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REV.llOO ,x. IIQ'I ~.......-:-l-rl- "'" " fOR DAlES Of DEATH AFTER 12131191 CllECK HERE
Il!i~; II INH::g~E~~t: DT~~lEE~~RN ~i~t:!tiiifjITuI5_CI,AIM!~_Uu_-u,,-,----
(OMMcmw'AITH Of "'NNSYlVANIA (TO BE FILED !N DUPLICATE ) I 1(1' cl' -- -/ J -,
OEPARTMENT OF fHVfNU~ j F WIL S) I lk'
HAR",RJn :~o1~:", 0601 .,. _.WIT~_ REGIS!ER 0 L . COUNTY COPE YEAR ____J::I.lJI~BE'
mC~DfNl!. NAMt (lAST flRSI ;\N()~'(J'6ICiNiiiAll-~----~-- _._~--- --[)f:CT[jrtjT~(b/,l~lf:rf: AlJORf~) .-
GABUZDA, Josoph C. 3~~ N. 29th nt.
S()C!AlSEClJRIIY-~IUM8ER ]OArfOfDfAitf-- -----jriAlfO'BIRHI ..-- - ('.Imp ili] 1, PA 17011
204-12-7721 08-08-9~ OS-31-22 (o,""Cumbc;rl dnd
II;-;;;-'":","M;;;;;;o"~;;;t";;;-i';;;': ,"QM~=:'. ,i'iciAI;;cu,iiTiiUiiilR- -- '~r~;UN1iR(lVfO 1,,,,"!i'UClION'1 u___-==,_=_~
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o 1. Original Return
o 4. limited Estell; 0 40. Future InlfHflsI C(lmprornise
(for doles (II death elftor 12.12.82)
o 6. Decedenl Olfld Tesloll) 0 7. Decodent Mainlainl'd a li...ing TruH
(Allach copy of Willi (Allach copy 0/ TrulIl
ALL CORRESPONDENCE AND CONFIDiNTIAL -YAX INFORMATION SHOULD BEDIRECTED TO,
NAME -~ETf MAlllNGADDRfSS
, ar los II. Stance, Es':,L" ---I Stan" LaFaver & Stone
tElePHONE NUM8fR . 1 P .0. Box E
L717 I ~UD5-, _N0W_Cil.mb,'!:]i1nrl. PA l1..Q.70
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1. Real E 11010 ISchedule AI
2, Slack! and Bond. ISchedule B)
3. Clo..ly Held Slock/Partnership Inlere.1 ISchedule q
4. Morfgages and Notes Recel...able (Schedule OJ
,5, Cash, Bank Deposits & Miscollaneous Personal Properfy
ISchedule EI
6. Joinlly Owned Property (Schedule FI
7. Tronl/ers ISchedule OllSchedule II
a. TOlal Grou Aueh (10101 lines 1.71
<;'I, Fvnftrol Expenses, Administroli...e Costs, Misc:ollaneou,
Expenlo, ISchedule HI
10, Deb.., Mortgage liabiliti.., lion. ISchedule II
11. T DIal Deductionl IIolollin.. Q & 101
12, Nel Value 0/ ElIo.o (line 8 minus line 111
, 3. Charitable and Go...ernmental Requests (Schedule Jj
14. Nel Value Subject 10 Tax (line 12 minus line 13)
15. Spousal Transfers (for dates of dealh aher 6.30.941
See Instructions for Applicable p(trcenlage on Re...erse
Side. (Include ...alue, froln Schedule K or Schedule M.l
16, Amount of line 14 1:;,:,cbJe 01 6% ~:"l!3
llnclud" ...alues frpm Sche:dule K or Schedule M.l
17. Amount of line 14 tClxable ot 15% role
(Include ...alue, from S(hedule K or Schedule! M.l
IS, Prlncipallc.x due IAdd lax from lines 15, 16 and 17.)
19. Cr(ldlts Spousal Po...erty Credit Prior Paymenls
+ -----
03
05,
Remainder Return
(for dates of deoth prior to 12.13.82)
Federal Estate Tal( Roturn Roquired
.D-.8. Tolal Nllmber of 50fo Deposit Boxe~
11)__,
( 21__________
13)
1'1
(51_,__
(61 $]7,RgS....l2..
171
(Q)
1101
8,663.00
181
$17,895.32
1111
1121
1131
1141
8,663.00
9.232.32
9,232,32
1151,
(16) -----L- g , ~,,? ,,?
X._=
>.: ,06 I:
s S '1 g4
1171
__x ,15=
(181
553.94
Discount
Interest
+-~-- -
I1QI
120)
.00
20. If line 19 Is greater Ihon llnA 18, enler the difference on line 20. Thl, is the OVERPAYMENT.
miD
Cheet.: hOl:o if you me i'oquesting 0 refund 0' your overpayment.
(211
(21A)
(21 BI
$553,94
.00
---$5IT;g.r--
21. If line 18 it greater than line 19, anler Ihe difference on line 21. This is the TAX DUE.
A, Enlor the inlrHeu on the balance due on line 21 A.
8. Enler the lotol of line 21 and 21A on line 21B. This is the BALANCE DUE.
~~~k. Ch.ck ....ava~l. fo: !!.'/Iter of Willa!.. AJI.!.~t _
~ >- BE SURE TO ANSWER ALL--QUESTlONS ON REVERSE SIDE AND TO RECHECK MATH <t( <(
U~der. penClltje~ of pequry, I declare tho:Ih~...e f1)(omined Ihit rtllUln, i';clllding occompor....ing l(hodulfI~ ond $ta1tlmenls, and 10 Ihll best of my knowledge and belie(
,liS trUll, correcl and complel", I declare thaI all real flIlale has b(lfln reporlod altrue market valuo_ Doclmotion of preparor olher thon !he punonal roprOsflntCltl...e ,s
oa_ed on alllnfo~mgtion of which preparer hell ony knowledge
~:ArURE OF,~N':'?; ~\;~~~;r:;:JA.4ADoi'!~'4~~~~~~1~'-;:~'I:~I~{' Po ...~'~~ ._~~~J~;'.~'Y:'~W)'d~~~' 6A(~;!i ~='~r!'({-L .
llGNA(IIilTf)f (lR~Ojlll~tAN fPR( UHAIlvf o\,ODRI',~ .} l-(}--fl--4 i5A (_" __
----'''--' Lcu..,L,_:"j..l..':~L P.O. !lox 1':, Nl'w CUIl\(;t,]dnr1, PA 17070 6.?:.u.,'j)i 'lL
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BUREAU or INDIVIDUAL
INIlUU fANe! !AI( OllJlSION
OCrT. ?aDIIOI
ftARRlS8URO, "A 171?ft"0601
TAXES
COMMONW~ALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of' INttl'RITANC[ TAX
APPRAISEHENT, ~I.LOWANCE OR DISALLOWANC[
Of DEDUCTIONS AND ASSESSHENT OF TAX
DATE
ESTATE OF
DATE OF DEAYH
FILE NUMBER
COUNTY
ACN
l~~ :~~~~~~~:=~::~~~~__' 'l
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA IJ013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: iS4 j - Eie -A j: ii. r IF 96"1 -NoT" iCE - - ci F - i"tiHEif i i Aiie E. TAX - 'A-p liiiA" is E'iiE' N T ~ - -A L i"owAiic E - 'OR - - - - - - - - - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JOSEPH C FILE NO, 21 96-071J ACN 101
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAXI
15. Amount of line 14 at Spous.l
16. Amcunt of Line 14 taxable at
17. A~ount of Line 14 tlxmble .t
18. PrincipII Tlx Du.
TAX CREDITS:
-------...
PAYHENT
DATE
09-11-96
CHARLES H STONE
PO BOX E
NEW CUMBERLAND
PA 17070
ESTATE OF GABUZDA
TAX RETURN WAS I I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.to (Schedule Al
2. Stocks and Bonds (Schedule OJ
3. Clos.ly Held stock/Partnership Int.rest (Schedule C)
4. Mortgages/Notes Reeeivabla (Schedule D)
S. Cash/Bank Oeposi t s/Mise. Pe,-sonal Property (Schedule E)
6. Jointly Owned Property (Schedula FI
7. Transfers (Schedule Gl
8. Total AS5at~
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exp.n5es/Ad~. Costs/Hisc. Expanses (Schedule H) (9)
10. Debts/Mortgage Llabiliti.s/lien$ (Schedule I) (10l
II. Tata1 Deductions
12. Net Val\J. of Tax Ret\Jrn
13. ChMritabl./Gov8rnment.l Bequeats (Schedule J)
14. N.t V.lue of Est.t. Subject to Tax
NOTE:
rata
Lineftl/Class A rat.
Coll.t.ral/Cl.,s B r.t.
RECEIPT
NUHBER
AA146717
DISCOUNT It)
INTEREST (-)
.------17,24:-
III
12)
13)
14)
IS)
16 )
171
IlS)
(16)__
(17)
12-16"96
OABUZDA
08-08-95
21 96-0717
CUMBERLAND
101
) CHANGED
,00_
,00
.00
,00
,00
17,895.32
,00
(8)
8,663,00
,00
1111 _
(12)
(13)
(14)
,OOX,OO,_
9,232,32 X ,06,
,00X,15,
(18)
,---,-- 553,94
AHOUNT PAID
'*
IU.li41 IX 'I' (11,".
JOSEPH
C
DATE
12-16-96
NOTE: To in sur. proper
oredit to your aocQunt,
subllit the u()per port ion
of this 'forlll with your
hx pay..ant.
17,895,32
8,6u....oJL
9,232,32
,00
9,232.32
,00
553,94
,00
553.94
B~{~;~i~~~-~~~~~~ S~~ : ~~ '3
~~~T~}~{~L A:~E ~:':-E~=-:~.-==-I): i}_j
I II' TOTAL DUE IS LESS THAN $I, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REfLECTED AS A "CREDIT" lCR), YOU HAY DE DUE
A REfUND, SEE REVERSE SInE Of TillS fDRN FOR INSTRUCTIONS, I
INTEREST IS CHARGED FROM 09-12-96 TO 12-24-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
. If PAID AfTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
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RESERVATION:
:<;1
N C;;'
:-tJl. 0 g,
'1>;:1 ~
E_tat.. of dG08Qent. dylnA on or before Oec..bor 12. 1982 ~M If anY future Int~r..t In tne &,tate l~ran.f'rr.d
In po.....ian or enjoYlllllnt to Chu B (colht"'IIl) beneflo1arl.. of the decedent after the expiration of any G.tllte for
life or for vaIU"', thl Co..onw_81th hlreb\l 8)(pr..,lY rlllllrvu the ri;ht to appnd.. and IIUUI trtm,fer Inh.r1tano!il Tall"
at the lawful Clal. 8 (oollateral) rat. on any suoh future Int.r~.t,
PURPOSE OF
NOTICE:
To fulfIll the r'llqulrvlllnt, of SClctlcn 2140 of the Inherltllnoll tmd E!itate Tax Act. Act II of 1991. n P,S.
$aotlon 2140.
PAVHENT:
O,tllch the top portion of this Notice and subllllt with your pllily.ent to the Rll9hhr of Willi printed on the rever.. ,Ide,
--Hake check or lIoney order payablfl tal REGISTER OF' HILLS, AGENT
AU p8Ylllents received Sh81l first bo 8pp1Jod to Bny Interut which may blil duo with any rOMaInder applied, to the tex.
REFUND (CR)1 A refund of 8 tax credit, which 10185 not requested on the Ta~ Return, may be reque,t.d by eo.pletlng An "APplication
for Refund of PennsYivllni8 Inheritance and EstatQ Tnx" (REV~1313). Applicatlon~ ~re 8v811able at the Office
of the Register of WillS, Any of the 23 Revenue 015trlct Office" or by c~lllng the speoi81 24-hour
flntwerln; urvlce number'll for forlls ordering I In Pennsvlvania 1~800-362~20S0, outside Pannly!vanla I'Ind
wIthin local H8rrisburg arGa (717) 787-8094, TOOM (717) 772-22S2 (Hearing Impaired Only).
OBJECTIONS I Any perty in lntlilrlilst not satisfied wIth tha appralse.ant, allowenca or disnllowanoe of duduotlons, or assaIlMent
of tax (Including dh(lOunt or In taros\) at shown on this No'ticCl llIust object wlthln sixty (60) daY5 of reoelpt of
thls Notice bYI
~~wrlttliln protest to tho PA Departunt of RaVllnuliI, Board of App8l.lls, Dept. 2810a, tll'lrrhburg, PA 17128-1021, OR
~-elactlon to havII the matter deter.ined at audit of the account of the personai representative, OR
--appa81 to tha Orphan8' Court.
ADMIN
ISTRAnVE
CORRECnONS I
Faotual errors dlscovarad on this a5SliISSllont should be ~ddra55ed In ~rltlng tOI PA OepartMent of Revanue,
Bureau of IndIvldu81 Taxtlll, ATTN: Post ASS8Snent ReI/low Unit. Oept. 280601, Hllrrhb~lrg, PA 17128-0601
Phuno (717) 787-6505. Sn pa!lG) S of th" booklet "Instructions for InherItnnoe T8x RliIturn for a Resident
DecliIdent" (REV-ISO}) for 8n explanation of ad.lnlstratll/1I1y corroctsble 8rrOrt.
DISCOUNT I
If flnY tax due Is p8ld withIn thrllo (3) calendar IIIOnths lifter' the decodent's dellth. u five plilrc.ant (5%) discount of
tha tax paId Is allowod.
PENAL TV:
Tha 15X t8x 8~nllllty non-particIpation pliInalty Is cOllputod on tho total of the tllx and Intorost 8ss118sod, and not
p81d bofore January 18, 1996, the first day after the end of the tax a.nesty period. ThIs non~p8rtIelp8tlon
penalty Is 8Ppealubl1l In the sa~1I manner snd In tha the same t11111 purled all you would appoal the tax and Intlilrlil8t
that has blilliln assessed as lndlcatad on this notlco.
INTERESTI
Interll't Is ch8rged begInning with fIrst day of delInquency, or nine (9) ~onths and onlil (ll day fro. the datlil of
death, to the datlil of payeont. TaxliII Which beoa.ul del!nqulilnt be for. January 1. 1982 boar Intlrut fit the rate of
Ilx (6%) percGlnt plilr annu. calou18hld ot a dllllly rate of .000164, All ta~liIs loIhlch blilcallla delln~u.nt on and lifter
January 1, 1982 will b(lar Inhrut 8t a rah which will VAry fro. clllondar )fOllr to c81li1ndar yur with thllt ratlil
annoUl'lced by the PA Oep8rtltlilnt of RGI/~nue, The eppl1cable Intflrut ratus for 1962 through 1997 are I
't!!r Inhra'$t Rl"lle Dally Intarost Factor :t!!r IntorlUt Ratll Dally Inhrut Fllctor
1982 20% .000548 .\987 9% .000247
1983 16% ,000438 1988~1991 11% ,000301
1984 11% .0003(11 199Z 9% ,000247
1985 13% .000356 1993~1994 7'1. .000192
1986 10% .000274 1995-1997 9% .000247
--Intllrut is calcullltad .. follow'l
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-'Any Notlce issued after the tax b.c~... dellnquQnt 01111 rlilfleot an lnter.lt calculatIon to flftlilon (IS) day.
beyond the date of the a.lliIIOllllilnt, If pay..nt i, .ade aft.r the Intlilrestoolllputatlon dat. 5hown on tha
!lottee, Bdd,ltIonl!l1 Inter..t .Ult blil cnl"ulllted.
II) /J') Y
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
/,
~.~.~
~
BUREAU OF INDIVIDUAL
I HtlUH IANet TA>I UIYISIOH
01"111. ,'lI0601
ItARRrSftURO, flA In:~'llbOI
TAXES
ANNA M GABUZDA
355 N 29TH ST
CAMP HIL L
INHERITANCE TAX
RECORD ADJUSTMENT
JOINTLV HELD OR TRUST ASSETS
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
If 'j 11 ~" I' jf ~ I 1/ . ,..
PA 17011-0000
12-11-96
GABUlDA
08-08-95
21 96-0717
CUMBERLAND
204-12-7721
95149016
1:-~~=~ou~~~;j:~~'~~~:J
MAKE CHECK PAVABLE AND' REMIT PAVMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
JOSEPH
C
TOl
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
---------.-.--....------------------------------.--------------------------------.-.-----------.----------------
REY-l&04 EX AFP (12-9&)
JIM INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS JIM
DATE 12-11-96
ESTATE OF GABUZDA
JOSEPH
C DATE OF DEATH 08-08-95
COUNTY
CUMBERLAND
FILE NO, 21 96'0717
ADJUSTMENT BASED ON:
S,S/D,C, NO, 204-12-7721
ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
ACN
95149016
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO. 5140022159
TVPE OF ACCOUNT, () SAYINGS (X) CHECKING ( ) TRUST
DATE ESTABLISHED 02-01-61
) TIME CERTIFICATE
Account Balance
Percent Taxable X
Amount Subject to Tex
uebts and Deductions
Taxable Amount
Tax Rate X
Tax Due
,00
0,500
,00
,00
,00
,06
,00
NOTE: TO INSURE PROPER CREDIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAVMENT TO THE REGISTER OF WILLS
AT THE ADDRESS SHOW" ABOYE.
MAKE CHECK OR MONEV ORDER PAVABlE
TOl "REGISTER OF WIllS, AGENT."
TAX CREDITS I
-i'AVMENTr- RECEIPT
DATE I NUMBER
---- ------'-f-'--.-. .--'---1
DISCOUNT (t) AMOUNT PAID
INTEREST (-)
------- .~-~---_._-
lii'r~i~~/~~ -~~~~~~-~----~===:~~ ~
I----m-"-'--'t~-.----,. '- , "
I INTERES.T _ANDPE~.+_______._,Il.O :
i "., TOTAL DUE _L ,00 __I
. IF P~ID ~FTER THIS DATE, SEE REVERSE FOR C~lCUl~TlDN OF ADDITlON~1 INTEREST,
( IF TOTAL OUE IS lESS THAN 11, NO P~VMF.NT IS REQUIRED, IF TOTAL DUE IS RElUCTED ~S ~ "CREDIT" tCRI,
VOU MAV BE DUE A REfUND, SEE REVERSE SIDE OF THIS FORM lOR INSTRUCTIONS, I
.
.
PAYMENT I
Oeta(lh the top porUon of th1i Notice "nd subMit with Your P!lYIIlIUit ",ade Fllwable to the nail' !Ind !!lddre.4'
prInted on tho r.~.r.. ,Jdl,
-- Make check or money order pnY!lb,hi tOI REGISTER OF WILLS, AGENT.
All paYllonh recelvlild Iihal1 be appl1lld fIrst to any IntClrut whIch "'all' be QI.lIl ~dth ahOY rlulndn applied to the itlx.
REFUND (CR)1 A refund of It tnx ~r.dltl which was not reqU8'tod on the Tax Return, ~8Y be requested by oompletIng an
"Applioat1Cln for Refund of Pflnn$~lv8nia Inh"r1taMe 8fld Estnte Tax" (REII~13131. Appllc8t\lmll are flva!labh lit
the Offl08 of the Register of Wills, any of the 23 Ravenue 01striot Offl081 or frOM the Departllent's Z4Rhour
answerIng .ervJ08 nUMbers for forms orderingl In PennsYlvlInla 1-800-36,-2050, outsIde Penns~lvania
and within local ~larrhburg arCla (117) 787~8094. TOOII (117l 772-2252 (Haering Impelrod only).
REPlV TOl
ell/esUon. regarding orrors cant&inGd on th1:l notice should bG addressed to: PI! Dopartlllont of RQvenve, Bureau
of lndlvldl.fal 'raxos/ ATTN! P"st AssusllIent Review Unit. Dopt. 280601, Hsrrlsbl.frg, PI! 111l:8-0601~ Phone
(717) 787-6505.
DISCOUNT,
If an~ tax due Is paid within thrllo (3) calendar months aftor ~he decedent's doath, 8 fJVR p.roent (5~)dlloQunt
of the tax peid is aliowed.
PENAL TV I
The 15% tax amnesty non-particIpation penalty Is oomputed on the total of the tax and Interest 8sleSS8d, and not
paid before Januar~ 18. 1996/ the first day after the and of the tal< lllllfluty periOd,
INTERESTl
Intere.t is oharg.d begInning with first day of dellnqueno~ or nIne (9) months and one (ll day frOM the datI of
death to the date of paYlllont. Tax.s which beoame delInquent before January, 1, 1982 bear interest at the rat. of
sIx (6%) percent per annuIII caloulated at a daliy rate of ,000164, All tax.. whloh beoame dblJnquent on ~nd &fter
Janl.fftry I, 1982 will bQftl' Interest at II rate which wlll Vftry froll calendar Yllar to calendllr year with that rah
announced by the PA Oopartment of Revenue, The applioable Jnterest rates for 1962 through 1997 arol
Vear Interest Rate Dally Int8rut F8CtO" Year Interest Rate Dally'Inhrut FMtQr
-- - ----
1982 20% .000S48 1987 9% .000247
1983 16;< ,000438 19U-1991 11% .000301
1984 1l~ .000301 1992 9% ,000247
19.tS 13% ,000356 1993*1994 7% ,000192
1986 10% ,000(74 1995~1997 9% .000247
--Interest is calcul~ted "I follows I
INTEREST. BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~~Any Notice issued after the tax b.oo~.. delinquent will refleot hn Intere.t caloulatlon to flft.en (15) day.
blyond the date of the flSIIDs.ent. If paY.ent Is ~ftde after the Interlst co.putatlon date Iho~n on the
NoUee, AddJtlonal lnteru't I.U"t, b. c:alculahd.
;.<) I (:~ :5' '1
BUREAU Of INDIVIDUAL TAKES
INtlERlTAHCE TAX DIVISION
DEPT. 21\0601
HAllRISBURG, p", 171;'8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
(f c'
*'.
; ".
c^
If.. I\al (I If ~ Ill.'II1
CHARLES H STONE
PO BOX E
NEW CUMBERLAND
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-10-97
GABUZDA
OB-OB-95
21 96'0717
CUMBERLAND
101
JOSEPH
C
PA 17070
E'---AmOU:~.R..It~~~ l
MAKE CHECK PAYABLE AND REMIT PAYMENT
TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To i~sur. proper credit to your acooynt, sub~lt the upper portion of this form with your tax payment,
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: i &0-7' E if -A F p' - f oj-: 97") - - - -. -ii..- - i ;:,ii,fER I T"ANC: E" - T A if -Sf ;;f EM 'E-NT - '(iF - Aile ou'N"f - -.-Ii jj' -.. - - - - - - - - - - - - - - - - --
ESTATE OF GABUZDA JOSEPH C FILE NO. 21 96-0717 ACN 101 DATE 03'10-97
THIS STATEMENT IS PROVIDED TD ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAMED ESTATE, SHDWN BELOW
IS A SUMMARY Of THE PRINCIPAL TAK DUE, APPLICATION Of ALL PAYMENTS, THE CURRENT BALANCE, AND, If APPLICABLE,
A PROJECTED INTEREST fIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 12-09-96
PRINCIPAL TAX DUE, 553,94
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT OISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (- )
09-11-96 AA146717 17,24-
02-12-97 AA185167 ,66-
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0: 50
AMOUNT PAID
553,94
1],68
.
If PAID AfTER THIS DATE, SEE REVERSE
SIDE fOR CALCULATION Of ADDITIONAL INTEREST,
( If TOTAL DUE IS LESS THAN $1,
NO PAVMENT IS REQUIRED,
If TOTAL DUE IS REfLECTED AS A "CREDIT" (CR I,
VOU MAV BE DUE ^ REfUND, SEE REVERSE SIDE Of THI~ fDRI1 fOR INSTRUCTIONS, I
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~
, .:~---~
'Otj
---_.---_._~..
,22
,---.-_.-_.-.-.._--- _.~,-------
PAVMENt I
Detach the top portion of this NotJqe ~nd sub.lt with your pay~ent Mftde payable to the n&.. and ~ddrq'N
printed on the re~erl. side.
If RESIDENT DECEDENT makQ oheck or mone,/ ol'der IHtyabla tOI REGISTER OF WILLS, AGENT.
If NOH-RESIDENT DECEDENT Make ehec:k or Money or\ter p~Yllble tOI COMMONWEALTH OF PENNSYLVANIA,
REf'UND (CRll II refund of a tex credit, which was not requuhd en Hte Tax Return. Ilay ba reque.ted by co.platlno an
"lIppl1t:atlel1 fer Refund of Penn.ylvltnie Inheritance and Estate Tflx" (REV-13Ul. Applloations are available at
tha Offic. of the RegIst.r of Wills, any of the Z3 Revenue OJltrlct Offloes or fro. the OQP~rtmlnt'. Z4phou~
answlrlng s.rvloe nU/llbers for forMS orderlngl In Pentuylv8nIa 1-800-36~-Z050, outside Pennslylvanla
and within local Httrrlsburg llrCHl 0171 787-8094. TOOIl <717J 772-lZSZ Oloarlf19 Impaired onl!!),
REPLY TOl
Q~test1ons regarding Qrrors contained on this noHu should tJe addrused tOI P" Oepllrhlent of Ravlnu.. Burlt'lu
of IndIvidual TaI(III, "TTNI Post h,ulIIllant Review Unit. Dept, 280601, Harrisburg, PA 171?8-0601. phonu
(717) 181.6505.
D I SCOUNll
If any tal( due II peld wlth!n three (3) calendar ~onth. 8fter the decadent's death, ft five percent (~X~ diloount
of the ta~ paid Js allowed.
PENAL TV I
The 15% tax 8111nuty non-partlclpat1on penalty It oomputet;! on the ttltnl of th, ta~ and Inlar..t au....d, and not
paid b.forp January 18, 1~96, tha first day after the gnd of the tal( ftMn..ty period,
INTEREST I
Interest is oharged boglnnlng with flr>>t dey of dellnquenoy, or nino (9) 1II0nthu and one (1) dny fro~ the dati of
death, to the date of paYllent, TaKe. which becue delinquent before January I, 198Z bur- Int.rut tlt the r8to of
Shl (6%) peroent per annulll cllloulflted at II dall~ rate of .000164. All tal(85 which becall. deUnquent on and after
January 1, 1982 will bear Intere.t at a rllte whloh will vary frolll oalendar year to oalendar y.ar with that rate
announceQ by the P" Oep8rtlllent of Rev.nue. Th. applicable Int.rut rat.. for 1':J82 through 1991 arel
Vear
lnt.rest Rate
Daily Intpf8st rflotar
Vellr
Inteq..t Rate
DailY Intor..t Faotor
1982 20% ,000548 }I181 9% ,000247
1983 16% ,000438 1988-1991 11% .000301
1984 Ill: ,000301 199<' 9% .000Z41
19115 13% ,000356 19'13+199(1 1% ,QOOI9l'!
1986 10% ,000274 \995-1991 CJ% ,ODOr41
ulnter..t II oaloulfltad .. fcdloWll
INTEREST . SALANCE OF TAX UNPAID X NUNSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Hotloe Jllulld aft.r thl tn~ becolI.. dellllquent will refleot an lot.,..t calculatIon to flft..n OS) dlY'
beyond the date of the "uuu.nt. If pnYlllent II IIIflde nfhr the Illhr..t cOIllPulnllon da'. 8ho..n on the
Notlc.. addltlonl\l Int.rut ",Ult h. calculnten.