~96i------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-30-96
ESTATE OF BEITZEL
HARRY
F DATE OF DEATH 03-03-96
COUNTY
CUMBERLAND
FILE NO. 21 96-0429
TAX RETURN WAS:
S.S/D.C. NO. 189-09-4808
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96129696
FINANCIAL INSTITUTION. PNC BANK
ACCOUNT NO.
21001012854
TYPE OF ACCOUNT. () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 04-30-93
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
10,005.56
0.166
1,667.63
.00
1,667.63
.06
100.05
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE
11-08-96
RECEIPT
NUMBER
AA146931
DISCOUNT (+)
INTEREST (-)
.00
AMOUNT PAID
100.05
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF AODITIONAl INTEREST. ·
IF TOTAL DUE IS lESS THAN S1, NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU NAY BE OUE A REFUNO.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
100.05
.00
.00
.00
111.1.> 'J "
F\.-' ..'
:1
.. ,I
'96
ole 30
~\-,'1 '33
, \J'
CICI,
Cum:;,
,;d
F'/\
PIJRI'(lSE Of
NOTlCE1
To fulfill the r.qulr..-ntl of Sactlon ZI~O of the Inh.rltanc. and [.'at. ,.. Act, Ael 11 of ,.". ," P,'.
S.ctlon liftO).
Detach the top portion 0' thlt HoUc. and .ub.1t with your pey..,,1 10 Iha bll.l.r of willi pr'n'''' on H~
r.v.r.. slda.
e_ "eka ~k or .one., ordar peyabl. 10: RrGISltR Of WillS, AGENT.
All p.y.-nt. recalvad .hell 'Irst b. eppll.d to lItly Int.r.lt which ..y b. dua, wl'h MY ,...Ind., ....pll... 10 ,he I..,
A rafund 0' a tax credit, which w.. not r.qualted on tha ta. r.turn, ..Y be ,~.'ad by coepl.II"1 en "Appllca'lon
'or R.fund of Pennnlvenl. Inherltenc:. and Est.'. h." (REV-lSlS). Appllutlon. .,. .vellahl. at th. Ufflu of
the R.glltar of wllh, eny of the Zl R.v~ District Offlc.. 0' by ulllng ,he .p.chl "-hou, "".w.rtt\tl ..'v In
nuaber. for for.. ordering: In Pann..,lvenl. 1-800-36Z-Z0~O, out.ld. p"""Ylvanl. BAd wl'hln local
H.rrhburg ar.. (7111 187-809", TOO' (7171 71Z-ll.U m..dng IlIPal,ad Only,.
PA'mENT 1
REfUND (CR) l
OIJECTlOHS: Any p.rty In Inter..t not utl.flad with the IIPPr.I...."t, .lIowanc. or dlt.llow.,c. of d.ductlon. ur .......enl
of t.. t1ncludlnv discount or Int.,IIt) u ,hown on this Hotlca ..y objecl within .hty 1.01 dey' of raulpt of
this Notlca by1
"wrlttM protut to the PA O~art'Mt of Ravenua, Board of Appeal., D.pt. 1810:1. Ila,rltbur., PA 11111-1011, OR
--.Iectlng to have the ..U.r d.t.r.lned .t the audit of the KCount of the p.tton.1 rapn..,,'.Uv.. OR
__appe.1 to the Orphan.' Court
ADHIN-
IStRATlVE
CORRECTIONS:
Factual arror. dl.covered on thl. e......ant ~Id b. addr.ssed In wrltlnt tal PA D.p.,t.anl of '.venu..
Bur'.u of IndlvldU.1 T...., ATTN: Post A......ant R.v1~ unit, DEPT. zaO,ol, H.rrl~rl, PA 1/111-0.01
PhOne (717) 1B7-6505. S.. peg. 5 of tha bookl.t wln.lructlons for Inherltanc. f.. R.tu,n lor. R..adanl
Dac~t" (REV-1501) for an ..plan.tlon of ad.lnl.tr.tlv.l., corr.ctlbl. .rror,.
DISCOUNT :
If any ta. due 11 p.ld within thr.. (l) cal.ndar .onth' ,ft.r lhe d.cedant". d..'h, . live p.rcen' l\llJ
dl.count of the t.. p.ld 1. allowed.
The 15X ta. .....ty non-pertlclpaUon penallY I. co.putad on the 'at. I of thai I.. and Int.r..t .......d. ..~ no'
paid b.'ora January 18,1996, the flr.t d.y aft.r Ih. end of the I.. ".,..Iy Plthtd. 'hit non-plrlle'p.tlon
penalty is appMlabl. In the .a.. .aIW1lr IN\d In the IhIi .... tl.. p.rlod .. yoY would .....a 'h. ,.. and Inl"'"
that h.. bean ......ed .. Indlcatad on thl. notlc..
PENAL TV:
INTEREST1
Int.r..t 11 ch.rg.d blglM1nQ with 11,..1 day of dalll')qOlnC'f, or nln. "I aonlt'l. IIlI1d ona III II.y
frCMI the d.ta 0' d..th. to Ih. dal. of ply.ant. ,.... which ban.. ttlllnq"."t b.fora J..,.ry '. ,...,
b..,. Intar..t .t the rat. of .Ix C6X>> percent par annua uleul.'.d .1 a dllh "'a ., ....1.-.
All taxa. which bac... dallnquent on or .ft.r Janu"Y I. 1111 will IIU' Inll'''' ., . ,.Ia tIf,ld1 will va,y "CMI
c.lender yler to callndar y..r wllh th.' r.t. lWV\OUnC.d lIy Ih. .'A lI.pa,..."t "' ..v...,.. Iha !If'P11c:.bla
Int.r..t r.t.. for 19&Z through 1997 .r.1
V..r Inter..t Rat. D.lly Int.r..t fector V.., Inll'''' ...1. n'lh '"Ia'''' f.ch,
19U ZOX .0005"8 I..a, .. ..."1lI
1985 16X .000..16 ""-1"1 IU ,"nt
198" IU .000101 "'11 .. .1111\'
1985 lSX . DDU~6 1"'-1'" " ,II""
1986 lOX .00021' 1"'11-1'" .. ..""
--Int.r..t 11 c.lculated .. followu
INTEREST = BALANCE OF TAX UNPAIO X NUNSER or OAYI nr.l.I"QUt:"' M nULY I"HAU' rACTOR
uAnY Notlca bsued aftar the ta. becu.a. d.lInqu.,.1 wlla ,.flILl *' Ill""" ullllll""" ,.. IlIlIen 11\1 tie..'
b.yand the d.ta of the ....n.ant. If P.,.."t It ...,. .ttar Ih. Inl".,1 .......,1.11..,. da" ,h,"'" on 'h.
Hotlc., additional lntar..t ~.t ba c.lcu,.,.d.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ':j\:~.~'l:~ }'. !1>:,rp'..::.,~T,
Date of Death:
,. ql'C"., 1 ClO(.,
W ill No.
1. ()f)(1-00), ?Q
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No x
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes x No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:
.(' 2 ~ '; (,
r,'
~') J'
,~U.[ "'-
Signat.ure
If
,cn.
'I
Dolla J. nnitzel
Name (Please type or print)
GI~1 Gr'lnthun Eoad
~;rr;nthU1n. ':~.. 170"7
Address
(;"7) 766-!~n75
Te 1. No.
1.( )
Capac i ty: x Personal Representat ive
Counsel for personal
representative
(MAH: rmfl AM3)
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