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C:OHHONWlld III 1lI PI HH!,I'! VANIA
~1!'IAlfIHINlllf lflVlNlJl
1\lIHIIIlJ Of INlllVI[)lJAI IA)(I S
1lI!'I, ,'I\Oi,OI
ltAHHISlIlIlfG. IIA 1/1,'1\ OhOI
f*
i "J I,)) ,. I
INFORMATION NOT1CE
AND
TAXPAYER RESPONSE
,
, FILE NO. <'l
I ACN
..L~~~.:. . ,.
961710',1
07,09, l)(,
lli-II.I(. IH 'I 'II
~_~L._ _, .
EST. OF MILDRED E GILL
5,5, NO, 162-22-1482
OATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE OF ACCOUN'
[xl SAV1NG'
[ ] CtlECKJ/
[ ] TRUST
[ ] CERTII
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
8LVD
PA 17070
REMIT PAVMENT AND FORMS TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST Feu t1<1S prollid"d the [lopllrtlllant with tho In(ol'fIIlltlon Ilstod boloOl which has hoen used In clllculatlng the
potential tflll duo, IhAlr I'D<:ords l'ldlcllto thllt ot thn Chlllth of the abovo docQdont, YOU woro a joint ownor/boneflclary of this nccount,
If yo\,/ fool this Informlltlon Is lncof'r8ct, pllHUO ohtolrl written corrO:Ilt!on froll thO (IMmdal Institution, lltt8ch tl copy to this form
t1nd .otllrn It to tlla 11110118 nddress, fhll account is tll>l:p'hlll In llccorllo'lncn with thn Ir.harllanco Illll [flWS of thn COl'lmtlnw(lldth nf P..rm~,l\u"flj;,
Quostlons Winy IHI df1SWllrod by calling (717) 767"6327,
COMPLETE PART 1 BELOW . . . SEE
Account No. 13616-00 o.te
Esii!ibl ished
REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
08-29-72
To InS\IrO flrollor crodlt to YOIJr account, two
(?) toplos o( this nollco Ill','!it llccOmrHHIY '0'0<11'
paymont to tho RBQlntor of Wills, Hako ChOCk
plI~llhlo tOt "Roglshr of Wills, Agent",
Account Balance 5,185.17
Perceni Taxable )( 16,667
Amount Subjflct -to Tax 864,21
Tax RBt. )( ,06
P01ant 1.1 Tax Duo 51 .85
PA~T TAXPAYER RESPONSE
[~J I FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASI!D ON THIS NOnCE
A, 0 fha
I.
'ion: II tax llaYlllanh !IrQ ",ade within thro"
(!II "lOntl1~ of the do<:odont's dato of dOflth,
YO'~ fIIay doduct l'l 50% discount of tho tAli dllO,
Any jntlllrlt2lnce tal< duo will bocomo dullnqllont
nino (fJJ monthll lifter thO dato 01 death.
[-. CHECK 'l
ONE
BLOCK J
ON L Y -
8bOVG inforllllltlon And tl'lX duo 15 corroc!.
You 11I8'1 chOOSO to relllt flllYllent to t~llI Rogl~tor of
II discount or Avoid Intorest, or !fOU llllY chock bOl(
wIlls llnd lln offlr.lal ilSS05!lllnnt will lJo 155\Jod by
Wills with two copies of this
",." find return this notlco to
ttlO rr. OOpllrtlllllnt of Revon\le.
nntlce 10 obtllln
the Rllglstor 01
8. [J The llboVll IlS5111 tHIS huon or 01111 110 roportod and tllll pillet with tho Pennsylvania Inhorltance Tllll rnhlrl\
10 be fl19d by ttlO {[oeo{lant's roprosontatlvo
C, ['J The abovo InforlllltJon 15_lncorroct lInd/ordllbts and dodllctlons wnrll pllld by yOU,
- You .ust cOllpleto PART l~J Met/or PART L~J bolow,
If you indicate a differ.ni tax raie, ple~se state YOu~
relationship to decedeni 1________________________.._
PA
{PIQc I AL ..lJSE ON!,,"!'I [J AAF
DEPARTME~l OF :kkvENUE
"
--~:_--
I,.>>
1{1
PART
[3J
TAX
LINE
RaTURH - COMPUTATION
1, o.i. Established
2, Acoouni aalanoe
3, Perceni Ta~abl.
4. Amouni Subject to Tax
~, Debts and Deductions
6, Amount Taxsble
7, Tax Rate
8, Tax Due
OF Till_ 0'" ,"-OUf:' ,'TRUST ,ACCOUNTS
I_-l f2:.21 ' '1 'j
2 t~I.~-P
: K~~~~~~'
5__ "? .}..." lo ,
.
7 K
8
v
".... II.
,. \,-.
: .. , "....
0
PART
!3]
~~~.
~
L
C
DEBTS AND
DEDUCTI ONS
Pf,D
1
2
3
4
5
6
'f
8
CLAIMED
;1"--
'""
PAYEE
OESCRIPTION
AMOUNT PAID
TOTAL (Enter on line 5 of Tal< Computationl
I
-rf.p--
Undo!' ~t~flS of por.1ury, I dlllclare that tho facts
complete to ~ ~s.t of m~k.&21e~,_~ b'llieJ,
~ )_~..<...___\ -;/..J
TAXPAYER SIG~ATU E
I hallo ropot:4ed. above...ro. ,y. U8(. ~ cOrl",efft and C\ I
HOME . ( Ill) 7J ~ '" ~ " ~..::, /, ...:.."'A
WORK ('~(;b '1"'~<':"""s-~
TrLEPIIOt F N MBER . DJ'iIT---'
.__~OHHONWt:AIII! or PLNNSYLVANIA
!lI PARTHFNl or RlVf;NlJl
BlJRLAU Of INDIVIDUAl 'AXLS
[)[PT, 2t\O(,01
ttARRI SfHJRtl, flA 111i'8 0(,01
*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21
961250B9
06-25'96
A\Y'lhl (IIH If "'I
'-""'=~""'-~.~''''''''''-''"'-'-~~'-=--~-~~-
EST, OF MILDRED E GILL
5,5, NO, 162'22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE OF ACCOUNI
iX]SAVIN
i I C1H,CK
I i TRUSl
i ] C'RTl
DIANE R SELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
REMIT PAYMF.NT AND fORMS TO,
REGISTER OF ~ILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
MEMBERS 1ST FED CREDIT has provltJ(Jd the OUplll'tlllQnt with tho Informlltlon II~tlld belloOl whIch hIlS be un lIsed In C<lI!;lIllltir\u tiul
potential hx due, Thull' rll!;ords Indkl'lto that lit tho doath of the llbOl/u dlwudont, YOU wel'o 1'1 jo.lnt ownerr/b9neflclary of this 1\c,~(l\lnt,
I f You feel thJs Inforllllt ion Is inc,orrQct, p19l1sQ ol.1ta In wr I t tQn co/'roct Ion frolll thCl f Inllncllll Inst J tllt Ion, llttach a copy to th I ~ IMIlI
llnd raturn It to the obovo adore!;s, This accollnt Is t,HHlblo In lII'JCordllnCe with tho InherltllnCO Tal'( laws of thE! C;olllmonwOllltt> of rllnnsylvIH11
Quutlons III11Y b(J answured by calling (717) 781'-8~21,
COMPLETE PART 1 BELOW .
Account No, 13616-00
. . SEE
Date
Est ab 11 shed
REVERSE SIDE FDR
03-30-76
FILING AND PAYMENT INSTRUCTIONS
Acoount B8lan"~8
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Du.
K
5,185, 17
16,667
86', ,'21
,06
51,85
TAXPAYER RESPONSE
RESUL T "'iNANOFFICIAL TAXASSESSNENT BASED ON THIS ~on;:J
To lnsuro propol' crlldlt to your "ecount, two
(ll coplas of this nollcu !Ill/51 ilccomp<Jny your
pll:-fmont to tho Reglstor of WlIls. H"Iko cMck
payablo to: "Rogistor of Wills, ^gont",
K
NOTE::: 1f tax pelYflIants nra 11l1l1111 wltlllr\ ttlnlO
(~) lIIonths of thu ducudent's dlllu of (loath,
yoU ",...y doduct I't !i% discount of th.o tllX (tlHi,
Any Intlllrlhnco tllX duo will becolllo rfellnq\lllnt
1\ln(l (9) months IIfte,. thE! data of uQa\h,
Tox
PART
[:1l
FAILURE TO RESPOND WILL
[- C~~~K ]
_ BLOCK
ONLY
II, 0 Tho above Inforllla\lon ane! t,p, dll0 Is cor"l'oct,
1. Vou May c1100$0 to relllit paynlunl to ttl0 Roglslllr of ~1I11s with tOlO COplllS of thls notlco to obtllin
6 discount or llvold Intllrost, or' ytlll II\<lY ctlllck box "II" <md roturn this notlco to thel Register (1f
Wills lInd lln officlid u$sos'.imgnt will bll IssulId by th(J r~ DllpartlllQllt of Rovonue,
IL 0 The lIbOVll Ilssut has beon or will IHI roportlld find tax p<lJd with thQ Ponnsylvi'lt1lll Inhllrltanc9 ri'll( rollll'n
to bo flllld b!f tho (hacollont's r(Jpfllsontlltlvo.
C. ~ rhe above Inforl\1t1tlon is._lncol'roct 1lt1tJ/or {loots and dodllctlons werg
Vou flIUSt cOlllrl11to r~~T [~J <lnd/or PART [~J bulow.
PART
~
,AX
LINE
RnTURN . COMPUTATION
I. Oat. Esta~lishod
2, Account Ralanc.
3, Perceni T.x.bl~
4, A~ount Subject to Tox
B. D.bt~ and Deductions
6, A~ount Taxable
7, Tax Rat.
e, Tax DUG
C~ TA~
1
2
3-1L
If
eN JCINT/T~U3T ACCOUNTS
:,- ~t:"l\.>
Sj~~"L_
/'t~ '"' \" ")
~(I)I.(.dl
~4>Y.;;..I
paid by you,
00 .
["~' .....
OFFICIAL"tJSE oNL'"
i."
llEf'ARTMEt:H OF
,-n
~
:J
If yoU indicat. a differont tax ratQ, ple~se state your
relat ionship to dflcodent: ____"______._____.._". ____
PA
n AAF
REVENUE
-...-..
----
0'
-
"';.1
.".~
S
6____
7. X
8
I",
,.
~J
PART
~]
~ """ .
I..!,~,~ I
-L
fOTAl ([nter on L In.
DEBTS
Co, _
AtjD DEDUCTIONS
OESCRIPTION
AMOUN1 PAID
r=~ '\) 'I ~, "-
-+
5 of TaM Computation)
--$
:3i '1' ~iJ':LL_
Undqr ponalties of perjury, I doclare that the fact~
~~ to the b~~~Of my knowlhdge and balief.
'----~~~--
AXPAY R SIGNATURE '
have reporh.d above are tr}t8, corrftc t",and
HOMEm. ( 711)] 7.'f~ 'Ii' i!. () ~
WORK ( '") n) ') ~ {" <,0 t><>-" ' \"
TELEPHONE. NUMBER - . OAT _ ,-,
COMHU~WEAL Tt! or PFNN!1'IlVANIA
tJUJARIHENT OF REVI:NtJf:
f\UI'lEAU Of INOIV,IOIlA" TAxrs
i!b ~, 160601
IIAIt~IS8URO, PA 1712:1'0(101
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
Q.~d. I INFORMATION NOTICE FILE
~ III TAXPAYE~N~ESPONSE ACN
DATE
_"""-.~~~":.:.;~..,""~, .._~"""",~.......~===~.~~....."",,,<<>==,J.=",.,,==z.a.,.....'
NO. 21
9612(1420
06-25-96
EST, OF MILDRED E GILL
5,5, NO, 162-22-](182
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[] SAVINGS
[] CHECK ING
[J TRUST
IXl CERTH,
BLVD
PA 17070
REMIT PAYMENT AND FORMS TOr
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST Feu has nrovldad tha Depllrtmont '011 th tho Inf(lrmatlon llstad bolow wtllc.h iHlli hOiln \I~"cI In calculating tho
potantlal ta)( dll9, Th('Jlr racords Indlcahl that llt tho death of the <IbOVQ d9oednnt, you wero II joint ownnr/honoflcltlrY o'f this <lccount.
If YOll foe I this Informfltlon Is Incorrllct, Illnose obtain wrltton corrootl\ln fro," the flnancll\i Instlhdlon, attaoh tI coPY to this form
find rflturn It to tho nbovfl !lddrlHls. This flceount 15 ta)(lIblo In <l<:cordanoo with tlm lnherltancfl TnK l<lw!I of tho Commonwoslth of Pannsylv<lnlil,
"ulIGtions lIIay hQ nnswored h!f c<llllng ('Illl 18/-8327,
COMPLETE PART 1 BELOW
Account No, 13616-41
Account Balance
Peroent Taxable
A,"ount Subject to Tax
Tax Rate
Potential lax Due
PART
CUI FAILURE TO RESPOND WILL
M M M SEE
REVERSE SIDE FOR
02-23-88
To Ir1suro pronar crodlt to your <lecount, two
(2J coplas of this notice must ilCeO"lpany YOur
p<lyment to tho RogJstnr of Wills, Mn~,n clled
p<lvablo tc.: "RH\llstor of WIlls, Agent",
FILING AND PAYMENT INSTRUCTIONS
Oat.
EstablishRd
10,018,12
X 16,667
1,669,/2
K ,06
---,
100,18
NO IL 1 r f tllK p<lvlllon ts ilro mlldg \oj I t~, I n thrlUI
(3) monUH of tha dacodent's dnte of dOil\h,
YOl) milY (hldllet a S% discount of the til)( cillO,
fin... lnhor I tllnca tClK clua '01 I L I hoeomo cll'lllnqulInt
nino (9) months c1ftor ttlO ct<ltn of chHlth.
TAXPAYER RESPONSE -------
RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTIC~
~ CHECK l
ONE
l Bl.OCK J
ONLY -
A, [J The above Infol'mlltJon and ti\X (JlH'! Is c;orrod,
,-, 1. VOll mllY choose to rnmlt p"Yn1ont to the Roglstllr of Wills ~lith two capias of thLs nollea to obt1lln
a discount or flvold lntnrast, or YOll "lay chack ho)( "AU 11m! return thl~ notice to UHI Reglshlr of
Wills and an offld<ll f!S5eSsm~nt \oJIll be lssuod by tha PA Oapilrtment of RtlVemHI,
fl. [~l Tha <lbova ilsset hlls boon or will IHI nlportocl nnd t<lX p<lld with lhQ Pennsy!v<lnln InhorLt<lnee TllX rohlrn
-. tCt he f\lod by the dncednnt's roprosontnt Ivo,
C, 'f\l1ThO abovtJ InfornlBtlon Is, lncorrflct <lnd/or debts nnd dedllctlons waro pllld by YOll.
(,VOll must comnlnto PART r~J ilnd/or PART CD be100l,
PART
[~
If you indicate a different tax rateJ please state your'
relat ion$hip to decedent: _.n_.._~~~_"___,+___,..~
PA
OFFICIAL USE ONLY [JAAF
DEPARTMENT OF REVENUE
~')~) "11
PART
@]
DATE PAID PAYEE
~~.--
TOTAL {Enter on Une S
T,'\y'
~~TU~H - CC:1~UTAT:OH
LINE
1, Dat. Established
2. Accouot Balancl
3, Pel'cent Taxable
4. Amount Subj.ct to Tax
;, Debts and Deductions
&, Amount Taxable
7, Tax Rate
a, Tax [Jue
or TAX 01' JOINT/T~UCT
1 ..:).;)~~~
2__ I 0 t 0 I ~ ,I)...
3-1!...__LJ,.,.. (.. (,'1
I ("I.c{i.l ";)-
I (iLL 1 )...
o
.CJ\v
5Z5
DEBTS AND
(,
ACCOU~IT~ r AD
1
2
3
4 _
5
6
7
8
DEDUCTIONS CLAIMED
5
6,
7
8
K
DESCRIPTION
AMOUNT PAID
S9 .~~s;;:
(If Tax Co,"putet ion I
=1
/--
'$ ~q 3.);'t~....
Ul'ld.r penel Hu of per jury, 1 dechll'. th6l* the
coo.lolo \O~~Of oy ~.. ;nd b.llol,
"-" -~ ~.'>-
-rAXPAYER SIGNAl R -
flic'1ts I h..... reported fJlbove 81". true, correct Dnd
~.~:~E-~G~..~~.3E~.~~(:~~~~~~_..~frN:i ~,
GENERAL INFORMATION
1, fAILURE TO RESPO,m WILL RESULT IN AN OFFICIAL TAX ASSESSMENT loll th n'lld lcnlllu Intfll'est bUild on Inforlllatlon
subMitted by the 'l"nncln! l"i\l\u\lolI.
2, Inhllrlttll1ce Inl( bocomell C11'1l1nquent nine monthu Ilftur thu flo(liIHliltlt'!I dolo of ll8oth.
3, ~ Joint llccount I" ttlKablfl 8\,10n though HUI dllcodent'lI "nme IHIS ndeJIIl1 ilS II lIlAlter of convenloncll.
4. Accounts (Inoludlng thou held blltWlUln husband rmd wlfel wlllch the (InClldof1t rut In Jol"t nlll"'" within DrIll Yll8f prior to
dllnth ltro fully tlll(tlblll tll trnn.forll.
5. ",ooounh olt8bl1thed jointlY b.tw.en hUlbnnd nnd wlhllllore thnn one YAnr prior to dllllth Me not tll>ulbln,
6, Accounts held by tl deolldent "In trust for" nnolllQ'r or othlll'l fire In~llhlQ fully.
REPORTING INSTRUCTIONS
PART
1
TAXPAYER RESPONSE
1, !HOCK A - If the InfCtt'llll!ltlon llnd ClolllPulntlon In tho notloo;He corract nnd clfHluctlons nrQ not being cll'dlllftd, plS<l1l tln "X"
In bloclo:. "A" of Pad I of thfil "ll'1lCpflYer Retponlo" 'Gctlon, Sign two cOIl\oll and ,ub"lt thu with your chlok for the ftmount of
tax to the Rlllillster of WIll.e of thll county Indlcnten, the PA tlepnrtmllnt of Rtl'Jonuo will IliIuo flll offlcl6J ftSSQSlftl8rlt
(For," REV-IS43 EX) upon receipt of tho return from the Rogllltor of Willi,
l, BLOCK B - If tho u..t spAclflud on this rlotloll hnll hosn or will ho rOllortoclllrlu tnx ptlld with tho PonnBylYllnln InherltMC8
T!lx Return filed by tho dllcellent'll reprell8ntnt!vo, plllCQ 1m "X" In blook "B" of Pnrt I of the "Tn)(po!for RIIIPonse" soctlon, Sign ono
copy and return to the PA Oepllrtlllont of Rovenue, BureAU of JndlvlduElI 18X911, Dellt 230601, thtrrlsburg, flA 171lB-0601 1n tho
en\,lolope provided,
3, BLOCK C - If ihe notice Inforlllllt\on I, Incorruct ond/or doductiolls are tlolng clfllmnd, check block "Clt Ilnd CQlIlplotll PIlrh Z IInd 3
....".:vrJln~ to \h& l",:Itnlot:or\:l hcloll, tI;I" ~\"o oar-lor r.n-:l c\lbml', tro~ '1lt.h ,/(1'.1" "~q('1t 'or ttlq tlmn"'1t~' t!'l" f''lYlI'''Q ." ttlll RetlJt~.....
of Willi of the county Indicated, Tho PA Oepartmont of Rovnfluo will 1&llIlI Ill"! official BSl8Ssnlllnt (Forlll REV-IS48 EX) upon rece1Pt
of the rllturn from tho R81i11st6r of Wills,
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
I, Enter
NOTE:
the dtltll tho lIccount orlglnlllly Will Gltnblished or tltlod In tho lIIannQr o)(llItlng at date of ue8th,
FOf' !OJ decodent dying lifter lU1l/B21 Accounts whloh the tJocodllnt put In joint mImes within ono (1) yonr of duth tlro
tfIxlIble fully all trllnlfers, However, there Is an HXclUllon not to o)(c:o~d H,OGG per trllnshr08 rlloerdhu of the \,I81ue of
the l'lccount or the number of 1'I0counts hold.
If a double lIShrhk {lun Itppearll before your flrst ntlnUl In thQ addl'f1U portion of this notloo, the $3,000 81(cluslon
tllrudy hu heen deducted frolll the IIccount balMce liS roportod by the flnllnclal lrostltutlon.
Z, Enter the total bft18nco of the ftccount Including InterOlt nc<:ru~d to the date of doath,
3, Th. percent of \I,,, 8ccount thllt Is h'l(l!\blo for noh surylvor Is detor,"Ined lIlI foltowSI
A, The percent tll)(lIble for joint lIslets ollttlbllshlld more than on~ yellr prior to the decedont'. death:
DIVIDED BY TOTAl HUHBER OF
JOINT OWNERS
El(lImplol A joInt lIlSet registered
DIVInED BY 10TAl NUHdER OF X 100 .. PF.RCENT TAllA81E
SURVIVING JOINT OWNERS
In the n81l1e of tho dooedont 8nd two other persons.
I DIVIDED BY 3 (JOINT OWNERS) DIVIDED BV 2 (SURVIVORS) .. ,167 X 100
16,7% <TAXABLE FOR EACtl SURVIvOR)
B, Thll percent tftl(8ble for lIssots crelltQd within one Y06r of the docodent's clellth or account I owned by the decedent but h~ld
In trust fur another Indlvldulll(sl (trust bonefIclor'I9lI1I
1 OIIJIDED BV TOTAL HUHRER OF SURVIVINO JOINT
OWNERS OR TRUST BENEFICIARIES
)( 100
PERCENT TAXABU::
EXlIfllph: Joint .!Iocount registered In the m""e of tho decedent find two other persons find ottabllshed within one year of duth by
the dlloedent,
1 DIVIDED BY 2 (SURVIVORS) .. ,50 l< 100 50Y. (TflXABl.E FOR EACtl SURVtVOR)
4, The alllount subject to tAX (line 4) ill detorllllned by lIIultlplylng the ttCcount blllflncll Olne 2) by tho percent ttlXftblo (lIne 31.
5, Enter thll tottll of thll debts find deductlons llshld In Pnrt 3,
6, The aMount tftl(nbll (lIne 6) ill determined by 5ubtrnctlng the debts tlnd ded\lctlons tllnll SJ fro. thl 1'I1110unt subject to tal( lllne "J.
7. Enter the approprhte hut rate (line 7l liS cletArllllnod heloOl,
A, For dllt", of denth acleurrlng tlfter 6/:'lG/tJ4, the ttl)( rlltu for trMsfllrs to spouses nre III follows;
1. Dat'" of death on or lIftllr 7/1/94 find before 111195 tho rtlte Is 3%.
Z. Oatu of duth on or aftar 1/1/95 trnnolfllrll to SPOlllU .1111 bo tn)(ed nt 0% t8)( ntte,
Note: For datu of neath prlClr to 711/9(1 trtln5for'lI to SpOllSes lIra titxnble lit 6%,
B. lrnnrhf's to lineal d8llCO:ldArlh Including hither, lIIother, Ion, drtunht8r, grnndchlldren, ,on-in"lnw,
daIIQht8r-ln-lnw, stepChild nnd thalr 151\1" tire tll)(nbltl t'lt sh porr.ont (6%),
C, Trtlnshtli to nil others Incll/dlng broth.r, sllttor, \Inch, llunl, nap!1nOl Bnd niece lire tlllHlbllll'll fifteen percent (JS!:).
0, If yoU chAnge the tftX tnto, plflAlie IPllclfl/ YO\lr rolfltlonshlr to the decedent In the tlrel'l provldld,
8, Th. !Il11ount of tllX clue (llnll 6) II deterlfllned bv multlplvlng the fllIIlHmt 1l'll(1Ible (line 6) by the till( rnto (lIne 1),
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowllble dClbts ftnd deductions /Ire ch'tAtllllnul ilS folloWll1
A, Vou lllgally lire fuponllblo for pnYlllllnl, or th. ut/lte SUbject to adllllnlstrntlon lIy n plIr$onlll rOJlre"'ntntl\,le It Inl~"flclent
to pay the deductible I telllll ,
B. VOIl ectually Pftlclthe dohts After clellth of the detndent "nt1 eftn f\lrnllh pronf of pllYlllent,
C, Debts blllng cllllllllld Must be Ite",12ml fully In fltlrt.\. If lIddltlonlll !lptlCII Iii needed, un pl"ln papllr 8 Iii''' ~ II", Ilroof of
pllyunt "'tty be reque1tod by the PA llepllrtlllel1t of Reven\l~,
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, TOO' (717) 772-2252 (HEARING IMPAIRED ONLY)
COHHONWIAlllt Of PINN!>'{IIJANIA
,__.V!II^~lHI,NT CII ~lVI,NLJl
IIlJ~rAlJ or INl)lVlllUAI IA)(I.!i
lltPI, ?1I0hOI
I!A~RISlllIIW, IIA 1/,1;'8'01,01
*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 71
961?4(,58
06 75-')6
'.
If ~ l~;l I' II ~ II l~ 1
,_""'"'~~" __-'CD"',',,"",, H'''''' -'-" '_,"'-',~~,,, ~~,"=>7" "-"'~"'
____""-'_____-..~.,~,=.."_'__"'_~ _'~~=_,..~_"~'''' n ''',~_u,' ,,,.=~~"",P,,'=..~.~.--._"'''~~..,T_ =~,~
EST. OF MILDRED E GILL
5,$, NO, 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Ixl SAVINGS
( I CtlECKIN
[ I TlIUST
[ 1 CERTlf
DIANE R BELL
902 DREXEL HILLS
NEW CliMBER LAND
BLVD
PA 17070
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HEHBeRS 1ST FEDERAL CU hall provided the Dopnrtmllnl with the Information Itstod hlltow which tlas buon used In catcllliltlng tho
potAntJol tall due. Tholr rocords lndlcato thflt lit 010 doath of thv above t1ocodont, YOU were 8 joint ownor/bonefldo'lry of this ,1CCn\jflt.
If you fool tl1ll1 lnforlllfttlon Is InGorroct, ptoo'lse obtain wrlt"l/l corroctlon froll the flnanclftl Institution, attach a COpy to this forlll
and roturn It to the rlboVQ ll(idro~s, !hls nccount Is la)(lIolo In lIccor(jllnco with thfi Inherltanco Ta)( la0l5 of tile Commonwoalltl of Ponnli'llvanlll
Quutlonll roay he answerQd by clllllng (71ll 18/"8!tU,
Date
(shill ishod
REVERSE SIDE FOR
04-25-86
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Account No, 13616-05
. . . SEE
Account aalan<:e
Percent Taxable
A~ount Subject to
Tax R.te
Potential T8x Due
x
5,567,97
16,667
928,01
,06
55,68
TAXPAYER RESPONSE
RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS
To lnsuro r,ropor credit to 'lour .lccount, lwo
(7.) coplos of this flotlron must ,1CCOmpiln'l your
payment to tha Roglstnr of Wills, Haka ctlilc!(
paYlltJle to: "Rnglstor of Wills, At;lont".
K
NOT[: If tIll< pllYlllonts Are ml111Je wIthin throe
(!t) lIonths of the decedent's dAhl of deIlth,
'lOll IIlIlY deduct II SZ discount of thu t<ll< duo,
Any Inhorltance tllx llue will hOCl'mo tlollnquent
nine (91 montra <\ftor tha dato of tlllath,
Tox
PART
IT]
FAILURE TO RESPOND WILL
NonCE
[_- C~~~K .]
BLOCK
ONLY
A, 0 The llbove Information llnd tax fluo Is corrClct,
1. Vou IIIlY choosA to ro.dt paYlIlont to UHI Reglfitor of lo!llIs wJth two co~dos of this notlc" to ntJtn1n
II dlsco\lr1t or ovol(J lntllrest, or you II11Y chllck bOle "A" and rllturn this notice to tho Roqlshlf' of
WIlls <lnClllr1 nfflcllllllSS(lSSlIlont will be IsslIocl by tho riA Oepartment of Rnvonuo,
8, 0 Thll llbove assot II11S o(lon or will be reported and trill pnld with tho PennSylvilfllll Inherltllncll Till( roturn
to he fllad b'l tho dOC'Hlont's rQllrasontatlvo, ()O J~
c, ~ The ,ltlOVQ In'orlll"tlon IS,lncorrect l'lnd/or debts MId doductlons Wllrlii: PitG"U b~ you,
Vou mlJSt completo PART ["~] flnd/or PART Q] bolow.
PART
~
TAX RETURN . COr'H'UTATIOI~
LINE I, D.t. Est.bllsh.d
?" Account e.1ance
3, Percent Taxable
4, Amount Subj.ct to Tax
S, D.bt. and Oeductions
b, A~ount T8x8ble
7, T.x R.t.
8, la)( Du.
or TAX ON JO:NT /rRJjST ACCOUtlT:J
1 t.4 _,;)<....'8'1.a
2 S S" <c '7."17
:_~__~~~'.~7
5 ">~'6' c/
b
7 K
8
OFFICIALq~SE ONLY 0 AAF
PA DEPARTHENI OF REVENUF.
_ (:;;'1
If you indicat. a different tax rate! please state your
ra1.t ionship to decadent: -'"'-----.-~. .--~.----~-----~----.
'()
PAD
1
2
3
4
5
6
7
8
CLAIMED
-
---
",- .
-/
~
-
PART
~
~:~
DEBTS AND DEDUCTIONS
DESCRIPTION
AMOUNT PAID
t: ~J ~. '1.2::..._
E
I
1-
TOlAL If:nhr
on line 5 o~ COIIPuht ion I
$
S' i t>a~
~~1~d.r penalties of perjury, I dRclare that the
c_~~ to th. best ~ knowledge and bill Jef,
~ '" '--_""~' .:;;,.~:::"".c,,---_.
TAX AYER SIGNATURE
fact $ t
have reported aboye are true, corroct
HOME.. ("'In) I')" <.0 8~ '"
WORK (ffit'~)1 ') C(P(,"''-
TELEPHON, UMBLR
ond
,-3
DATI
CUHHONWI ^lltt Of PI NN~;VllJANU
.-~'AlllHINr Of IHV[NlI[
IHmr~lJ (JI INllllJllllJM lA1<1 S
lU PI, ;'110(,01
HAHHISl\tJlW, flA 1/1?1I.0bOI
;*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.71
961;' 10.\,1
0/'0996
'!V-I\.ll' liP 11..1\1
,-,.",.",.=.."",~=_,~,,,,,,,........,.-~.,.,.,,...,_=,,.-"-,-,,=,,=-,~.,,,,,,,=.., ~F""""_'~--". .,' ,.,--=-. ,
EST, OF MILDRED E GILL
S,S. NO. 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
IYPF 01' ^CCOU~ll
lx S^VING~
! CIH'O:lt
TRlJST
ctRTIf
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
REMIT PAYMENT AND fORMS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 1'1013
MEMBERS 1ST Feu hns pro....ldod tho OOflllrtllont with thfl infnroMtlor\ llslnd hnlow which 111'1~ buen ~.smi In clllwlntlng ttlll
potontltll tnK duo. Ihalr rflC::ord' Indlcntu thnt nt tho doath of the nbol,'o (Iocutlvnl, Y(H' wore 1I joint ownar/boneflclnr!f of this '1Cf.mHlt.
If you feot thi:i Infonllfttlon II Incorrect I Illoase obtnln wrltton correctl"n Iro" tho fl/lnn<:lnl Institution, attach a cvpy to ttlis fot'm
/Ilnn rnhlrn II tn thn "hnvCl "rldros'!, Thl'! 1Irl'lllmt lJi IOl(lIhle In Ilccord"'nl:p with tho Intlllrltaf\~A TAl( llhlS of thu COllllllnm'Q,,\th 0' PIlt\n~vlviU\i'
Questions IlIM IJe i1/lsworQd by cnll'ng (7111 '161-IHZ],
COMPLETE PART 1 BELOW . " . SEE
Account No, 13616-05 Oah
Estab1ishod
REVERSE SIDE FOR
04-25-86
FILING AND PAYMENT INSTRUCTIONS
I\ccount Bahnce
Percent Taxable
Amount Subject to
Tax Rata
Potential Tax DUD
5,567,97
16.667
928,01
,06
55,68
TAXPAYER RESpoNSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS
10 Insuro IlrOpOr crndl t to YOlll' iltCOllnt, two
(2) coplos 01 thll; notice fIl\ISt IltCOlllflo1ny '/O\lr
paYlllunt to \ho ROl'Ilshr 01 ~lIls, H'l~e thoc~
jlflyuhlll to: I'Roglstol' of Wills, Agon\",
K
K
NOH:: If tflX pllYlllentll lire lII<'1do within thrllll
Ol fIlor\th5 of the docedent's datA 01 ChHIH1,
you f~"''I doduct A ~<1. discount of tho t"l< OUIl,
Any lnhe/' I t!lnco tllK duo will bocomo c[ol I nC!UIU1 t
nino (9) months rlfter the dnte of death,
Tax
PART
[1]
NOTICE
[CHECK I
: B!Ngh ~J
A. [J The Abovo Inforllllltlon I'Ind till( dUll Is corroct.
1. Vou MllY thOOSfl to rOllllt p<lymont to tho Rllulslor of Will'> with Iwo cop IDS of this notlclI to otltilln
/I c1llcoun\ or nvold lntorast, or yOU milY choc~ hOI< "A" find rotur/l this notlcD \0 the Heglst4r of
Wills llnd ...n oHldnl IlSSOSSlllent will uo ISSlIlHt by the IIA Doptlfhont of Rovomle,
8, [-J Tho nbovo /luot tillS boon or will bo roportad IInd tAX paid with tho Ponnsylvl'lnln Inherltlwen TClI( rolmn
.. to be f \ lod by \hCl decuctont's roprosont'lt IVQ,
c:LA] rtlC1 nbove Infol'l!l'ltlon Is_Jncorroct llnd/or ~otlts ilnd 1I11cJuctlons wore pllld by you.
r+ You lIIust cOllllllato f1AHT [~J nnd/or PAkl [31 tIll low,
PART
[~J
iAi\
LINE
~;::TUR1; - COMPUTATION
1, Oat. Established
2, Account B.1anc.
!, Percent Taxable
4, A~oYnt Subjoct to Tax
5, Oabts and Deductions
6. A~ount Taxable
7, Tax Rat.
a, Tax Due
O;~: ,~~~~j ACCu~I;TS
2 ~~""I.c}1
3 K (~~
:t? ~ ~~,
6_
7 K
8_
" CIA~ ,.uSE 0,N.l,,'f) r:-l AAF
PA DEPARTMENT OFR~~EtIUE
If you indicate a different tax rate, ple.se state your
reia"ionship to decedent :--.--...----..-~._._-~--~.-,---..
(/'
J
PAD
1
2
3
4
5
6
7
8
CLAIMED
t~l~
I.
-
--
-
0',
"
::i,i
-
PART
(~J
~ PAYEE
~'-ww~~=--
TDTAt. (Entor on Lln. S
DEBTS ANO DEDUCTIONS
DESCRIPTION
3MOUNT r^YJ
.., )~ './X3.lI
of Tax Comput.tlan)
;<Y
- TAXPAYER
p.rjurYJ I declare thet the fticts
m)' ~.d9,. and bel io",
/ '~>\.J _....-' ;).......-,. ---.....
Sl~--
I hAve rftPOCi.!'dab.o\,le.retrue'l,_arr.eetimd
HOME ( I(~ '7~l'l '<.'&',t: n /
WORK ( (1) 7 '7 ,~, c,:;..~ ?..L.,~
Tr:t EPH~MilrR ,- 'DIii'-"
_~WIAlIt((JI PINHSVIYIINIA ~U l I
:~,~t:lIH~~' '~:II~"~~':~' ",IS ~ INFORMATION NOTICE FILE NO. 21
~i~:~~~['::~~' I'A 1/11' .=-__.~..~::.'::I:,~~.~~. ~:.~~._~~.~:':~~:.~,~ E,~:'"~~:_~~ J~~~_~. "" _.,~:~~~.~~_~ ~
TYPE Of ACCOUN 1
1.1 SAVINL
[J CHECK!
IJ TRUST
Ixl CERm
EST, OF MILDRED E GILL
5,5, NO, 162-22-1'182
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
REMIT PAYMENT AND fORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST Feu hilS proy,lded thll Department OIlth thll Inforlllfttlon listed bllloOl which hilS been u1IGcI In (;8lcultltlng tho
potuntl/ll tlU( due, Tholr record1i lnd\cilto th.!!t at tho dIstil of tI,. above docodont, you were 8 joJrlt owner/benQflclMY of this account,
If you fe81 thl. lnforMtlon Iii Inc'Jrroct, pion", oblllin \oIrltten corroctlon fro. tho flMnclal Institution, a\tllch 8 copy to this forI!
llnd rsturn It to thl nbovlI l'lddrus, !hili account Is tllllllbla In IlccordancQ with tho lnhflrltllnce 18)( \8W<l of tho COllllIOflWqlllth nf PAnn'lyl'I"'f1i
Q~'8Stlonl llay be an'OIered by ctllllng <11'1) 787'6327,
COMPLETE PART 1 BELOW . . . SEE
Account No, 13616-42 Doh
Eshblhhet;i
REVERSE SIDE FOR
02-23-88
FI~ING AND PAYMENT INSTRUCTIONS
K
11,019,93
16,667
1,836,69
,06
11 0,20
TAXPAYER RESPONSE
RESUL" IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
To In9urll propor crodlt to your nccolJnt, two
ell cop Ills of this notlcq must nccolllpllrlY your
pllymont to the Register of Wills, ~Inka ctHlck
pnyablll to: "Roglster of Wills, Agent",
Account Bahnce
Peroent raxeble
A~ount Subject to
Tax Rate
Potential Tax Due
x
N01[1 If tllx pnymonh IIro mad" within thrQe
(3) lIIonths of tlUI decodllnt's data of dl1nth,
yoU mllY doduc;t II S% discount of tha tnx <lIJ9.
Any Inhorlttlnco tax dIll' will tJOCOIlU dellnquont
nino (9l mont,hi nftor tho data of dellth,
Tox
~
l]
FAILURE TO RESPOND WILL
l_d C~~~K ]
BLOCK
ONLY
A, 0 Tho /lbove lnforll8tlon and tax duo Is correct,
\, You lIIay choose to ro.1t P8y.ont to tho RoghtGr of ~nl1s with two coplos of thl5 notice to ohtall'l
/l dlSCOlmt or avoid Intora'St, or you 1111')' chock box "A" al'ld return this notlclI to the Rf/ljIlstor of
Wills IInd an offlcl,,1 assoulllont 01111 tlo Issuod b!f the PA OepllI'tllont of RovllmJo,
8. 0 Tho Abova Ilsset hilS hoan or will be reported Ilnd tllx pllld with the PonnsylvClnla ll)horlt.AnclI hx return
to be f lied by HIll docedont. 5 ropreSflntRt 11,10,
C. ~ ThO Ilbo....o Inforlllltlon Is Incorroct and/o" (.lehts tII'1d deductions woro paid by you,
f.J 'tou ",ust cOII\ploh PART CD andlor PART rJ bel0l4,
PART
~
TA~ RETURN . COMPUTATION
LINE I. 0.10 E.hbIlsh.d
2. Aocount 8a1ano.
5. Peroent Tlxable
4, A~ount Subject to Tax
5, Debts and Deduct ions
6, Amount T8x8bl.
7. Tax Rate
8, Tax Oy.
OF TAX or~ JOINT ;TRUST ACCOUNTS
I ::+ -if--.2~ . ~ 10
2 f-i b I <;}. . ~ 1-
3 X ~ .\o"'J..
4,_-1 is-",?-,. v' ~'7
{ J;: 0'"" ~'l
OFFICIA~ USE ON~Y [] AAF
PA ~RTMENT OF R5YENUE
~~. ~,~ ~h
If you indicate a different tax rat., pleDS. st.te yvur
r.lationship to decadent: ------~..-----,..--
o
PAD
1
2
3
4
5
6
7
8
CLAIMED
(.'/
IJ
'U
--
--
,
5
.
7
8
-
u
K
).I' ~ '
-
.,..
PART
~J
~ 'm.' ~".."'""
~w>."~r _
TOTAL ((ntor on Lina 5 of T8M Computation)
DEBTS AND DEDUCTIONS
AMOUNT rAl~
1":5 '-) ....) , '-1-
-I~~----"-
'$ 5'<) ~ 'i.r
-nxr
penalties of perjury, 1 declare that the
\h. b..\~~~~..':~~~.nd b.ll.1.
#ITrr"-.J
,N7iTIJ ,
fbct.
I hay. reporhd above are tru., corr.ct and
HOME ('? /") ') ')'/ Cc. '3\~'
WORK ("7\ 'I ) '~-I.." "- J.--<:L- 9 .?>
T1LEPHONE Nu;4E~ . DAT-'J.
U1HHOHwt Allll m I'LMMSVlVAHIA
Ilrr~R1HrHT or RIIII NUl
I\URIMJ 01 INOIVIDUAl 'AllXS
utI'!, "1\0(101
llARR 1 !iIlURO , J1A 11l~g'O(101
*1
__.__:.::..':.:,.':o~:'"::.::'\ ~.,"
INFORMATION NOTICE
~.ND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. ~1 '.'
9612"',2"
06 ,25,96
EST. OF MILDRED E GILL
5,5, NO, 162-22"148~
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE Of ACCOllNT
1\
\ i 5AVIHG5
Ixl CIlICKIN(
I \ TRUST
I I Cf.RTlI '
, ~",",~"~~"..~,,,;=,,,..-=<< ~",,~,,~~,,~~""'r"~^"~ 'T '
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
REMIT PAYMENT AND fORMS 10:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST fCU h" p,cold.d Ih. O,",ct"n' w\lh Ih. Info,.,'I,n '1.\0' h.low wh'ch h" h..n ,,,.d In ,0Icul,lIn' \h.
,o,.nll" 10< dU', Ih.I, ,.",d' .ndl"\o Ih,1 0' 'h' d..'h of Ih, ",,"," d",,"nl, yOu w." , loin' own"/h",,lIoI,,' of Ihl. 'co"',,,,,
II ,0'" 1..1 Ihl. 'n,,,..,I," I. 1",,,,.01, p'.". ohloln wdtt.n ,0((OCI\on "" "" IIn.nol" 'n,lIlu'lon, ,tt"h . ,op' 10 'hi. 10"
.nd ,,'u,n \I 10 Ih. ,.0," ,dd'''', lhl' "counl I, ,,,,b'. In o"ord.n" w\lh Ih. Inh.d"'" I" ,'w, of 'h. c....nw..I'h of ponn",,,n"
OUlIStlons 1Il8'J bu l'lnSolllfQU by call1n'iJ (117l 187-8327,
COMPLETE PART 1 BELOW M . M SEE
Account No. 13616-11 Date
EshbUshed
REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS
-
12-31,,79
x
1,941.63
1"'6:"'61>7
323,61
.06
-
19.42
To Ins~"'1I propor crodlt to your accmmt, two
(2) copies ot tillS noU(';e must <tccompnrw .,.o<.lr
p<lYllIeflt to tha RlIQ\,;lar of tillis, HilKe chad
payable to: "RlIylstur (If '1<11115, Ayont",
HOTE: If tax fl6'1IlIlI,t5 Clre ,"odo Ollthln thr'll~
0) Ilonths of tho ducodQnt's dllto 01 dMlttl,
yOU lIl11Y deduct a Sf. dlscOUl'1t of ttlO \ax duo.
fl.rW Inhllrlt6nCQ tax duo IolIII bQCOl!le dllllnquont
nine {l)) llIonths <IHur the date of dQtlth,
~ccount Bahnce
peretmt Taxable
A~ount subject to
Tax Rat.
pohnt ial Tax 0...18
K
Tax
- -"- -
----
PART
m
TAXPAYEK RESPONSE
FAILURE TO RI!SPOHllIlILL llESUL T IN AN OFFICIAL TAX ASSESSHENT BASED ON THIS HOTICE
A. [J lhe obOVII inforlllation <lnd t8X dUll is corroct,
. " 'ov'" ,"00," 10 ".11 "".onl '0 "" '0,1.", of WIl" wllh Iwo ""I.. of Ihl. o"tI,. " 0.,,1"
"dlocouoloe ",,,Id In'"'''' " ,0"'" c"oc' he> -." o"d "Mo Ihl. "tloo ,. 'h. ,,,1\'0( 01
Will' ",d '" 0111"'" """,,,,t ,I" bo I"".d ., 'h' ". O.pO(,oon' .1 ,,,.n".,
B, 0 lh. ">0," .,,0' h" boon oe will ,,, "poe'od ",d 'ox p,1d wllh ",. po""",,,nl' Inh"lI,noo I" """n
to be fllod b'l t!lQ docadont'c'I l'opr(l~Qntlltlvu.
C. .~ "" ,haV' lofo,,,'loo I< I''''''oc' ,nd/oe doh" ,nd ".d","""' w.,. pold b' "".
r Voll lIlust cOlllpLnle PART C~J find/or pMll [~] pelow,
l_' CHECK J
ONE
BL OCK
ONLY .
D
DEBTS AND DEDUCTIONS
-~,~--~
USi ACCOUHiS,PAD
1
2 -
3
4 ..
5
6_
1
8
CLAIMED
~
,Qf)i.,ICIAL USE ONLY [] Mf
PA~ARTI1~!\IT OF:~ijENUE
.4;,:,~i""i"': .... (" (",
~ ,,',,' ,',<,' ", ".' , ---
~---
-,-----
If yOU indicate a different tax rate, please state your
r.18tlonship to decedent \ _..~_"__'__'__ __,,__,u_,"__' "-.-.,---
PART
[~
TAl(
LINE
or iA}:
1_
2
3~ K
.....
In
-n
~(!'TURN - COt-i~UiATION
1. Date EstDbllshad
Z, Account B~lanc.
3, rerr.ent Taxable
i" ^lnount Sl.lbjer:'t to Tax
S, Oebts and Deductions
6. Amount TQxable
7, Tax Rate
8, Tax Due
--
...... ,-
0.,
-
"-
5_:_-'--::~ r~~ '-'.' L__-
"-
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::::
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'..J_
-
,I)
---"
;.,':' ".-
J,,:",.f
.-,....
<t<!""
7 K
8
--
--'~
-
I
-L
__ _ I ,--
s Of""'i'O~Uh\~_~-;?"-). ~o'Ly
t h8Vfl reported ano\,l. Qre trot!, corract and
HOME <(1]\ -j 7 'f <e. ~ '8 '"" n j, I
W~~.~Er~\;~n~M~:;l ~/ (.;L~-~ T~
AMOUNT PAID
,'S"<.) '),..a,q~
PART
\31
~D PAVEE
. ~~~~-=~
___-T _ \~
lOTAL (tnter on Una
DESCRIPTION
---
UnJer penal!!.' of perjurY, 1 daclnre that the fach
co p..\eh to the b.s;t of illY knowledge and belief,
"- u--,->3~'>-----
10 A1URE -
-
-~Y
COHHOHWI AI III Of 1'1 NNSVl VANIA
........ui.IWU.HI N I III Itl VI HlIl
lIumAll Of ttllllVllllJAI rA1(1 S
'* INFORMATION NOTICE
AND
1lI1'!. "",,01 TAXPAYER RESPONSE
-==~,:~'~__~_~,~,,,,:~"~~',,~~".:;J.___H_"_"""""-'~"'---~,"
FILE
ACN
DATE
NO. 21
9612',',22
06..2S-96
,,\
I
.. ,,~_.~,._"~-..
EST, OF ~llLDRED t. GII.L
S,S, NO, 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
1 YI'E 01' ACCOUNl
I l SAVINC
:, I CtH'CK 1
I ! TRUSl
Ixi CERTlf
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
REMIT PAYMENT AND fORHS TO,
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST Feu has prOvldod tho Oepartlllont with thlll lnforllllltlon llstod billow which has hoen uud In clllcullltlng tho
potentllll t'lX due, Their recordl IncllCllto that <It tho dQtlth of tho "uo"o dModent, you worn 8 Joint ownor/bonoflclllrY of ttlls account,
If YOU fool tllil Inforntlon h lncorroct, plGHsa obtnln written correction 'roil tho IInanclal Instltutlon, attnch & copy to this for..
and return It to thtl above llddr."s, This Meollnt is tnxllhle In l'Iccordanoll with the !nhefltnncQ Tnl< I/lOls of tho Comllonwoalth of flonnl;vlvl'Inl
QUG'tions "'flY be answered by cl!llllng (7111 7A7-83U,
Dab
Established
REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
02-23-8B
To lnsuro propor crodlt to your flcc:mmt, two
(21 coplos of this (lotlco ~IU!it <lccol!lpnny 'r'our
pS'r'mQnt to tho Roglstar of Will~, HnkQ chock
pS'r'lIblo to: "Register of Wills, Agent",
COMPLETE PART 1 BELOW
Aocount tlo, 13616-42
" . " SEE
K
11 ,019,93
16,667
1,836,69
,06
110,20
TAXPAYER RESPONSE
RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
NOTE: If tnlC pay",ents llre ,"ado within thrall
(3) IIIonths of the docedent's date of dl:lllth,
you !ley deduc t II S% d I s<;ount 0 f tho tnx duo,
Any InhQritonce tllX due will becolllQ dollnquont
nino (9) Ilonths after thO datQ of dOllth,
Account Delance
Peroent Tllxable
Ahount Subjeot to
Tax Rate
Potential Tax Due
K
Tax
PART
IT]
FAILURE TO RESPOND WILL
[ C~~~K -,J
BLOCk
- ONLY
A, [] The abovo Informat ion and tnlC due If, corrllc\.
-, 1. Yell! IIlay choose to /omlt fHlYllont to tho RIIQlster of Wills with two caples of this notice to obtain
II discount or C1vold Interost, or- YOI,) lay check box "A" find roturn this notice to tho Roglr.tor of
Wills nnd fin offlcl1l1 nssesSlIlent 01111 bo Iss\lod by the PI. Oopnrtllent of Rovenue,
8, [l The above <'lssot hns been or will ue roportod "nd tax p~ld with tile ponnsylvanlll InhQrltnnco Till( retLlrn
, to be f j lad tlY tho dococfont' s roprosontetlvll,
C, )C)lhe nbo...e lnformlltlon IS ["carroct anll/or debts and doductlons wor" pllld by YOIl.
You lIIu~t COPllplGhl PART [z.J nnd/or PART [~below,
1
2
3
4
S
6
7J
8
TA~ eN Je:N~/~T ACCOUNT~
~.().~..
h (::,,"l..
~ "'~~L-
'It;~t~
OFFICIAL USE ONLY 0 AAF
PA ~~~RTMENT OF REVENUE
~,.,. ~ :a.A :1)
(j, .'I!'
If you indicate n different tax rate) please stat~ your
relationship to decedent: ._.___,____.__.._~______~
PART
~
TAX RETURN - COMrUTATION
LINE 1, O.t. E,t.bllsh.d
2, Account 8alenoe
3, Percont Texabl.
4, A~ount Subjeot to Tax
5, Debt, end Deduotions
&, A~ount Taxable
7, Tax Rat.
e, Tax Due
o
FAt;
1
2
3
4
5
6
7
a
CLAIMED
(.;
"1;.J
or
K
-..
-,',
....1
"'i"
J'
-
PART
[~
~ "1"
<.~, ~J~=-l.
--i-
I
rOTMll:nhr on Line 5
p,EBTS AND DEDUCTIONS
of T~x Computation)
AMOUNT PAID
~~~:~:~ ,-
DESCRI PTI ON
Under penaltias 01 perjury, I declare that th. facts I
~Ltte to the he5t of mv knowlodge and belief,
-- ) "'---:;:;' "'",..... -
'--'i.....~-/ ~__r- ......---
I A X P " V'rRSTGNiiT U R E
h...... reported ahove Rre true, corroct ilnd
H_OME __' )17> ')) ~ JC U l, . J
WORK (71') ;<),.(" <..,....,;...
TELEPHONE NUMBER OAlf' ~
COHHOliWh\\ Ttl Of Pt'HHSVI VANtA
llU1flRiHtHI 01 Rt:VI:HUr.
IhJlUAU OF IH!IIVUlUAl TA)([S
UtilI, i'l\OliO\
HARRl SIHJRG, PA 111 ~8. 0601
.t,~ INFORMATION NOTICE FILE NO. 21 '
r~~ TAXPAYE~N~ESPONSE ACN 96127045
L DATE 07-09-96
...~,[~.l~~.(~.:;~l_._ ,~~~_..........."...~=<...,'r=,"="--''-'.''''''"'-'''''-'-*''''''*''"~-=----=-'-'--'-''''''''~~'-''=
TYPE OF ACCOUNT
[] ; AVINGS
[Xl CHECKING
[] TRUST
[] CERTIf '
.
.J_.,
.,.,...,.....=--
EST, OF MILDRED F GILL
5,5, NO, 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
DIANE R BELL
902 DREXEL HILLS
NEW CUMBERLAND
BLVD
PA 17070
MEMBERS 1ST fCU ,,,' pee.Id." tho ..p"t..nt .lth tho In.orm.tI,n 1\,t.d b.lo, whloh h" b..n u..d 'n oo.",..tln, ""
p,t.nti.1 t., du.. Th.lr ,"oord' 'ndlont. thot ,t tho d..th ,f tho .bov. "".d.nt, ''" w'" . Joint own,,lbo..l101''' o' thl' o",unt.
II '"u ,,,, th" Inform.tlon \. \""'0'.0\, .'\"" obt.ln .eI\ton "".otion "'0. tho fln.nol.1 I"Utution, .\t"h . co" to thl. .".
,nd "turn it to tho .bOV. .ddco". lhl. ""unt I. t.."bl. In "oo,d.". .ith I.h. lnh.dt"" ,., 1.0"' ,f tho Common...\th o. p",,,,,,..nl..
Questions may he anGworad by calling (711) 787.8327,
COMPLETE PART 1 BELOW . M
-
Account No, 13616-11
. SEE REVERSE SIDE FOR
0.10 12-31-79
Established
FILING AND PAYMENT INSTRUCTIONS
FAILURE TO RESPOND WILL
1,941.63
16,667
323,61
.06
19.42
--
TAXPAYER RESPONSE
RESULT 1M AN OFFICIAL TAX ASSESSMENT BASED ON THIS
To lnsur., propor crodlt to yOUf' ilccmmtl two
en cuples of this notice m~J~t []ccumpany 'lour
puyment to tha Iloglster of Wills. ~I<lko chock
pflyablo to: "Reglstor of WillS, Agent",
Account Balance
Pfll"Cent Taxable )(
Amount Subject to Tax
Tax RaiD X
Potential Tax Due
--
HOlE: If ta:< pil'lmont~ arQ mlldo within throo
{3l months of tho docodont's dilto of dllath,
YOll mil'l d€idllcl a Sf: discount of tho tm< duo,
Any inhllrltanco tox rlllO will. \Jocomo dollnquont
nino (9) "\Onths altoI' tho dato of dellth,
PART
I\]
NOTICE
[CHECK '.l
ONE J
BLOCK
ONLY .
A, [J The abovo lnformfltlcm and tm: dll0 15 conRct.
L VOll m.w chooso to I-omit pfl'lm'lnt to tho RaQistllr 0' WilLs ~dth two caples of this notice to oht<lln
<'I dIscount or ,woLd lntilrost, or 'lOll "lilY chocl< box "fI" and rohlrl1 this notlcfa tu th(l Roglstor of
WIlls flnd an officiaL ilssnssm~nt will bl! Issund py thn PA Oerlflrtillont of ReVenllQ,
B, 0 Tho above assot tHI'S boon or will be reported and tax pflLd with the Pannsylvanin lr~hnrltance lall rotllrn
to h9 fllorl by tho clocndllnt's l'Opf'9Sldntfltlve,
C. ~h' ,bovo \n'oematlon " loo""oot ond/" ",bto <ond ".duoti'"' ...co paid bY ,"U.
l~ou mu,t oompl.t, PART [2] "dID, PART [i] b.Low.
If you Indic.t. . diH.r.nt tax rata, pl.... stata your' OfF~CIAL USE ONLY. DAAF
rol.tlonship to dooodon\' ___ _ __..__.____....___._._ PA DE1>'AkTMENT OF REVtNUE
,. i-"
PART
~
K
ON JCIi~T"TnU3T
/;)..- 31-1'i'
I,? 41. LP'~
_!l.r.f"c.,.'1
2;~~ ~I
~ .~""3 ,<;,1
--
LINE
RETURN .. CCMPUTAiICN
1, Dat8 Established
2. Account Balance
:3, pfll'cont Taxable
4, Amount Subject to Tax
S, Debts and Deductions
6, Amount TQxable
7, Tax Rate
8, Tax Due
CF
1
T'"
"^
";"A~
\,1_:
2_
3
4
5
6
7 -ll-
B
t....,
-
-
--
PART
@]
~. '"''
~N>'~~ _
TUT Al (Ente;-OO-L in.
o
DEBTS AND
DESCRIPTION
AMOUNT PArD
.5 ']' ",l, ~
.5 of T8x'" COIIIPutaUonl
I
I
I
i
1-.'
j
\
~. 'i'2.;}'iE.
Under p.naltiR~ oi perjury/ I doclare th.t the
campl ~ the be$.~~Y ~now18dg. Bnd b~li.f,
I ~"...~~f'-
ITURE -
fects I h.\,I8 r.port.d ~bove are truel correet ond
~O,.,E (f(lll/'f Cc ~iI:(:,
WORK ('],,,/) )9C",\~,~1'
TELEPHONE NUMBER
GENERAL INFORMATION
1. fAILURE TO P.F.SPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with IlIlpllclIhle lrlhlrut bftud !In Informnllon
lHlbllllttlld bv tho fln/lnl:lol Institution.
2, Inhorltnnco tell( hnr.omul dollnrluont nlnQ lIIonthY nftor tho docod'mt'R tlldo of doath,
!t, A Joint llccount Is tlll(lIblo eyen though tho doctldont's flnma wn~ odded It!! n mattsr of convclfllllflOQ,
4, Accou"h (Including tholU' hold bet>loen husbllnd und wl/o) which tho decorhmt put In joint ntlmu OIlthln one V811r prior to
dQtlth are fully tl!ll<sble liS trllnll'erli.
!I, Accounts oshbllshod Jolntlv botween husbllnd nnd wlfn morl! 111M 01\0 'laM prlnr to danth lIrCl not tru(llblcl.
6, Accounts hold by tl do<:sdont "In trust fOI'" flnllther Dr othors nrn ttlxllblo fully,
REPORTING INSTRUCTIONS
PART
1
TAXPAYER RESPONSE
1. BLOCK'" If Inri Inforlllfttlon llnd computatIon In tho notlcQ nro corroc'l nnd <Induction'll nro not being clnlmed, place !In ")(01
In block "A" of Part 1 of tha "To)(pnyor Rupon5n" IInct10n, Slyn hlo coplas ond !tllbmlt thlilm OI\th your chCl<:k for the 1I.0unt of
\8x to th8 ReQlutllr of Wills of thQ county Indlcntod, Thll PA UOPllrtmellt of Rovenue will ISlue an offlcJal t1uu...nt
(fclrm RF.V~154& no upon reoelpt of the roturn frolll the Rog\sttlr of Wills,
2, aLOCK B . If tho l'llIlOt spaclflo.:! on thlll notlco hSIl been or 01111 bo reported And tll)( psld with the Ponnsylvnnln Inheritance
To)( RO\lIrn (!llld by the do<:odent's roprellontotlvo, pisco 1'In "X" 11\ block "r." of Part I of tho "Taxpayor RosponliO" 1180tlon, Sign one
tOpy 8nd return to the PA Departlllent of RnveMlle, Bur"tl~1 of Individual TaxQII, Oept 2B0601, Hnrr1!lburg, PA 11128"0601 In thfl
envelope provJded,
3, BLOCK C ~ If the notIclI Information Is In<:orre<:t nnd/or daduotlons aro bolng clalmffd, ch8ck block "C" and cOlllpleh Pnrh Z end 3
acco,'alng to tno Instructions 1)eiow, :dun \1010 copl",!! tll1U !liuoml\ Ula,,1 wl.tl !f"'I.l, <.Jh",d, lv, lh. <l.........il~ \It ...." "->Jal.tlu lv 0,,,, :loll,].....'
of wills of tho county Indicated, Tho PA [)epartmllnt of Rovonuo wIll luuo sn official dllsessment (forlll ~U::V.1548 El() upon rocolpt
of tho return frolll the Reglstllr of WIlls,
TAX RETURN - PART
2
TAX COMPUTATION
LINE
I. Enter
NOTEI
the dllte the account orlgimtllY was ostabllshod or llthd In thCl manner existing flt date of death,
For a de<:edent d}'lng after 12112/82: Aocmmts which the decedent put In joint naMS within one (I) yonr of dlHlth 8rfl
ta)(ablo fully as transfors. ttowover, thlilro III an e)(eluslon not to IIxcoed $3,000 por transforoll regllrcllelS of thCt \,Iahlo of
UUt account or the nUMber of accounts held,
If 1I double asterisk pun appeArs bllfore your first nama In the Addross porUon of thIs notlcll, the B,OOO S)(ChlSlon
alrelldY has boen deducted frolll the account bntanco as rl1portocl by the financial lnstltution,
2, Entor the total balance of the ilOcount Including Intorsflt lI()cnu;!c1 to the dflto of death.
3, The por<:llnt of thfl account that Is ta)(8bl€l for oach survlvor Is detorllllned as followSI
A, The percont tftlCllble for joint 8ssets est8bllshod more thlln one ypar prior to tho dllcedont's death:
OIYIOED RV TOTAL NUHRER OF
,tOINT OWNERS
E)(a.ple: A joint asset rllglsterod
DIVIDED IIV TOTAl NUHRER OF )( 100 .. PERCENT TAXABLE
SURVIVING JOINT OWNERS
In the na~e of the decedent and tOlD othor porsonS,
1 OIVID~O BY !J (JOINT OWNEPS) DIVIDED BY 2 (SURVIVORS) .. ,167 )( 100
16,7~ (lAXABLE fOR EACH SURVIVOR)
8, The percent taxl!lble for 8SUtS crol!lted within onll yoar of the dncedent's dllath or Mcounts owned by tho dAclldllnt but held
1n trust for anothar IndIvldual(sl (trust henGficlllrloS)1
I DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
E)(Mp1e; Joint account rog.htAred In tho nfllllO of the dllcedont flnd hm othor persons nnd osttlbllshod within one ye&r of death by
the decedent,
1 DIVIDED BV 2 (SUHVIVORS) .. .50 X 100 50% (tAXABLE FOR EACt! SURVIVOR)
4, The 811l0unt subject to tax (Iinll (,I II detarllllnlld by lrIultlplylnA the account balanca (1lno 2) by the porcent t~l)C8bl. (line 3),
~. F...tar 1hA totl'll nf the dllbh linN deductions Ilst9d In Part 3,
6. The aMount tnxable (lIne 6) is deterllllned b:i SUbtracting tho dllbh nnd deductIons (llno S) frolll the alllolfnt SUbject to tl!X {line 'iI,
7, Entor the ftpproprlftte tax ratA (lIne 7) al clQtar~lned below,
A, For datQt of death occurring ~ftllr 6/30/94, the tax rlltos for trnnsfors to spousel are AS folloWSJ
I. Datu of death on or after 7/1/94 and before 1/1/95 the rate ill 3~,
2, natlll of deQi;h on or l!lftor 1I1/9S tr8nsfor. to spousos will be taxed rd O~ tax rate,
Hotel For dates of cleeth prior to 7/1/94 transfers to spou!tos ara ttlxnble at 6%,
B. Trfln.fors to lIneal Cl8Scencltlnts lnclud~nu father, mother, son, daughter, grandchlld-"on, son"ln"lflw,
dnughtllr.ln~lawj stepChild ftnd thaII' luuo are taXAble at sh percent {6~l,
C, Tranlferl to 1111 others InclUding brother, sister, uncle, flunt, noph~w and niece aro tftxable at flft~.n percent (lS%),
D, If YOU change the tnx rete, plaase specify your rolatlonshlp to the do<:edant In thll flrOft prOVided,
ft, ThG uount of tax due Cllno 8) II deterllllned by JIlultlplylng the aMount h)(able Cline (,) by the tax rato Cline 7),
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allownblll debt, and deductions ara deter~lned fll follows:
., You iegaIlY ar. ruponelble for ptly.ent, or the estate subJ~ct to ndllllnlstrntlon by fl parson.'ll representative Is insufficient
to pay the decluo tibIA !tOI....
B, Vuu flctuallv paid the debh lifter denth of the decedent snd clln furnl!>h proof of p"y~Ant.
C, OabU being cl8illled lIIutt be Itellllzed hilly In P8rt 3. tr Addltlonsl SPIICII Is nudltld, un plftln pL'lptr 8 ill" )( 11", Proof of
paY.llnt lIIay be requoshd by the PA DOpllr'U'lllnt of Rel/enue,
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, TOO. (17) 772-2252 (HEARING IMPAIRED ONLY) .J
) { "it
lJ, Y'
C0I1110~\oIf:Al1t\ OF rnlNSYlVANIA
DEPARTMENT or Rf:vf.HUF
l\URrAU Of INOIVIDUAI. TAXfS
IJEPT, l30uOI
11ARIHS6URO, rA 17126-0601
!J I
* I
INFORMATION NOTICE I FILE NO. 21
AND
, TAXPAYER RESPONSE ACN 96124(,21
I DATE 06-25-96
Alv.,~.l [j IH II '~I
___- __.__.=__~~~,.....~.__L-.,--,--
TYPE OF
EST, or MILDREO E GILL
5,5, NO, 162-22-1(,82
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
ACCOUNT
[1 SAVINGS
[ I CHfCKING
[I TRUST
[xl CERTIf '
--
TOMIANNE G MANN
5248 MEADOWBROOK
MECHANICSBURG
DR
PA 17055
REMIT PAVMENT AND FORMS TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST fCU ha. pro,'eI.d tho O.por"on, with tho lofor.atloo ".t.d ".Iow whl," h", "..0 o"d '0 ,.1","\10. Ih.
po'.,,\I.1 to, du., Tholr ",ord. 'nd'oo" th.' .. ,,,. d.,'h of tho .hoo' d.ood.nt, ,.U WAro " join' ow""II>.ooll"." .f thl, .cco"" I ,
II "u f..1 'hl, 'nfor.,\I,n ,. loooreoo" pl.... ,b.,ln wrl".n ,ore.,tl.n fro. Ih' llnoool.' lnotltutlo", .tt.ch . cop, t. \hI' for.
'"" rotorn II ,. tho .b.'. ,ddro'" Th" ",counl I. ""b" 'n ".orda"c. wll" th' ,,,".rll,"" T" l'w, of ''', c,...nw","" ,f o,"o.vlo&n'.,
Quostlnns mllY b9 anl\~lorod by c~1I1lng (717) 787-8]!!7.
COMPLETE PART 1 BELOW . . M SEE REVERSE SIDE FOR FILltlG AND PAYMENT INSTRUCTIONS
Aocount No, 13616-41 Date 02-23-86
Established
Tax
-r--
10,018,12
16,667
1,669,72
,06
100,18
To Insuru propor crod! t to your account I two
(?) coplos of thIs notlc'" must B<:company your
pll'/n10nt to tho Roglstor of Wllls, Make chack
paY/lbio tOI "Roglstar of Wills, Agent",
Account Balance
Percent Taxable
Amount Subject to
Tax Rat.
potential Tax Due
-x-
HOTE: If tal( Pilymants are mads within thrllo
(31 months of tho dllcodont's dntll of denth,
YOll mll'J declllc t fI S% rll scount of the tfll< duo,
Any lnhorltant;e tol( dlle will becol!le dollnquaf"lt
nlnG (9) nlonths idter the dato of death,
PART
CD
TAXPAYERlRESPONSE
FAILURE TO RESPOMD WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
A. 0 Tha above Infornllltlon af"ld tfll( dllO Is C orl' oct ,
1. You mil'" chooso to romlt fHl'Jmont to HIe Rogls\ar of Wills with t\olO coplos of this 110tlce to obtain
II discount or "void Interost, or you IIHW CtlC1Ck bOI( "A" and rnturn this notice to tho RaQI:star of
Wills I'Ind an offlcltll assClsSn\ont will be Issllad by tho PA OapartlllQnt of Ra\,lanuo,
a, [] Too ,b'" "".t "" boon" will b. ,.pOl,tod "" to< p.1d wit" ,,,. """",,,,,. In"''''''''. To< ,.'oe"
- to bo fllod by tho docadont's roprosentative,
c, 0 The abcl,lo Information Is. Incorrect andlor__d()bts and c1aductlons VIera pllJd b'J .,OU,
You must completa PART ~l and/or PART Q.J balow.
OFFIC.IAL USE ONLY Cl AAF
PA DEPARTMENT OF REVENUE
[CHECK J
ONE
BLOCK
ONL Y
If you indicate a different tax rate, please state ~;---
relationship tel decedent: -.----~,----
PART
~
,AX
LINE
OF' TAi\ ON JOINT/iR.l,;ST ACCCUi..TS PAu
I__ I
2_ 2 --
~ K 3
4 4 -
s \ 5 -: ; ==
6 6
7 K 7
e 8 =-~ I
!l!BTS AND DEDUCTIONS CLA~
RETURll .. COMPUTAT:i:CI;
1. Date Established
2. Account Balance
3. Percent Taxablft
4, Amount Subject to Tax
5, Debts and Deductions
6. Amount Taxable
7, Tax Rat.
e, Tax Due
-
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAl D
Und.r p.nolH.. 01 p.rN"', I d.clor. th.1 tho loch I h.v. r.port.d .bu'. .r. Iruo, corr.ot ond
cOlllpleh to the best 01 my knowledge and bdlef,
-=\=
,
TOTAL (Enter on Line S of r.x Computation)
~I
J_
I
II'
----
GENERAL INFORMATION
1, fAILURE TO RESPOND WILL RESUtT IN AN OFFICIAL TAX ASSESSMENT OIllh 81111110nll18 Interut baud on Inforllifttlon
subllltted by the t1nftnclnl Instltutlon,
'I., Inherltan041 hue haeo",.. dullnqllent nIne Monthl lIftnr the chu:ndAnt'g Ill'll. of dentt't.
.L It. joint account Is tllKl'lbh e\lll" though the decedent" ""~. Wftl fldcled fIll II IlIntter of oonll8nlonoll,
II, !\mlOunh (Inoludlng thon held blltwcum hlllhnnd 11m! wife) which the dncodunl flU I In Joint nllJllUS within ona yur prior to
death are fully t8K8blo QS tranlfer,.
!), Accounh 8It~blllh.d jc.lntly betwelln hUlband nnd wUn monl thM 0118 VOllr prior to death nrll not tnKflble,
il. Aooounts held by ft dRead.nt "In Inl,t for" nnothlilr or others lire tll)(l'lulv fully.
REPORTING INSTRUCTIONS
PART
1
TAXPAYER RESPONSE
1. BLOCK It. + If thl Inforlllatlon and cc:uIlPuhtiot1 In the nolloo flrO correot E1nd daduotlllnfi nrn not hAlng III II IIIIBd , pll!\CIl tin "Xn
In block "A" of Part 1 of the "Tl'Il<pflyer RlIIlPonu" SQctlon, Blgn two coplu nnd lubmlt tlHIIII with your cheok for thl nllount of
taK to the Regl,ter of Will' of the county Indlclltod, The PA Ospllrtmcmt 01 Revenue will Inue lln offjohl o!Il8ellllllnt
(forll REV*lS48 Eln upon rca.lpt of thn return from the Flnglstsr 01 Wills,
2, BLOCK B . If the auet spe(J\fled on this notlco hnl liGen or 101111 he rnportnd nncl tnl< paid with the PnnnSyl\,lllnlll Inhorltllnce
TIll< Return filed by the de(lldent', roprolllnt!ltlve, plllco nn "X" In hlock "8" of Pllrt 1 of the "Toxp6yer RetponuU section, Sign ono
COpy nnd return t,o the PA DQPMtmAnt of Rovenue, BUrQflU of Individual Tm~fIIl, Dapt 7.80601, Hllrrlsbllrg, pA 17126-0601 In thl
Invelope provldod,
3, 81.0CK C - If the notIce Inforlutlon III Incorrect IInd/or docluotlons nro being claimed, ChMk bloc;k "C" ltnd c;allplate Pllrh l llnd !I
IIc()on.1lng to the Instructhlllio h"low, Slwol il'll! "o~h.. WIU ioUI.Mil lilu,.1 ..Itll jvur ,,!lack (Ct, the nmc..~,-.t or tnll p"'1r.blo tc. tnt n:li1l:1tc,r
01 Wills of the county IndlcatCld, The PA Oeportment (If R9VenlUII will luue tin olflcJnl 1l1l1ll"lI1ellt (For", REV-l!i48 llO upon rec9!pt
of the return froll the Register of Wills,
TAX RETURN - PART
2
TAX COMPUTATION
LINE
1, Enter
NOTEI
the date th. account orlglnnJI'I was t1stabllshad or titled In the /lllInnel' el(lstlng at date of u8sth,
for a deoedent dying after lUIZ/a21 Ac<:ounto whleh tho doc9dont put In joint n!lll181 within ol1e (IJ yur of dtlftth 8"
taxable fullY as trllnlfers, How.vor, thero 15 IIn eKeluslol1 not to excoed .3,000 per trllntfero~ regardless of the value 01
thil bCcount or the rlulllbu 01 accounts held,
Z,
3,
Enter the total balance of the 8Cc;ount Including Internst flcClrued to the dtltlil
The percent of the nceount thllt Is taKlIblo for 88ch survivor Is detorndned n.
A, Thll percent tllKable for joint IISUts establlsnQd more thlln one yoar prIor
of d8l1th,
1011010111
to the decedent"
de8thl
<.0
el<cluml
<:)
(")
-4
I
W
If It double utor18k (1111) nppllllrs before your IIrlit MIIUI In lha llddroSll portion 01 this notlcQ, the U,OOO
al"edy hal be.n deduehd from the Meount h81ance as reported hy the IInnnclal Inltltutlon,
DIVIOED BV TOTAL NUMBER Of
JOINT OWNERS
E~alllplel A jotnt aSlet reglsterod
DIVIDED BV TOTAl. NUHBER Of 100 PERCENT TAXA8LE
SURVIlJING .JOINT OWNERS
In the n8111e 01 the deoedent IInd two other porsons,
:Po
::r
N
d, The percent taxeble for as.ets created OIIthln one yellr of the decedent's denth or accuuntl owned by the clle.dent b~eid
In trust for anothQr lndl~ldual(sJ (trust heneflclarles):
1 OIVIOED BV 3 (JOINT OWN!:RS) DIVIDED BV 2 (SURlJIlJORS) .. .167 )( 1011 .. 16,7% (TAXABLE FOR f.ACtl SURlJIlJOR)
-
..
1 DIVIOfD BV TOTAL NUMbER Of SURlJIlJING JOINT
OWNERS OR TRUSl BENEfiCIARIES
)( 100
PERCENT TA)(ABtE
EXlllllplDl Joint account registered In tho n8m. 01 the decodent and two other per~ons 8nd estllbllshed within one yanr of doath Py
the deo.den t,
1 OIlJIDED BV 2 (SURVIVORS) .. .flO )( 100 .. flO% <TA)(ABLE FOR EACH SURlJIlJOR1
4, The allount lubjeot to tllX (11ne 41 II d8torm!ned by IIlultlplylng the 8cOount Dnlllnce (llne 2) by the percent ~Ill(abl. (lIne 3),
G, Enter the total of the debts nnd doductloniJ lIsted In Pert 3,
6, The !llllount taxable (1lno 6) I. determined by subtrflctlng tho debts and d.duotlon. (line S) frolll the Illllount subject to tax (lIno 41.
7, Enter the Ilpproprlate tal< rllte (line 7) III deterMined below,
A, for dotel of death occurring lifter 6/30/94, tl10 tlll< rfltes lor trllnsferfl to spous.. lire tll; fol100l11
1. Oflt.. Df duth on or lifter 711/94 und bofore 1/1/95 the rate Is 3%.
~, Dat.1 of death on or llfhar 1/1/95 trfln.fltrs to SPOUI" ul11 be tllKQd lit 0% till< rnta,
Notel for datu of duth prior to 711/?4 tnlnlf.rs to spouses lire tllxllble lit 6%,
B, Tranlfers to lJn1l81 descendants Including fllther, mother/ !IOn, daughter, grllndc!1lldran, lon-In-Iow,
daughter~ln-law, !Itepchlld and their luue are t!'Il<nbl. at six percClnt (6%).
C, Tre"lfers to all othllrs Including brother, sister, uncle, llllnt, nllphew and nllloe ar. tlll<lItJle nt fifteen parcent (I~%),
0, If you change the hI< I'llte, please specify your fCllatlonshlp to the dleedllnt In the IIru pro\,llded.
8. The IlMount of t!lX due (line 8) Is deterllllned by lPIultlrlYlng tho a~lount tnxllble (line 6) by the ttlX rate (line 71.
ClAIMEO DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable d,btl 1Irld deduction. lire determined f11 fol10WIl
A. Vou legally lire ruponsJb1e for flllYlllent, or thll utl'ltft 5ubjGct to lIdllllnlstratlnn llV II plrsonlll repr.lentIlU",e Is In.ufflclent
to PIlY the d.ductlh1e Itellll,
8, Vou llctu!llly paid the debts "ltClr duth 01 the dOClldent lIr1d Clln Illrnlsh proof 0; f1I1Ylumt,
C, Debts being clnh.ed must be Itflllllud fully In Pllrt.\, If nddltlnnlll sprlce I, l1eeded, un plllln fllll'lOr 8 In" I< II", Proof of
f'JIIY,"llnt !lay he requ8Ited by thll PA Dopnrtlllent of Revefl"e,
TAXPAYER ASSISTANCE
IF YOll NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGlSTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFtCE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327, TDDI (717) 772-2252 (HEARING IMPAIRED ONLY)
-------
,.!/ (j"('
~ll. INFORMATION NOTICE FILE NO. 21
~ AND I ACN 9612(,"'23
".~\::~~~::' _~~::ER RE~:<::E_J~~~~,~,...~,~~:~25-96
TYPE OF ACCOUNT
Ii SAVINGS
[] CHECKING
II lRUST
Ix] CERTIf ,
TO:
.1j ,~(
COHHOHWU\I- III 01 II~_HH~V\ V Mil A
tlf.PARTHHn ur IHVUllJI
ill/REAl) or IN[)t\JllllJ"l IAxrs
IlElll, 21\OhOl
IIARHISIHJRO, PA \ll2f1'OliOl
EST. OF MILDRED E GILL
S,S, NO, 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
REMIT PAVMENT AND FORMS
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLI5LE, PA 17013
TOMIANNE Cl MANN
5248 MEADOWBROOK
MECHANICS BURG
PA 17055
MEMBERS 1ST fCU h" or"ld." th. o.p.,t,.nt ,I\h th. Inf,,,.tl,n II.to" h"" ,hloh h" ,,,.n u"d In oolc"lo\ln. th.
potw\l.1 t., d"., Ih.I, ,"co,d. Indl,.t. th" ot Ih. d..t" of I"" db'" ""o.d.nt, y'u ,,,,. , Jolnl o,nor/b.n.lld," ,f thl. ",count.
If '''' ,..1 thl. In'or"tlon I. 100",.0\, pl.". 'bt.ln wrll"n "",,\Ion 'I''' tho flno"I.1 lnotl'u\lon, ""00" 0 co", t, t"l. 'pr,
ond roMn 1\ t, tho .bov. .dd'..., Thl. ",count I. t".bl' In ooco,do". with tho In".dt.". ,,, low' 0' ".. ,,,,oow..lth " ponn,,'vanl.,
Clu06tlonlt may be ilnswored by cnlllt~g 171.'} '/87-837.7,
tliRt.
Established
REVERSE SIDE FOR
02-23-88
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Account No, 13616-42
. . . SEE
K
11,019,9'5
16,667
1,836,69
,06
110.20
To lnsljra propllr crlldlt to your flccountl two
(ll cllplall of thl~ notlclJ must llCCOn1p<lrw '10llr
pll'Imont to ttHl Roglstar of WIlls. Hflkfl uhQc:k
PlIYilblQ tOl "Re\'l_\st'lr' of wI1151 Agont",
Aacouni Balance
Percent Taxable
Amount Subject to T8)(
Tax Rata
Potential Tax Due
x--
NOTE: If tAX flAyments MO madrl wIthIn thr'lg
(3) monthr 01 thQ dl'lCodQnt's dAtQ of death,
you mlW deduct fl ~% dIscount of tho tax d\ls.
Any Inh(JrltarlC9 tux tluo will becomo dallnqllont
nln(J (9) months flftnr the dato of doath.
PART
IT]
TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTICE
[J Tho llhovQ lnformlltlon 1ll1d tall: (1\11I Is corroCt.
.._ \, Vou mll'l choose tl1 rllmlt p<l'imHnt to tho Ro9\sttlr of Wills with two copies 0' HIls notice to obtain
11 dIscount ,')r lllJold IntQrost. or yOU Play chock hill< "A" and roturn thIs notlce to ttlQ R(lglster of
wills llnd an official assQssmont wIll hn IsslIod by tho PA Onpartmont of RQvQmJQ.
[1 Th' ."". ",nt h'" boon n' ,lll b. roport.d ond t" p.ld .dt" th. "onn"lvool. In''"'ltOOo. 1" rotu,n
- to bo fllQd by thQ dacedQnt's rnpresontatlve,
Ll Tho alH,IJ9 Informatlon Is \ncorroct and/or dobts amI dmluctlons were plIld by you,
.. 'IOU InUit complete PART CD and/or PART ~ bolow.
OFFICIAL USE ONLY. 0 AAF
PA ot~ARTMENT OF R~V~NUE
, .
..
1- CHECK l
ONE
1_ BLOCK I ,.
ONI.Y .-
c,
PART
I3J
If yOU indicate a different tax rate. plelll5e stat. your
relationship to decodent: ---------
PAD
tINE
n~Tun~: .. co:~rUTATION or TAY. ON JOINT/TnUOT ACCC:.JNTC
1, o&t. Es{ablished 1
2. At-count Balance 2
3. Percent Taxable 3~
4, Amount Subjact to Tax 4______
;, Debts and Deductions S
&, Amount Taxable 6
7, T.. R.t. 7--X-
8. Tax Due 8
-
DEBTS AND DEDU~TIONS
1
2
5
4
5
6
7
B
CLAIMf,D
-
'!',",X
--
---
-
-
PART
@J
DATE
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOT^L (Enter on Llna & of Tax Computation)
I
I
\
$
-
Under penaltla. of
to~pl.t. to tha best of
I). ' !
....... ('>/(.1 Il'~; ~
TAXPAYER SIGNATOn-'
parjur~, 1 daclare that th8
my knowled9a and baliof,
')) .I" }. '
fact.s I hay. raport.d _boya ar. trua, corract and
HOME.(jl})- /j I',
WORK ( II / ) ;' i', /';<('"
TtLEPHONE NUM]tR
GENERAL INFORMATION
1. FAIl.URE TO RESPOND WILL RESULl IN AN OFFICIAL TA)( ASSESSMF.NT with 'll"t1lcllhlu lntorost tJllud on Information
sublldthd hy thll 'lntlllcllll Irutltutlol1,
2, Inhorltllncll InK hflcollles dDllntll1flr,t nine llIonthu lifter the dacndtmt', <llIto of d'Ullh,
1, It joint lIccount Is tlll(llble evan though tha dOClldlJr,t'~ 1\0",0 WlIS Ildchlll ?IS it Irlnttllf of convAnlonc:e,
4, A<l<:ounh (Inoludlng 1;1011I hllld !Jehu..n hUlibtlnr1 Nld wlfnl whle.h tho IIQcltchmt put In joint tI/MIU! within one yeflr prior to
dllath are fully tftKllbla nl trnnlf.rs.
S. "'c:countl lit tllblllihod jo Int I V b.twAon husband Md w I fa morn thllfl 0(1'1 yenr pr lor to don lh lire no t IllXtlblll,
b, Accountll held by n dllcedent "In trust for" anothor or others lIro tAKAble fully.
REPORTING INSTRUCTIONS
PART
1
TAXPAYER RESPONSE
}, BLOCK A - If the InforlllPltlon and l:Ollpuh,t1on In tho notion flro ()(lneal llnd doduotlons nro not bOlng o lrlllllld , pllltla 8n "X"
In block "I." of PlIrt 1 of the "hl)iptlyor Huponu" 58<':tlon. Sign two coplus nnd !lubllllt thOll with your check for the omount of
tttX to tho Reglshr of Wills of thu county lndlcnted, Tllll PA Dopnrtmont of Re"'8nuo will Issue tin offlcInl IIISelllll8nt
<For", REV'IS48 EXI upon rlHllllpt of the rehlrn fro," tho Roglstor of Wills,
(., SLOCK B - If the lIuet specifIed on thls notice has be on or will bo rnportod nnd till( p<11d with the f'lonnllyl...,mltl Inherltanc.
Tax Roturn fllJJd by the docedent'lI roprasentfttlv8, plnco em "X" In block "S" of Part 1 of the "Taxptlver Response" 9Qctlon, Sign one
I..opy And return to tho PA Del1tlrtlll.mt of Revenue, Buroi'lu of Individual T<l,l(os, Dopt 280601, ~tarrlfiburg, PA 171l8-0601 In tho
en....lope pro...lded,
3, BLOCK C . If the notlco Informetlon 15 Incorroct and/or dedu<:tlons nro bolng clal"od, check block "C" Imd cO"'plet. Perh 2 t1nd 3
tn..:u,Jj'll1 tu ti'18 lr,lt~r.J..~lor,s bOl 1 Clol , :1;'., t.1I) ~:l~\nr c~d tubmlt thalli .,!~h ',"'''r rh....,!; Inr thf> ....It'l"'+; of tflv pevflhtfl to thll P"'<:,\stl.r
01 Willi of tIle oountv Indloated, The PA napnrtment of Rovonu. will Issuo an offIcial lISIIBSslllent (For", REV-1548 E)() upon receipt
of tne roturn fro~ the Regllter of Wills,
TAX RETURN - PART
2
TAX COMPUTATION
lIHE
1, Enter the date the Dccount orlglnsllY wes ostabll'5hed or titled In the ml!lnnor existing tlt datu of death.
NOTE: for II decedent dying nfter IUIl/821 Accounts \oIhj<:h the decadent put In joint nllmos wlthlh one (1) vusr of
taxoblo fully al tran8fers. tlow....er, thore Is an ox<:luslon not to 9.l(coed $3/000 por transforee regardlClss
the acrount or the numper of accounts hold.
If a double es1erlsk (M") appoars before your first ntlme In tho address portion of thl~ not len, tho .3,000
already has be.n dllductod frolll tho llcco~mt bnlanco 86 reportod by tho HnMclal Inlltitutlon,
dea&m nre
of ~ valulI of
o
,'j
o)(~lon
I
c..)
:r-
:lC
2. Enter the to\ll1 balllnce of the Ilccount InollJdlng Interest 8ccrued to the d8tO of dQoth,
3, The plrc~nt of tho account thet Is tllKlIble for elloh survlvor Is det8r~lnod as follows:
II, The percent tllKablo for joint IISI.tl ostab1ishod moro thnn ono vear prior to tho decedent's doathl
DIVIDED BV TOTAL HUMBER OF
JOINT OWNERS
EXlIlIIple: II joInt Olset registered
DIVIDED BV TOTAL HlIH8F.R OF )( 100 . PERCENT TAXABLE
SURVIVING JOINT OWNERS
In tho nllmo of tho decodont nnd two other persons,
-
..
I DIVIDED 8V 3 (JOINT OWHERS) OIVIDED BV 2 <SURVIVORS) .. .167 )( 100
16.7% (TA)(ABlE FOR EACH SURVIVOR)
N
o
8, Tho percent texoblo for allots created within one YOllr of thQ decedent's d.ath or accounts owned by the decedent but held
in trust for another individuaHsl (trllllt benaflclerlos):
1 DIVIDED BV TOTAL HUHBER OF SURVJVHIO .JOINT
OWNERS OR TRUST 8f.NEFICIARIES
X 100 . PERCENT TAXABLE
ENllMp101 Joint account roglsterad
tha deoeden t.
I DIVIDEIl BY 2 (SURVIVORS) . ,50
In \tIe name of tho dec.dent Bnd '(1010 other persons and Gstablished within one yoer of dflllth bv
)( 100
50% (TAXABLE FOR EACt! SURVIVORl
4. The a"'ount SUbject to taN (line 4) is daterllllnoo by mUltlplvlng the Mcount bn!nno. (llno l) by tho percent t8Nllble (lIne 3),
fl. Enter thll tottll of the debts IInd doductlons listed In Plwt 3.
6, The elllount tllNnbh (lIne 6) Is deterllllnllo by 5ubtr~ctlng the debts find doductlonl llUle!l1 trolll the tllIlOunt SUbject to tllN (Iino 'II,
7, Enter the appropriate taN rate (line 7) as detormlned below,
A, For dates of death oecurrlng after 6/30/94, the taN retes for trfinsfors to spouses IIfa 8S followsl
1. Datu of death on or aftar 7/1/94 and bafnr. 111/95 thll r/lte is 3%,
~. Detes of death on or eftar l/l/9S transfers to spousas will be tnNed at 0% taN rnta,
Not.1 for dotal of dellth prlor to 711/94 trent;:fers to spousos orB tllNabla lit &%,
B. TI'en.fer. to lineal dolcendants Including father, mother, 90n, d"~lghter, grandchlldrlln, son-In'ltlw,
daughter-ln'18w, stepchild and theIr Issue dro tllNnble tlt siN percent (6%).
C, Trnnsfartl to 811 athers Including brother, sistoI', un<:lo, ll\lnt, flflphew nnd nloco are tllNllble <'It flft&ln partont {IS%l,
0, If you chllng. the taN rllte, please specify your relationship to tho decadont In thB area provided.
a, The alllount of taN due (IJne 8) Is ct.torndnlld by multiplYing the tlmount ttlNnble (ling 6) by the taN rete (1lno 7).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Al10wllb1e debtl tlnd deduotlont are deterllllned tlB (olloWfil
A. Vou legally lire rlSponllbl. for pny,"ent, or the Ott8t9 lIubject to fldmlnlstrntlon hy <'I personl'll reprfllonhtl.... is InluHlclllnt
to pny the d.duct Ibla I te~l,
B. You lHltul!llly pllld the doptl lIfter (i_11th of the deced.nt nnd cftn hlrnlsh proClf of pnYlllent,
C, Debtt beJng clallled llIull be ltellllllld fully In PlIrt 3, If lIeldltlofllll spece 15 noeelad, use tllllln ptlper l\ 112" N 11", Proof of
pftYllIont '""!f bC! rlllquutod by the PA Oepflrtlllent of RAyanue,
TAXPAVER 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, TDDt (717) 772-2252 (HEARING IMPAIRED ONLY)
COHHOMWfAt TIi Of fll'MMSYl VANtA
tJ(PARTHfMI or Rf"VUiIIE
RUlU.AU (If INDIVIDUAl. fA)([S
OfIlT,2110601
ttARRISfl(JRO, PA Illl8-0hOI
,.1d. i I
. I INFORMATION NOTICE i FILE NO. 21
'" ",'~' ~.._~AXPAy.~~N.~ESP~.~S.~_"l~~:,,_~_~::~;~~~ __,
TYPE OF ACCOUNT
I] SAVINGS
IXI CHECK ING
[] TRUST
[I CERTIf ,
',1, (,'(..
',1 ._) '>;'
EST, OF MILDRED E GILL
S,S, NO, 162-22"1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TOMIANNE G MANN
5248 MEADOWBROOK
MECHANICSBURG
DR
PA 17055
REMIT PAYMENT AND fORMS TO I
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
HEHBERS 1ST FeU hlU provided the Depflrtlllen\ wi th tho Infornlllt Ion Ilstod helow whIch has buon used In cfllcadotlng tt,e
potentlnl tllK dUll, Their racord' Indlollh thnt at the denth of tho above tJG(lftdnnt, YOU werD (J joint owner/bonnflclar'l of thlli f1CCOllnt.
If you ful this InformatIon III Incorrect, 'l!ollse obtAJn wrlttan corroctlon from the (Immol",l Institution, attaoh 11 copy to this fCtrn,
IInd re~urn It to the above I'lddrni, This nccount II towablfl In flccordlltlr.e with the lf1herltnnce hp( l.aw. of the COllllllonWlllllth of Pellnllylvllnla,
Qlulltlons ~ay be IIn.wared by (lolling <7171 78'1-8327.
o.t.
Established
REVERSE SIDE FOR
12-31-79
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Aooount No, 13616-11
. M M SEE
Account 881ane. 1 } 941 , 63
Poro.nt T.x.bl. K 16 ,667
AMunt Subj.d to Tax 323,61
ToxR.to K ,06
PohnU.1 Tox ou. 19,42
PART TAXPAYER RESPONSE
[01 FAILURe TO ReSPOND WILL ~ESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTIce
To Insuro propor crQdlt to your occount, two
(ill cop IDS of this noUoll ,rlllSl tlCcompnny your
pa:t,rlont to the ~eglstor 01 wll1s, Hoke check
pllyatJlo tOI "RoQlli-tor of Wills, Agent",
N01[1 If tn>l pnyments nre rJlllde within thr....
(!J monthl of the docodent's dnte of deoth,
you mi!lY dedw.:t n !i% discount of the tllK dllQ,
Any Inheritance tnK duo will becomo tlollnquont
nine (9l months <lftnr t~e date of dOflth.
I~ CmK ]
I BLOCK
ONLY
A, 0 The nboV8 Infor1laUon and thK dua Is correct.
I. Vall lIlay chooSII to rllmlt pnYlnllnt to \hll Ragl5tor of wills with toto 0011105 01 this notice to obtAin
n discount or avoid Intorost, or YOU may check hOI< "A" nnd rehlrn thlo notl~e to the Roglster 0'
Wills Rnd <In official lISSQ!lSll1l1nt will tlel Issued by the PA Oepnrtmont 01 Revonlle,
8, 0 Tho abovo asset has belln or will Ill! rllpot'tod nnd till< rlflld with the POI'nsylVl'lMJfl InherltPlllce Ttlw ret\lrn
to be filed bv the dllcor1ent's reJlfOs9ntntlvG.
c. 0 The abtlVQ Information Is 111corrool nnd/or debts and dllduclJof's worn paltJ by YOll,
You mu.t COlllploto PART !!.l nnd/or PART [iJ below,
If )IOU indiollte _ differ.nt tax rate, plellS8 stAte your'
relet ionship to dec.dent: _~..__.._~____.,____ .
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PART
~
TAX RETUR~ . COMPUTATiON
LINE 1, O.t. Estobllsh..
2. Account 8a111nce
3, P.rc.nt T8xllble
4, Amount Subj.ct to T_x
5, D.bts and Ded'Jct!ons
6, AMount Tax8bl.
7, T8x R.h
8, T8x Due
OF TAX ON JOINT/TRUOT ACCC~nTO
PART
~
DATE PAID
DEBTS AND DEDUCTIONS
PAD
1
2
3
4
5
6
7
8
CL.AIMED
('It .I
1
2
3
4
5
6
7, K
8
K
PAYEE
DESCRIPTION
AMOUNT PAID
---L
I
I
I
.
t
TOTAL (Enter on L~n. 5 of Tax Comput.t10nl
Under penaltie. of p.rjury, I dechr. that the facts
coJtlpl.t. to the b..tAof ",y knowhdg. and b.l1ef,
. vI 'J!
._./ /.') J.'L if n ~, ( ~ /// If i( ,.
TAXPAYER SIGNATURE -
hav. r.port.d .bov. .r. true, eorract and
HOME ( Jit) /'/ ~,>-:<
WORK ( /1 /) / :(. /!YV
TEl.EPHONE NUMBER
GENERAL INFORMATION
1, FAILURE TO RESPOND WILL RESULT IN AN OHICIAL TAX ASSf.SSHENT with Illfpllt:lIblu lnt\lrul tll'lled on Infnrl""tlr.n
iuhMltted by the flntlnclfl! lnltltullon,
Z, Inh.rlhncll tn~ hacolllu tJllllnquont nillll month, n/tur Ihe delio/11m!', (lntu u' elun!h.
5, A joint lI(l(lo\.mt II ttl)((lbla ovan though th\l c1Acodent'~ nlllllO OIl1li mt(jml !15 t1 mnlttlr of \\onvol1lol\r.o,
(,. Accounts (Inoludlng thou held hutwun hushl'ltlllllnd wlfo) whIch thu clf1cUlhmt Illlt In Joint nnmn within onn Ylll'lr prior to
d8flth lire fuUy tflxntlla liS trnnllforR,
S, Accol.tnh utnbllshed Jolntlv !Illltwoen hush/lnd "nd wife morn Hum onu '1l1lH prior to de/dh nr'e not tttl(lIble,
6, Aooounh hold hy !l dgoudont "Ill trulI! for" nnothor or othnrs IIru tnKnhlQ fully,
REPORTING INSTRUCTIONS - PART
1
TAXPAYER RESPONSE
1, 8LOCK A . If tho Inlorllllltlon nnd oOlllputntlon In thll rlOtko ora (:Ol'foct Ilnd dfHlucllofl' lire not bll'Jng cllllmld, pll'lOCl IIn ")("
In block "A" 01 flnrt I of the "Tft)(pllyor HOlponse" secUon, Sign tlolo omdu ond suh,dt thlllll with !fnur ch'lck for t111t alllount of
hI< to the Ragllt6lr of WII!s of th4t counh Indlcfttlul. The fl^ [)Rpllrtlllont of ROVenuQ Illl.l 13l1le on offlolhl nU'IlIIlIIent
(rorJll IlEV-I!i48 EXl upon receipt of thg return frolll the Rogl!ltur of willY,
,?, BLOCK B - If the Illlet lipeclflecl Oil thlll notice h"1I houn tlr will ho rellortl'ld ilnd tOI< !,"ld with the Pennlylvftnlll tnharltancJe
111)( Return filed by the decodent'l ropresf\lltatlve, plBco tin ")Cot In block "R" of PlIrt 1 of the "Ta)(pByer Ruponul1 uoctlon, SIgn one
copy I'lnd return to the PA DAfulrtment of RQvonuliI, BurolHl!lf tndlvldl/nl 101<011, OAf,t 260601, IlnrrlsburVj PA 17128-0601 In the
envIlope provided,
.5, BLOCK C If the notice InforMation Is Incorreot andlclr doductlons are blllng clrdmod, check block "c" end complote Pllrts 2 i!'Incl 3
I'ltJconilnu to lnu Il\u\rut;\iUlll1 Utill/Ol, :;j~,! ';...1..1 .......f,l..~ (,I,..J ,ou.,mlt n,Q,n "1;01 i,hlt ...i",.,.k :". tl,.. ,,";';'\I~,t .;.,' tn,; ptl:i~b:. ~u tr,fj P.l\'ilI~ttt
of wills of thg <:ounty Indlcfthd, Tho PA Department of RovonuQ will Inuo I1n offlc:11'1l llUOUtTlent (Form REV~lS46 EK) upon rooQJpt
of the roturn frolll tilt Roglstor of Wills,
TAX RETURN - PART
2
TAX COMPUTATION
LINE
I, fnhr
NOTE:
the dflte the 1I0count orJglmlllY WftS ostebllshod or tltlod In tho lIIllnl'lOr e)llstlng llt datfl of dORth,
For n decedent dying 6lter 1211216~1 ACCOllflta which thQ dQcedont put In Jolntl\/llllu within on8 (I) Y8llf' of dotlth /'Ire
t!ll<oblo fully liS transfers, Howo\,for, thoro is an o)(cluslon not to u)lcud $3,000 per transferee rllgl'lrd)Qu of tho \,I81ue of
thCl account or tho nUlnbor of accounts held,
DIVIDED BV TOTAL NUMBER OF
JOHH OWNERS
E)lftlllplol A joint ft.let revlstered
DIVIDED BV TOTAl. NUHBER OF X 100 . PERCENT TAXABLE
SURVIVING JOINT OWNERS
In the n6111e of tho decodent nnd two other pGrSOnl,
ol<~lnn
o
n
-l
,
W
:no
::x
If Q double ftfttorlsk (11111 llppollrs be for" your first mIme In thn address portion of this notlco, the B,OIlO
Already h81 been doducted frolll thll 8<:count b81nnco as reported by tho flnanclnl Inl~ltutlon,
Entar the totol balftnco of the account In<:ludlng int"rost accrued to tho dl'lte of doath,
The perc~nt of the ftccount thllt Is tOl<llblo (or each survivor Is doterllllned as follOlol&1
A, The peroent ta~l\ble for Joint llllets ostabllshed more than ong ye"r prior to the decedont's doathl
2,
3,
I OIVIDED BV !t (JOINT OWNERS) OtVIUF.D BV 2 (SURVIVORS) . ,167 K 100
16.7% (TAKA8lE rOR EACH SURVIVOR)
-
..
8, The percent tlll<ablfl for I'lueh crllllted wlthln one yoar of the dllcodont'. doath or Mcounte ownCld by the decedont ~ held
In trust for another IncllvldunUIlJ (trust IUlnef Icli'ldes 1 1 0
1 DIVIDED BV TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
)( 100
pf.RCrIolT TAlCABlE
fl<8mplel Joint account re,,!lhrod in tho nlllll4l of the dece(fent and two other personl and ostablhhed lolJthln one yeftr of dellth by
tho dlloodent,
1 DIVIDED BV Z (SURVIVORS) .. ,50 X 100 SO% (TAKABLE: tOR EACH SURVIVOR)
4. The aMount subjoct to tol< (lIne 4) is detllrldnlld hy llIultlplylno the I'lCcount blll8nce (line 21 by ~he pertont ta~lIblo <l!rlQ 3),
!i, Enter the total of the clobte ann deduction, lilted In Pftrt ,'.,
6, The a.ount ta)(lIble Cline 6) II c1otormlned by suhtrftCtlnQ tho t1obt~ and doductlons (\Ino 5) frolll the ftlllotmt subjeot t(l tax (lIne 4J.
7. Enter the appropriate till< rl'lte (lIne 7l I'lB dohrllllnecl helow,
A, for detu of dluth occurring ~ft.r 6/30/94, the till< r8tes for trtlnsfors to SPOUS8Il lire tll follow'l
1. Dlltes of d8l'lth on or nfter 7/1/lJ4 And hoforo 1/1/9S the rl'lte III 3%,
2, Dates of unth on or aftor 111/95 trfttuferl to spousos wIll bo t81<Rd lit 0% tl'll< rote,
Notel For datu of death prior to 7/1/94 tr~,"lfors to spouses Mol tllllllble At 6%,
8, Trnntlforl to Ilnual dOliOendftnts Including fnther, mother, lion, d<llfghter, grandt:hlldren, son-ln"lftw,
dttugt1tor.ln~hw, stepchild llnd thillI' Issuo are tn)lllblB lit !Ill< percent (6%).
C, Trllnaforll tD llll others Includlno brother, sister, uncle, Ill/nt, no phew find nlo<:o fire t81<8ble fit fifteen percont (15%),
0, If you chllngll the h)( rate. ploftu specify yotlr I'olntltmshlp \0 the decedent In tho nrett provided.
8. The lllllount of t!lll dill (Ilne 6) Is detorndned by mUltlplvlng tho tlmOlmt tftllllblo (1lno 6) by the tll)l rllte (lIne 7).
CLAIMED DEDUCTIONS
PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowablg debts Ilnd deductions I'lre determined AS folloOlsl
A, You Illgelly nre ruponllble for pllY1Il8nt, or the elt"te subject to hdllllnlstrn'lloll hv 6 pUlontll rlJpruentatlve Is lnlufflolent
to PllY the dgdllctlble Ihu,
8, VOll aotulIlly p"ld the elebts llfhr dQl'lth of the decedont And cl'ln furnlllh prOClf of plIYlllent,
C, nebts being chl.ed l'IuU be Itull'ed fully In Pctrt.5, If ,ldllitlonl'll spftce h needed, USll pl"ln ptlJler 6 1/:,")1 1\", Proof of
plly..nt "'llY be requOItod by the PA [lopflr\llI,mt of 1.!f\\,IOmlfl,
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 INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327, TDDI (717) 772-2252 (HEARING IMPAIRED ONLY)
Ji r, // I; <
COHHONW! AI. III ur P1:NNS'l'1 VAN IA
llUIARI",un OF RrVI.NUI
8URrAU at INlIlvtOlJAI '^)(I:S
ULflr, ;'110601
tlARRlj;I\URG, PA 11I26"06111
*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21
ACN 9612(,439
DATE 06-25-96
I
_h.:H! U If' If,t~1 , I
.._'~"',"""''''''''I'''''''''''-'''L''_.~......_.__n,,,,,,,,='''''''''~~_--'''-'''''''''''''''''''~_''''''''''''''''
EST, OF MILDRED F. GILL
5,5. NO, 162-22-1482
DATE OF DEATH 03-16-96
COUNTY CUMBeRLAND
TYPE OF ACCOUNT
Ix I SAVINGS
[i CIIECKING
[ OJ TRU:'T
[) CERTIf ,
TOMIANNE G MANN
5248 MEADOWBROOK
MECHANICSBURG
OR
PA 17055
REMIT PAVMENT AND fORMS TOr
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FEDERAL CU hili pro\,lldod tho Oopnrtmont ~lth tho lrHorlllotlon llslad bGlow whloh hall bllGn uBod In oalcullItlng the
potentia} taK due, Thtllr rnc:orcll Indicate thet at the death of the abovA decedsnt, !fOU were II joint ownor/beneflclary of thIs tlCcount.
If you '0&1 thlfi Information 18 Inoorroot, pleue obtain written r.l'JrrllCltlon from the flnllnoial Instltutlon, attach 1I copy to this forM
flfld return It to thw nbove Ilddreu, rhls 6CtOunt Is tll)(nblo In lICOOrdlll1Cn OIlth the InherltrmoG Tal< l.uws of tho Commonwealth of Ponllsvlvonln,
Questions mflY llfl answered by cfllllng (17) 787-8327,
COMPLETE PART 1 BELOW . M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No, 13616-05 o.te 04-25-86
Established
Aocou"t B.I.nee 5.567,97
P.ro.nt Tox.bl. K 16,667
Amount Subj.ct to Tox 928,01
Tox Ro!. K ,06
Pot.nU.! Tox ou. 55,66
~~ TAXpiYER RESPONSE
[!]r-FAILURE TO RESPOND WILL RESULT IM AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICe
To Insuro propor credit to !four ttCCOllrlt, tOlO
(2) coplos of this notlcD must llccompnny YllUr
I'tlYlIlont to tho Roglstor of Wills. Hllko chock
pllyablo tOI "Regis tor of Wills, Agent",
NOlEI If tllll payments lite madu within throe
(3) months of tho docodont's clllto 0' dCltlth,
you may deduct 1I 5% discount of the tflX due,
Any lnilorlti'lncs tnl( dllo will IIOCOl!IS dsllnqllont
nino (9) months aftor tho dllhl of !loflth,
[CHECK -J
ONE
BLOCK
ONLY
A, 0 The above lnforlllllt Ion line! tllX due ls correct.
- I, Vou '1'II'lY choOSIJ to rnmlt pllYI'lont to tho Reglstar 0' Wills OIlth two coplos of thls notice to obtnln
a dl,count or ~lVold lntarost, or you mOlY chock hOIl "A" and roturn this notice to thll RElylstor of
Wills unci !In offlcllll nsso5sment 0I1l1 bo ltlsuad by tho PA Dopartment of RavQnua,
R. 0 The llbovo /Issot hilS boon or wilt liD roportod IInd tilx pllld with the POMsylvnnlll Inherltnncll fElIl rnturn
to bll filed by the docodent's reprQsuntntlvD,
c, 0 Th8 IIbove In'ormlltlon Is_..Incorroct lind/or debts rlr'ld neductlons waro Pllld by !fDU,
., You must complllto PART l_~ Ilntl/or PART CD bolol),
If you 1nd1e.te 8 different tax rateJ ple.se state your
relationship to decedent I .,~____.,_______".__._______
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PART
~
iAX RETURN COMrUTATION
LINE I, O.t. E.t.bll.h.d
2, Acoount 8.18ne.
S, Percent r.x.bl.
4, Amount Subject to Tax
5, o.bt. and Deductions
6, Amount Taxable
7, rex Rate
e, Tax 0...,8
TAX o:~ JCINT.'TliU!:T AOCOUWr~
or
1
2
3
4
5
b
7
8
PART
1!1
DATE PAID
DEBTS AND DEDUCTIONS
rAn
1
2
3
4
5
6
1
8
CLAIMED
OC'
~-
x
K
PAYEE
DESCR 1 PTI ON
AMOUNT PAIn
r=
~ j
TOTAL (Enter on Line 5 of Tax Compuhtion) .
.......
Under pen.lt1., of perjury, d.cl~r. that the faets I h8Y. reported above ara true, correct and
complet.., to the belt of my k"owhdg. and b.l 18f, HOME___ ~ I~ L_ ~ .}s;j___~)?_~>.?_
;,'JOrUQ ,>/ ilJ JI) )1:, )llt WORK ( 1/ /) /~ i';';'I
-TAXPAY{~ SIr.NATURt" --rELEPHONE~ER
GENERAL INFORMATION
1, FAILURE TO Rf:.SPOND WILL RESULT IN AN OfFICIAL TAX ASSESSMENT with llflnllco'lhln Inhrfltt bn&Qd on Information
subllltted by thl flnllflolal InltJtutlon.
7.. Illllerlh.nCI tox b.COIllIlll dol1nquont nine months nfter the decedon\'~ dnte of rlenth,
3. A JoInt llocount I, tnllllble 0\,180 though IhR CIClClldlnt's MillO WA~ ildd4uJ tiS iI m8tter of conllnnlotl(lO,
4, Accounts (lnoludlng thO SIll hllld blltH88fl hllsul'l/1c111nd wife) which tho docodont "lit III Joint IlllmSlI withIn ono yuar prior to
de/lth !Ire fully tuxnhla !1Ii tranBlers,
S. AC(Jo~mtl ""tflbllshncl jointlY oRtWoln hUlh~nd and wife (1101'0 thlln one Velar prior to ChlAth (IrQ not tnMllbln,
6, !lecount. hold by 8 dllled.nt ".In trust fnr" nnother or 0\h1l1'5 drO t<llwble flllly,
REPORTING INSTRUCTIONS - PART
1
TAXPAYER RESPONSE
1. SlOr.K A - iI' the lnlorlllatlon And cOlliputntlcJ(l In th8 notlcG ~'lro cornlct end t/ecluctlonl flrll not being ol"I,"ld, pllloe em "X"
In blo<;1< "." of Ptlrt 1 of thlll "Ttlxpllyer Ruponsn" y(lctlon. Sign two copies and submit the", with your chllck for the fllllount of
tllX to the RAQllter of 10111111 of the county Indlcflted, Iho PA Doparlmont of Rovonuo 01111 19Sue tin offl01nl tltleumont
<Forlll REV-IS48 [X) upon reoejpt of the retllrn from tho Rll~lstor of Wills,
2, nl.OCK D . If tho nunt speclflod on this notlCQ hl:ls l1(1on or will hll roporhd nnd tn,l( pilld with the Ponnsvlvllnln Inherltftnc8
Tax Return filed hv the decedent's roprosontlltlvll, pln<:o nn "X" In block "8" of PArt I of tho "la~pllyor Ruponlo" section, Sign one
copy nnd roturn to the PA Department of Re\,lenult, Bllroau of Individual TaKos! Dapt 2806011 Hnl'rl9burg, IIA 17128-0601 In the
erwolope provided,
3, BLOCK C . If the notice Informlltlon 11 Incorrect andlor dedllctlons nre helng <:Inlmnd, chook hlllCk "C" and complate Parts 2 and 3
llccoruillH ,U lil. :1I~l.......tlvlllo Lo.l...w. :>1911 ...... .,;c.;;\,1!} <1r,>1 :HJbt:1lt thll~\ ;lltt', ~'O'.lr ~t,;:cP' 'e:" th:: mllo~mt of t!lX plly::\b1o to tho P.tolt.1f
of Willi of the county Indlcllted, The PA Oopar'tment of RovemJo will IllfHJe an olflclol 115805511\1Int <for," REV-1548 EX) upon receipt
of the return frail! the Reglstor of Wills,
TAX RETURN
PART
2
TAX COMPUTATION
LINE
I, Entyr
NOTEI
the date the account orlglnollY W8S established or titled In tho manner oxlstlng nt dllts of death.
For I'l decedont dyIng llftnr 12112/821 Accounts which the decadont put In joint nlllllfll OIlthln anl1 (1) year of
ta~llb1e fully llll trllnsf.rs. HOlofe\,ler, there Is an oKc1uslon not to eK(leed $3,000 per lrllnsferoe rogardle81
the IIccount or the nunlbar of I'lCcounts held,
If a double asterisk (1111) appears before your flrtlt nalll" In the nddress portion of this notlca, tha $3,000
III ready hal been deducted fro," the account balonce 8S reportod by tho (Inon<:lal Institution.
del'lth Are
of th... ~ue of
0'\
eX(Jlusl~
-t
t
~.)
2. Enter the total balance of the l'IOoount In<:ludJng Inter09t accrued to the date of dellth,
3, The percent of the I'IOcount that Is hl(8b1e 'or ench survivor 1& deternlined tIS follows I
A, The porcent taxable for joint essets flstllbl1shed Mr. then one year pr lor to the decedent's deethl
1 DIVIDED BV 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) . ,167 X 100
16,7r. (TAXA8LE FOR EACH SURVIVOR)
".
:It
-
..
N
C)
but held
OIVIOED BV TOTAL NUHBER OF
JOINT OWNERS
Exalllplel A joint a9BQt roglsterlld
OIVIDED 8V TOTAL NUMBER OF K 100 PERCENT TAXA8lE
SURVIVING JOINT OWNERS
In the n8me of the decQdQl'lt end two othor parsons.
8, The percent tllxeble for 81setl creDtod wIthin one year of the decadent's doath or eooountl owned by the decedent
In trust for onother IndlvlduaHs) (trust bene,lclarlos)!
I OIVIDfD BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST 8ENEFICIARIES
)( 100 " rERCENT TAXABLE
Exa.ple: .Joint account rllvllltered
thl deoedent.
1 DIVIDED BV ~ (SURVIVORS) . .50
In the mUlle of tho decedont (Ind two other persons andest8bllshed withIn one year of death by
X 100
SOr. (TAXABLE FOR EAC~t SURVIVOR)
4. The &fIount subject to teK I1lne 4) Is determined by multIplying the Mcount blllance (lIne II by the percent taxable Cline 3).
5, Enter the total of the dobts and deductions listed In Part 3,
6, fhe alllount talU'!ble (line 6) Is determined by subtrllctlng the debts and deductlonl (line !'I) I'roll! the Alllount sUbjeot to ta~ (line 'lJ,
7, Enter the apprQprlllte tftX rate (line 7) liS detormlned b~low,
A. For datQII of death ocourrJng aHer 6/30/9(" thll 181( rates for tranlfers to SPOUIU are a, 'oIlOWII
1, Datu of duth on or after 7/1/94 and before 1/1/9!i the rllte Is 3r..
2, Datu of death on or llfter 1/1/95 trllnlftrs to SPOUIillt! 01111 be tll~ed 9t 0% tllx rAt".
Hotel For datu uf neath prior to 1/1/94 transfers to SPOUUII arll taxable flt 6r..
8. Transfers to 11nllal ducendElnts Including father, mother, son, claughter, grllndchlldr"n, son-In-law,
dAllghter-In-law, stop<:hlld flnd their IUlIe Are lllxl'lble at slK percent (6r.).
C, TrAnsfers to all other I Including brother, slslor, uncle, tlUnt, nophew And nloce aro tll~lIblll I'lt fifteen porc.nt (15%),
0, If you change the tA~ rata, ple891l ~peclfY your f'olatlom.hlp to the decedent In the !lrllI f11'ovlded,
8, The 1l1ll0~lMt of tnx due \llne 6) Is deterllllnad by l!Iultlptylng tho "Munt tflxable (line 6) bV th'il tnx rAte <Ilno 71.
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allownble d~bt, and deductions nre determlnod fll followsl
A, You legally lIrll rllponllble for pllYlllent, Of' IhA llstllte subject to lulll!lnhlratlon by It f1orlonel repruentl'ltlve h Insufficient
tQ JllIY tho deductible It8llll,
8, You actul'1lly paid thl dllbtli llfter denth of 1t1" deCAdont and can furnllh proof of p/lVlll.nl.
C, Debts being cllllllled /Illllt be ltellllllld fully In Pnrt 3. If <'lCldltlon81 spllce Is nilllded, Uie rlllln PllP.r 8 1/2''' I( It", Proof of
fillYllle"t IUIY be reqlluted py the PA Oepllr t",.nl of Revenue,
-
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, TDDI (717) 772-2252 (HEARING IMPAIRED ONLY)
COMHONWF.~l1t1 or prNNSYlVANI~
Urp~~'HF.Hr OF IuvrN\Jr
BURr~u Of IHOIVIOUAl IA)([S
QUIT, 260601
I1ARRJSBURO, PA 171;'8-0601
~iINFORMATlNODN NOTICE I FILE
IfHIfJ/1' TAXPAYER RESPONSE ~CN
!lATE
'lY.I~", u II~ (/"~I
_ mr..____-.._........_...........,...""" ,~'"
(,'i:'
) '. ,\>
NO. 21
96125090
06-25-96
EST. OF MILDRED E GILL
5,5, NO, 162-22-1482
DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
TYPE OF ACCOUNT
Ix] SAVINGS
[J CHECKING
[] TRUST
[] CFRm ,
TOMIANNE G MANN
5248 MEADOWBROOK
MECHANICSBURG
DR
PA 17055
REMIT PAYMENT AND FORMS Tal
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FeD CREDIT hili provided the Departm.nt with the iniormlltlon listed below which hils bRBn uud in clllcu1""tlng the
potentll'll tllX due, Their reoordo Indicate thnt tit the dlloth of the above deoodent, you ~I"re II .Joint D\oInor/beneflclary of this llCcount,
If !fOU fRBI thlli Inforllllltlon Is Inoorrect, pluse obtain OIr1tten corroctlon frolll the flnlloclnl institution, attach Il cop>, to this form
and roturn It to the IlboVR l'Iddrou, Thlli Moount Is taxablo \n l!C<:ordanoo with the InharltancCl Tilx LIlWIi of tho Com,"onwealth of Pennsl/Il/ftnill,
yuegtlons ~oy DO answered by call1ng {/lll IH/-83?I,
COMPLETE PART 1 BELOW MM. SEE
Account No. 1 3616 - 0 0 O.h
Est.bUshed
REVERSE SIDE FOR
03-30-76
FILING AND PAYMENT INSTRUCTIONS
Account Balance 5 I 185 , 1 7
percont T.x.blo K 16 , 667
Amount Subjeot to Tax 864,21
Tax R.t. K ,06
PohnU.l Tox Ou. 51,85
PART TAXPAYER RESPONSE
IT] I FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE 1
A, 0 The abovo information and tax clue Ig correct,
1. You may choosy to remit pllymont to tho RQljllster of Wills OIlth tOlD cOf.dos of thIs notice to obtain
8 discount or nvold Intorost, or VOlI may chock box "A" ~nd return this notice to tho Reglstor of
Will!; and <In offlcltll1l5SQSSment \01111 bo Issuod by the PA noptlrt1Tlent of Rovanue.
To In$ure proper crodlt to your flccount, two
(i!) coplos of this notlcll must aCCOMpany your
paymo'lnt to tha Roglstor of wills, Hake oheck
payable tOl "Reglstor of wills, "glint",
Non: I If tal( pClymants lire mlldo wlthln thrall
(31 months of the (jllcm!ent's date! of death,
YOll mllY docluct a !'IX discount of the tax duo,
Any lnhorltanco tal( dllO will oecome dflllnquen\
nino (')) months aftor U1e (Jato of dllath,
[ C~W-I
BLOCK _
ONL Y
8, 0 Tho nbol,lo /lSf;lIt tins been or wiLl bo r1lport'ild Ilnd lnx p8ld with the Ponnsvlvnnlfl lnhorllnnco Tl'll( return
to bel fllod by tho dllcodont's roproloentntll,lll.
C, 0 The abnve Informlltlon III Incorrect nnd/of dehts nnd dodur.tlons worlJ pl'lId hy you,
- You !!lust COlllplets PART 0 and/or P~RT 0 below,
PART
~
If )"OLl indio.t. 8 different tax rate, pleese state )"our
r81et ionship to decadent I _______~______~_.._
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
Tl'.X
nETURN - COMrUTATION
1, Dot. E.t.bl1.h.d
2, Account eelane.
3, Percent Taxable
4. Amount Subject to Tlx
5, Debts and Deductions
6, AMount Taxab1a
7, Tax Rate
a, Tex Due
or
I
2
3
4
5
6
7
8
TAX Oil JCINT.'TnL'ST ACCOUNTC rAIl
1
2
~ 3
4
5
6
~ 7
8
DEBTS AND DEDUCTIONS CLAI~~
00
LINE
.~
'(. ;
PART
~
DATE
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
E
~
TOTAL (Enter on LJna S of TAX Co~putatlon)
L
.
Under pen.lt!.. of perjur~1 I declar. that the
cn~plete to the ba.t of my knowl.dg. end n.li~f,
{j 1" ,1 I
',)))~t.o._t.',)~{, -' )1 1 >' I:
TAXP~ER SIGNATURE
hcts I have r.ported above a,.e tr\.l., corr'ect end
HOME ('IlL /;l'~i l },~_
WORK (II I ) 'I', I i,1'I
TELEPHONE ~
GENERAL INFORMATION
1, FAILllRE TO RESPOND WILL Rf:SULT IN AN OFFICIAL TAK ASSESSMENT with "ppllcllhlll Irltorut 1I1I1olld on Ir1forllntlnn
liub.,ltted by the flnftflolnl Inlt,jtutl(In,
2, Inheritance tu becolII.' delinquent nln8 months Itftor thu dfH:ndQfll'~ dnto of (jollth,
;.'\, A Joint Meolln! I_ !'lllab1e 8ven though thll docodont's n"JIIIlI "HIS IlIldod os il "ll'lttur III lJonvt",lencD.
4. Accounts (Including tholll held helwun husband nnd wife) whiCh ttlll dOlJodont put III Joint MIllQ' within line 'laM Ilrlor to
death IIr. fully tmcnble <Iii trtllllfllir8,
5, Aocountl 'utabllllhlld jointlY blllOlllun hUllbnnd lInd wlfo llIor" th~n 1lIlD yonr prior to (hlOth orll not tll)(lIhIQ,
b, A<:counh held hy II decedont "In trust for" tlnothur (,r othor!l aro tft)(tlble fully.
REPORTING INSTRUCTIONS - PART 1
TAXPAYER RESPONSE
\, BLOCK A . If the Informlltlon find cOlllputtltlon In the notlc8 IIro carrucl ilnd dudllcllonl lire rIOt being c:lllhled, pln(lll IlIn "Xlt
In block "A" 0 f Pllr t 1 of thl IITllxpll\l1lr RCllpons,," Sllli tlon, ~ Ign two cop 101 Me! subm I t thalli with your chsck for thll 1I1ll0unt of
talC to the RIIglster 01 Wills of tho countoy Indlcfttlltd, The /lA Oopnrtnlllnt of Revenuo 01111 IlIuII nn offloIlll ftlUllllllent
(f"orlll REV-IS4/\ [)O upon rGo"lpt of the return from the Roglstor of Wills,
2. BLOCK B - If the 8810t sPGelfled on this /lotleo hllS bMn or will be reportoll am] blIC Pllld with the PonnsylvFmlll Inhorltanoe
TalC Retul-n fIled by the de/;ledent's reprlJSentatlve, pllloe lln "X" In hlock "8" of pnrt lof the "Tll'/(p8YOr RlIIPongoll 11Iotlon, Sign ono
copy !lnd roturn to the PA Oepllrtfllent of RevElflue, BuroAu of Indlvldunl Taxol, Oept 261)601, ttllrrlsbUfg, 1-'4 1"11?8-0601 In the
olwelope provided,
3, BLOCK C - If the notloe InformetIon Is Inoorroot llntl/(lr doductlons nro helng clnlmad, chock blook "c" nod oomphtn Pllrts 2 find 3
lIooordlf1\1 \0 lhl1 In.tr,/o;tlon.i uolluft, ~!gtl t..:I copl~t lInd !'jb~\t t"".. IJlth \Jnll!' rhank fnr tho lHnount of tll)( p8yllble to th,. RgQIstor
of Wills of tho county IndIcated, The PA DOpi3rtm'Hlt of Rnvtdnue will IUUQ llfl offlolnl IlSlns",on! (Form REV-1S(I8 EX) upon roc...l~t
of the return frOM the RegJ~t.r of Wills,
TAX RETURN - PART
2
TAX COMPUTATION
LIHE
I, I!nter
HOTEl
the dllto the account orlUln811\l ..-HIS estnbllshed or titled In tt1Q m!lnnGr Q)(15t1ng lit dahl of detlth,
For a decedent dyIng after 1211Z/821 Accounts whIch the decedent put In joint nemQ. within ono (ll year of
teICable fully al trans;fnrs, ttowQyer, lhQro Is an el<clUlIlon not to eICcaed $3,1)1)(1 IIQr transfereo rogtlrdlGBII
the account or the number of t1ccounts hold,
de&th at'e
of the va1uQ of
If a double tlsterlsk (Illl) t1ppe6rS before your first n<lmQ In the addrQss portion of this notice, the $3,1)00 el(c1usion
already hllS btlen deduotod from the tICoount blllance mi rUjlortBd by the f!mmc!tll lnstltutlon,
DIVIDED BV TOTAL NUHBER Of"
JOINT OWNERS
[ICampiel A joint auet registered
DIVIDED lW rOTAL NUMBER Of' X 1Il0 . PERCENT TAXABLE
SURVIVING JOINT OWNERS
In the /lamo of the decedent and two othor pat Ions,
<.D
0'\
o
(""')
-4
I
W
2.
,.
Entar the total batanoll of the account Including InlerQst tlcarl/ad to the dl'lto 0' death,
The perollnt of the Mcount thflt Is tax!lblll for Q80h f1urvlvor Is detllrmlned till followSI
4, The percllnt ta)(able for joint alluts ostabllshed more than one !fellr prior to tho docodent's d8llthl
1 DIVIDED BV 3 (JOINT OWNERS) DIVIOED BV 2 (SURVIVORS) . ,161 )(
100
l6.7~ (TAXABLE FOR EACH SURVIVOR)
:Po
:x
deoedont~t
held
8,
The peroent tll~8bl8 for 1I1sets crested wIthIn one !fHOr of the decodent's de8th or ~ocounts owned bv the
In trust for another IndivldunlCs) (trust beneflclllrlu):
..
I DIVIDED BV TOTAL NUMBER OF SURVIVIHG JOINT
OWNERS OR TRUST BENEFICIARIES
X 100 . PERCENT TAXABLE
N
o
EICallphl Joint ftccount registered
the decedent,
1 DIVIDED BV 2 (SURVIVORS) . ,50
In the name of thlol decedent Imd two other per lions :~md utllbll,hed within ono yellr of doath b~'
101) SO~ (TAXABLE FOR EACIt SURVIVOIU
4, Thl alllount subject to tal( (line 4) Is dete/.mlned b!f multlply!ng the account balsnce (lIne 2) by the peroent tllxllb1e (lIne 3),
S. Entor the total of the debts and deductIon. listed In Part 3,
6, The allount taXftble (~Ine 6) is deterllllned by lubtracting the debts Ilnd CleCluotlons (line ~J troM thl t!lIlount SUDjecl to Ut)( (1111" "I,
7, Enter the appropriate taw rllte (line 1) 81 dotermined below,
A, For datu of death occurr1tlg after 6/30/94, the tal' rlltu for trtmsfor, to SPOUsell are AS followS!
I, Datu of duth on or oftor 111/9(1 and bQfore 1/1/% the rllte Is 3%,
Z, Dntu of d211th on or tlfter 1/1/9S trnnllfers to spouses will be ta)((Id lit I)~ tax rate,
Nut'l For dates of dllath prior to 7/1/94 trllnlfers ~o spouses nre taxablo at 6~,
8, Transfers to lInllal du,"endl\rlh IncludIng fllthQr, mother, son, f1llUghter, grllndchlldron, son'ln~llIw,
daullhter.ln.law, stepc.hlld and their Issue ~te t.!IICSol9 nt sIx percsnt (6~),
C, Transf.rl to Itl1 others Including brother, sister, unale, nunl, fmphew and nluce lire taxable at flftoen p.rcent (IS~),
0, 11 YOU ohange the tflx rotll, plean specify your rollltlonShlll to the daoQch:Jnl In the nr.a provided,
8, Th. l'IlIount of tax ';U8 (line 8) lit detor!lllnod by multiplying tho BoMunt tl!xflble ClIne 6) by the talC rote <1lne 7),
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allow~ble d.btl tlnd deductlonl fire determlnod fill folloOll1
A. You legalh Dre rlllPonslble for pll~lIlent, or the Dstflte subject to admlnlstr8tlon by tI petSontll repruentatlve Is InsufficIent
to pay thll dltductlble 11811ll,
1\, Vell llctuallv pllld the debts after duth of the tlecodef\t /lnd eM furnish proof of IUlymellL
C, D.bts bolng c.1almed must bt Itellll1.lld fully Ir. Pllrt~, If flddlllomll spl'lce l!l nuded, use ph In pllper /I In" x It", Proof of
paVIIlent ml'l!f be rQql,e.tod by the flA OApartmAnt of Revilnue,
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) 787-0327, TDDf (717) 772-2252 (HEARING IMPAIRED ONLY)
PURPOSE OF
NOTICEl
P~VHENTt
REFUND (CR) I
!:~iJ
~" ();J
C) ,
Tofulfi1l the requlrelllenh of SeoUon 2140 of the InhArltanoe ancl.Estato Tax Aot, Act ze af 1991. OZ P,S;
SeoUon U40J.
Dltac)h the top portJon of thIs Notloe ~nd suhmlt with your peyment to the R~ghter of WIUs-prlnttd on the
rellerse slde,
-- Make check or lIIoney order p~Yable to: REOISTE~ Of WIllS, ACENT,
All psyments received shall fIrst be appliod to any interest which may be due, with any r.m~lhdQr applJed to the tftK.
A refund of a tax oredit, which wes not requested on the taK return, may be requested by co.pleting an "ApplioatIon
for Refund of Pennsyll.'emla Inheritance end Estate hill" (REV.B131. Applications fire avaUable at the OffIce of
thG Roghhlr of Wills, <lny of tho 2'\ ReI/Gnu" DhtrJct OUtcalt or by calling the special Z4-haur answering service
nUMbers for forllls ort1erlngl In Pennsvlvllnll, 1-800-3(lZ.ZOSO, ouhld" Penn8ylv~nl8 lInd within local
Harrllburg arOQ (717) 787M8094, TOO" (7171 772-2252 (H~8rlng In1palr'ed Only),
OBJECTIDNSl 4n~ party in Intllre.t not satisfied with th. eppra!,eMent, allowance or dlse~lowance of deduotlon. or a.s.....nt
of tall (IncludIng dlltcount or Interutl a. shown on this NoticI "lItY object within ,hty (60) day. of r.cllipt of
thll NoUe.bYl
uwrltt.n protut to the PA Oeparhlent of Ravanull, Board of ApPGlIlI, Oep\, 281021, Harrhb~.r", PA 17128-1021, OR
"Ilootlng to _have tho ,!!:ltter deterlllIned at thll audit of the aocount of the p-.rsonal rllpresenhtlvl, OR
-Mappeal to the Orphltns' Court
ADI1INM
ISTRArIVE
CORRECTIONS:
DISCOUNTl
PENAlTYl
INTEREST:
factuaJ error, dlsoovered on this 8SsMSlllltnt shoulrt be addrassod in writing tOI PA O~partm~nt of Revenull,
Buruu of Individual Tallll, ATTN: Post AUU511111nt Review Unit, OEPL 280601, tlllrrhburg, PA 17lZ8-0601
Phon. (7111 787-6505. See paM !J of the bookle't "Instructions for Inherltanoe Tall Return for a Rasldlnt
Otilcedent" (REV-IS0l) for an ellplanaUon of lldllllnlstr!ltivalv cornlctabh IiIrrorl,
If Iny tax due Is paid withJn thrAll (3) calendar Months after the detadent', dnth, Il flv8 peroont <s%)
dl,oount of tha tnK peld JI allowed,
The 15% t81l alllnlilsty non-participation penalty I. oo~puted on thg total of the tall and 1ntorest alses'ed, and not
paid befare Januftry 18, 1996, tho fJrst day ftfter the end of the tall "lIInlsty pllrlod, This non-participation
Ptlnal ty It app.a!flbh In tho Balli manner find In the the 8&111e tiMe plr lad 81 YOU would appe"l the tall and Int.r..t
that hal b..n ftltUlued ftS Indlcatod on this notice.
Intllrost Is otlargou be"lnnlng with first day of dellnqlllney, or ntne (9) lllontha tlnd on. (1) day
fro~ the d!lt. of death, to tha date of paYment, T81le. whJch became delInquent before January 1, 198Z
bear Jnterut at the rate of six (6%) percont per annum celculfltsd at a dally r~te of ,000164.
All tall'" which became dlilllnql!ent an or after J!lnuary I, 198Z will bur inttrlllt fit urate whloh will vary frail
cal.ndar Y'~r to calendar year with that rate announcRd by tho PA Oepartlllent of Revenue, The appllcab18
Interaat rato~ for 1982 through 1996 are:
Year IIlter8lll Rfth Dltlly Inhrut Factor
Year IIltercut Rate Daily Interest Faotllr
1987 9% ,000247
1988-J991 11% .000301
1992 9% ,000247
l'J93-l99" 7% ,000192
19%'1996 9% .000247
198Z
1963
19M
19n
19b6
--Interut
?O%
16%
11%
13%
10%
Jacftloulllted fir<
,0001:148
.OOrJ4U
.000301
,000356
.00027"
follows!
INTEREST. BALANCE OF TAX UNPAIO X NIIMSER OF DAYS DELINQUENT X DAII.Y INTEREST FACTOR
"Any Notloe Issued MtClr the tflll beco,"" d,lInquJlnt wll1 reflect 1m Interut tllicullltlon to flfte,,, (15) dillY'
beyand thl rlatll of the flUllllm'lnt, If payment Is /Ilade after the Intlrut computation rJlllte shown on the
NotIce, addttionftt Interetot fIIust be oftlculllted.
//) /)1/
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~. . ~\.,~
'~."!'i '1
''{v':;':,,,,)' "
tl.~r:'~:~/$'l\.. ;.\..1
f~,~:.i~~' t;.l~ ~
'/1.'",,' t'~tbj.
I~~,I "I~~'\""}' ,//.
BUREAU OF INDIVIDUAL TAXES
INfHllllMKI lAX DIVISION
llU'!, ,'I\Olol)l
HARREjlHJRlL !'A 1/1;'/j-1l601
NOTICE OF IIH1ERITANCE TAX
APPRAISEMENT 1 ALLOHANCr: OR DISALLOHANCE
DE DEDUCTION", AND ASSESSMENT OF TAX ON
,IOWTLY HELD DR TRUST ASSETS
~[,_ ',,>,\ l t I" ,,,. h.
TOMIANNE G MANN
5248 MEADOWBROOK
MECHANICSBURG
OR
PA 17055
DAlE 11-11"96
ESTATE OF GILL MILDRED E
DAlE OF DEATH 03-18-96
FILE NUM8ER 21 96-0738
COUNTY CUMBERLAND
SSN/DC 162-22-1482
ACN 9612(,421
1:----.,A-~;o;=T~ii~jj-~l:_:-~::_1
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 ~
REV: is'ili- EX" - AFP- -f oy.-rri>"l" --- - -- - -- - _n - - n - -- - - - - - -- -- - - - - - - - --" --- - - - - - - - - -- - - - _n_ - - _n - n_".... - -- - - - -.. -..
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
D^TE 11-11-96
ESTATE OF GILL
MIlORED
E DATE OF DEATH 03-18-96
COUNTY
CUMBERLAND
FILE NO, 21 96-0738
---
TAX RETURN WAS,
S,S/D,C, NO, 162-22-1482
(Xl ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
96124(,21
FINANCIAL INSTITUTION: MEMBERS 1ST FCU
ACCOUNT NO,
13616-41
TYPE OF ACCOUNT, () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
OATE ESTABLISHED 02-23-88
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rat. X
Tax Due
10,018,12
0,166
1,669,72
,00
1,669,72
,06
1 00 ,l.!!..
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
1(,:-b-<;:96-'
j ~lm~fi' : '" -r.::-'"''"'-'~::'' I
~ ,.,,,......~~--,----..~_....---t-~----,~-~------~- ~'r-'t-.-----~~---~--,
~~~ih!i~~~~-:.~-~=I
If PAID AfTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, .
I If TOTAL DUE IS LESS THAN $I, NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS ^ "CREDIT" I CRt, YOU MAY BE DUE A REFUND,
SEE REVERSE SIDE OF TIllS FORM FOR INSTRUCTIONS, )
RECEIPT
NUMBER
AA146823
.
<-~-
c.')
PURPOSE OF
NonCE I
To 'Ulflll the r.qulr.,."\. .' S.oUO" 214' 0' the I"h.rltooc. ."d E.tat. T"Aot. Aot " a' 1991. II~ P,S.
Seetlon 2140>.
PAYMENT I
D.t.Oh the lop portio" 0' thls Notl,. 'nd .ub,lt "lth YOUr P"'.nt to tho R.gl.tor 0' Will. prl"tod on \h'
rlverso IJde.
OM Make oheck or- money or-der pavnbJe tOI REGISTtR OF WILLS, ACENT.
411 p.,.."to r.'.lv.d 'h'll IJ,,\ b. ,ppll.d to ,n, 1"lor..\ "hloh m., b. du., "lth .ny ro"lnd.r .PpllOd \0 the tax,
REFUND (CR);
4 r.'und 0' , t" cr.dlt, "hloh "" not r..u"t'd on th, tOK roturn, ,., b, """t.d b, on'PloUn. .n "4ppllo.tlon
fcr R.'und of P.nns"""I, I"horlt,",. ond E.tat. fox" IREV'I3I'>' 4ppllootlo" or. ".11"1. .t tho Dffl.. 0'
th, R..Jot.r of Will., .", 0' tho " R.'.nu. Ohtrlot Dffloo. or by "Illn. tho ".01.1 l<-hour 'nsml". '.r"lo.
nu.b." 'or 'or.. ord.rln., In '.nnSYI'.nl. 1-800-361-2050, .ut'ldo '."n"',.nl' ."d "Ithln '...1
Harrisburg area (717l 181~8094, TDDIt OI7l 71Z-Z2S2 (HlIllrJng IIIlPaJred Only).
OBJECTIONS: 4", '.rty In 'ntor"t not "\I"I.d "ith Ih. o"'......nt, 'I'o",oc. or dl"t'"."o. 0' d.duotlons or ........nt
0' t., 11",ludln. dl".unt or 'nt.r.ot! " .ho"" an thl, Notl.. ..y Obj"t "Ith'n .IXIy (60' dmy. 0' r".lpt 0'
thh Notice by,
""ritt." prot..t t, the P4 O...rh.nt of R.vsnu.. Bo.rd a' 4P'..", D.pt, "'021, H.rr"bur., P4 17116-1011. OR
...,..tln. to h.v. Ih. e.lt.r det.reln.d .t the "dlt 0' the .""unt of the '..,on., r..r...nletlv., OR
.~ftPPul to the Orphanl' Court
ADMIN-
ISTRAtIVE
CORRECTIONS I
F..,u., .rrors dl"o".r.d on thl. ........nt .hould b. .ddr....d I" writln. 10: P4 O...rl..nl of R.".nu..
Buruu 01 IndIVldu.' Tox... 4TTN: Poot 4.......nt R.vl.w Unll. DEPT. "06'1, ""rJobur.. P4 11118-06"
Phone '7!" 18H505, s.. p... ~5 01 tho bo.kl., "Instru.tlons for Inhorlton" 10, R.tu," 'or , R"ld.nt
Decedllnt.. CREV-1SOl) for an 8)(plllnaHan of adlllJnhtratJveh c:orrectable IIrrOr-t,
DISCOUNTI
I' on, l8x uu. ,. ,.Jd within 'hr.. (3) '''.nd" "nth. .ft" the d.e.d."t'. '..'h, . IIVI '''c.nt <5%,
dJlcQunt of the t~k paId J~ allowed.
PEIIIAlTYI
Th. 15% 'ox .on".y n'"-'''llcl..tJ." p'nolty " co..ut.d on Ih. t.... of Ih. .", ond Int.r." .......d, ond n..
..Id b.lor. ./onu." 18, "'6, tho fl,,, d" "." tho .nd ., the ." .on"" ..rJo'. lid. ".n-p"tlol..tlon
P.noity " .".'I.bl. In th. .... '."n.r .nd In .h. the .... Il.. '''10' .. ,." "culd ....., Ih. t.x ond Ih\.r..t
that has be.n a..alled al IndIcated on this notice,
INTERESTl
I"tor..t I. ch.r..d b..ln"ln. _Ith 'Irs. '" of d.Il"'''.ncy, or "In. '9J "nth. on. on. 'll d"
'ro. tho d.t. .f '."h. to Ih. d... of ""ent, T".. "hleh b..... 'ell"quent b./v" J.nu.ry I, '982
b..r ,"."." " .h. r.t. 0' '1, 16" P"o.nt p.r onnum OO'''''.'.d .. a d.lly ra.. 0' ,000164,
411 ..". wh'ch b.".. d.'lnqu.nl on or oft.r J.n"." '. 1982 ""l b..r Int"..t ,t. r.t. whloh WIl' "" 'r..
'''.'''or Y";' to "I."d.r ,." with th.t ral. ,"noU"'.d by Ih. 'A D...rt..nt 01 R","u., Th. "pllc.bl.
Jnterut ratu fot 1982 through 1996 llrel
Yellr Interest Rate Dally Intetrut Factor ~ Intarut Rahi Oal1~ InterDlt Factor
- -
198Z 20% .000548 1981 9i; ,0110247
1983 16% .000438 1988~1991 11% ,000301
1984 11% ,000301 1992 9% ,000247
1985 1$% .000356 1993-1994 7'1. .000192
19a6 10% ,000214 1995-1996 9% ,000Z47
--Inhrest is calculated .. fOllows;
INTEREST = BALANCE OF TAX UNPAID X NU~BER DF OAYS DELINQUENT X DAILY INTEREST FACTOR
"A", Nollc. I"".d .ft.r .h. lox ......, dol'n.u.nt "Ill '.""t '" 'nter", "'C"lotl." t. flft.," <15> .."
."on. Iho d.t. 0' the ........"t. If P".."t " ",d. .fl.r .h. Int.r... "o.putollon d.t. 'h."" ." Ih.
NotJc., eddJtJunal Intereat ~Ult b. r.~lcUI~tlld.
PUP-POSE OF
NOTICE:
PAVH[:tHl
R\::FUND (CR'1
{,
.",#:;t
f.,)~")
To fulfill the requlro/llonts of Section 2140 of the InherItance lInd Elitate Tftll 'Act, Act 2Z of 1991. (12 P,S.
Seotlon ZI40).
Detaoh the top portion 01 this Hotice and submit with ~our PlIY/lllnt t~ the Ro9Jstfir of Wills printed on the
rllverse side,
.M Hfiko ch~ok or monoy order Pftyftble tOI REOlsTER OF WlllSj AGENT,
All payments received shftll first be applied to any lntenut l~hJoh 1Il8Y ba dUej with Ilny rQlllalnder applJed to the hx,
A rafund of a hlll cr8dtt, which wall not f'eqllutEtG on the tax raturn, nifty be requuteu by oompleting an "Applloatlon
for Refund of Pennsylvanlfi lnhllrlt.mcll and Elltllte Tax" (REVM13131. Applications nre lIv81labla lit t.he Office of
the Register of W1lls, mw of lho 23 Revllnuo District Offices or bY'Clllllng thA speclal 24-l1our tlnswerlng Ilervloe
nUIllb8rs f-.,r- forms orderIngl In PunnsYlvllnla IM800.362'2050, outside PonnsyJvstJ\lI and within local
tlsrrlsburg area (17) 787M8094, TOOM (.fln Tl'Z-?2f:J2 (!-learlng Impaired Only),
OBJECTlONSI Any party 1n interest not ntJsfled with the l!lppr8\sfUlGnt, allowanc. or dl5ellloWllnCQ of deductions or tlUnSMant
of hll <IncludIng disoount or Interutl III she-loin on this Notice 1118Y Object within sht'J/ {60l days of receipt of
this Hotlce bYI
uwrlthn protut to the PA O.partment of Revanue, Boord of Appefth, Dept, Z810l1, tiarrlsburg, PI\ 17128-10211 OR
'-electlng to h8...e the matter deterlllin.d at the lludlt of th" lICllouflt of the pers~ntll rf~pr8Santlltlve, OR
H8pp8l'l1 to the Orphans' Court
ADMIN-
ISTRATII,lE
CORRECTIONS I
DISCOUNT I
PENAlTVI
HlTEREST I
Factual errors dlsoovered on this l!Is'.ss~ent should be 8ddral5ed In writing tal PA Oepart~ent of R....anu.,
BurellU of Individual Taxu, ATTNl Post AUQSSlll8nt Rev Jew Unit, DEPT, Z80601, tll'lrrlliburg, PA 17128~OMl
Phone (717) 781-6!iOS, Seepago S of the booklet "Instructions for Inherlhnee Tall Return for 8 Rulcl.nt
Decedent" (RtVMlSOll for an 81lpl8ntttlon of adllinlstratlv41y corr.chlbla errors,
l' "IW tall due Is pald within three (3l calcmdar Rlonthl IIHer the clecod8nt's death, 8 fl.... percent (Sin
discount 01 the tall p8Id II allow.d,
The 15% ta)( allnelty non'partlclptttlon PClnlllty lsoolllputed on the tot,,1 of the t8)( and In~.rQlt ftuundl and not
paid haforo J8nu8ry 18, 1996, th. 11rst d"y Mtar the ontl of the tall alllnuty period, fhIl non-partIcipation
pemdty h apP.lIIlIbllll In tho S8111e mannet IIlId In the thlll Sllllle time per.lod as you would apPliUll the ttllr: and Interut
thtlt hili b...n auass.d liS IndiCflted on this not loe,
TntlrQst 11 ohl'lrll.d bltAlnnlnll wlth first d8V of dellnqllenoy, or nine (9) IIIonths Md one (1) dAY
frolll the date of death, to the dBte of pay",el1t, TlIllU which b.oallle d.lInquent beforl Jftnullryl, 1982
bfllllr Interest at the rat. of six (6%) pflrcent p.r Mnum C"ICl!lated l'It II dailY rllte of .000164,
All tS)(U which beOMe dallnquenl on or after JflnUllry L 1987. will bur Interest llt II rate whJQhwlll vflry froll
cahndllr YGllr to ca1endftr vear wi th thai rllte .mnouncod by the PA DGPartlllent of Rlvenue. The llpplloabili
Interut rlites for 1982 through 1996 nrl:
Year Interest RlJtu Dally JntQrest fl'l<1tor YfIllr Inhrnt R8h DlIJly Interut Factor
tC)82 20% ,000548 1981 9% ,000247
19lH 16% .000418 1988-1991 11% ,000301
1984 11% ,000!.01 1'J9i' 9% ,000241
1985 13% ,0003% 191H,1994 7% ,OOOltJ2
1986 to% .000214 199!i-19% 9% .000i'47
'"Interest II ohloul"tQd " follows:
INTEREST . BALANCE or TAX UNPAID X NU~BER or DAYS DELINQUENT X DAILY INTEREST rACTDR
-'Any Notice lUlled nfttll' thft tllX beca"'u delInquent "1111 refl.ct an Interest cfllcullltlon to fIfteen (Hi) dllY'
beyond thll date of thfl IlSlUS"'ef\t. If pllvment Is 1Il8d. llftu thll Inhr..t COIIPLlta\lon dfttll Ihotm. on thl
Notice, Ilddltlonal Irlthrest ",Ullt be clIloulnted,
1') u)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.\,~
~~'(~~
rrrd~~t
BUREAU OF INDIVIDUAL TAXES
IHHf.RllAHC[ ",I( ()JVI~iIOH
nr.PT. ['MhO I
HARIHSBURG, PA \l1<:I\-0601
HOTlCE OF IHIIERI1'AHCf; TAX
APPRAISEHENTJ. ALLOWANCE OR .DISALLOHANCE
or DEDUCTIONS, AND Assr;SSHENT OF TAX ON
JOHITLV HELO OR TRUST ASSETS
Il 'I. : ~.s \l HP 101.11'
DATE 11-11-96
ESTATE OF GILL MILDRED E
DATE OF DEATH 03-18-96
FILE NUMBER 21 96-0738
COUNTY CUMBERLAND
SSN/DC 162-22-1482
ACN 96124(,23
f=-~:-'A=U.:T.:~~:d -~:~~1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARdSLE, PA 17013
TOMIANNE G MANN
5240 MEADOWBROOK
MECHANICSBURG PA 17055
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
k-E-V:iSiis-Eif-AFP--fo;r:9E;j-----------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-11-96
ESTATE OF GILL
MILDRED
E DATE OF DEATH 03-18-96
COUNTY CUMBERLAND
ACN
96124423
FILE NO, 21 96-0738
TAX RETURN WAS,
S,S/D,C. NO, 162-22-1482
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, MEMBERS 1ST FCU
ACCOUNT NO,
13616 -(,2
TYPE OF ACCOUNT, () SAVINGS ( ) CHECKING ( ) TRUST (lO TIME CERTIFICATE
DATE ESTABLISHED 02-23-88
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Daductions
Taxable Amount
Tax Reta X
Tax Due
11 ,019,93
0,166
1,836,69
,00
1,836,69
,06
110.20
TAX CREDITS:
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,"
\--'PAD11lT- .~. RNEJJBI:r-- -~~ n~!~~~~r'\: t~f___=:~M~UNT-"-Ai~.~~
10-04-96 ---AAI46823 - ,00 110,20 \
I I
. IF PAID AfTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ·
( IF TOTAL DUE IS LESS THAN tl, NO PAYHENT IS RLQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDn" { CRI, YOU HAY 9E OUf. A RHUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I
--_.~<,~-~....----._'
PURPOSE OF
NOTtCE1
PAVMENTI
REFUND (CR)1
(J\
(/'
"
.)
o
To fulfill the requlremenh of Seotlon 2140 tlf the Inher1tanCJe and Estnte Tft)( Aot, Act ZZ of 1991. (72 P,S.
Seotlon 2140),
DCtltach the top part Ion of thl, NoUce IInd subllllt with your pay",ent to the Register of Wills printed on tho
reI/ern sld~.
.. Make check I1r lIloney Ordll!" payable tOI REGISTER OF WILLS, AOENT,
All pay~ent. reoel~ed shall first be upplied to lIny Interest whIch lIlay be due, with lIny re~~lnder applied to the tall,
A refund Df <I tnll oredit, ..hJch Will nut requested on the htK return, 1T1llY be requuted by cOllpletlng an "A~rllcat1on
for Refunn of PennsYlvania Inherltanco Ilnd Estah Tnll" (REV-1313). Appllcatlorll nre avaIlable at the Office of
the Register of Wllll, /thy of the 23 ~el/enlle Dlstrlot Offices or by calling the spec!ul 2(j-hour ans..ering ..rv!ee
nUllberl for for~1 ordering! In PennSYlvania l-aOO-~6~-20SD, outside Pennlylvanla IInd within loc~l
H<<lrrllburg 8rlla (717) 7ft1-8094, mD~ (717) 71Z-Z2S2 (Hearing hlpaIred Only).
OBJECHONSl Any pllrty In Interut not satIsfIed with the appral18lllent, ftl1oWlH'lCO or disallowance of deductlonl or a.......nt
of tal< (IncludIng dllcount or Interest) tul shown on this NotIce May Object within .lllty (60) day I of rocelpt of
thlt Notice bYl
"written protut to the PA OOpttrtlllnt of RevenuI, Board of "ppuls, D9pt, 281021, tlarrilburg, PA 17128-1021, OR
...!ectlng to have the lIIatter detenlinlld at the I'ludlt of the account (If th" perlonal represenhltlv., OR
--appeal to lh. Orph8n.' Court
ADMIN-
ISTRATIYE
CORRECTIONS1
DISCOUNTl
PENALTY I
INTEREST1
faotual Mrror. dllool.'ared on this asseos~ent should be addres.ed In writing tal PA DepartMent of R.venue,
Bureau of Individual TUII, ATTNl Post busSlIlent R.vlew Unit, VEPT, 280601, Harrl.burg, PA 11lZ8-0601
Phone (7171 781-6S0S, S'll pflge S of the bookl"t "Instructions for InhMritanee hlK R.turn for a R..id.nt
D.c.derlt" (REY-lSOII for 1In uphnlltlon af ad.lln!stratJv.ly corractable errorll,
If lIny tal< due Is paid within thrllG (3) calendar lI10nths after th. dee.d.nt's denth, a five pere.nt (S%)
discount of th. tall paid Is allowed,
The l!:l% t81l a~nflsty non-pllrtloJp8tlon pen81ty 1& cOlllput.d on the tot<"ll of the t8>< Md Intar..t lIue1l5td, and not
paId b.fore January 18, 1996, the t1r.t day l'lfhr the .nd of the tall allfluty period, This non-partlclpl'ltlon
penalty Is appea18ble In the lia.e IIIflnnllr 8nd In the the 11811e llllle period os YOII would appeal the till and Int.r..t
that hu be." a......d as Indlcatld on thll notice,
tnt.rut I. charged beginning with first day of delinquency, or nine (9) Months and one (1) day
'roil the date I)f death, t" the d8h of pl!ly""mt, TallIS whloh bOCMO dellnquRnt hlfor. January I, 1982
bur int.rut at tha rate of sill (6%1 perr.ent per annum calcll18hcl Ilt a dally rate of ,000164.
All tUII which b.callle d.llnquent on or Ilfhr JllnUary I, 1982 will beer lnhrest at 1'J r8te which will V8r~ frolll
calendar yenr to oftlel'ldlll' yeor with th'lt r8te r.nnounced by thll PA Department of Revenue, The applicable
Interest ratu for 1982 through 1996 arel
Vear Intere.t Rat. Dl'lllv ~nt.rtlt Factor
Vear 'Interut Rate nallv Intere.t Factor
1987 9% ,000241'
1988-1991 11;': .000301
1992 9% ,000Z47
199J-Jlj94 1% ,000\92
19%-}l)1)6 9% ,000Z41
\982
1983
1984
19M
1986
--Int.rut
20%
16%
11%
13%
10Y.
I, calcul8ted ftl
,000S46
,0004311
,n00301
.0003S6
,000274
fol10wSl
INTEREST = BALANCE OF TAX UNPAID X NUKBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice Iltued Mtar thQ h'lll bllCOIUl1i Ollllnqullnt will rofleet IIn Inhr8llt clIlcullltlon to flftlln (IS) days
boyond the dllhl of the lISUUIIlent, If paYlllont II made afttlr the Inhrllt cOllflutntlon date shown on ttl.
Notlc., addltlonnl InhrClst MUlt b. r.aleulflted,
PURPOSE OF
HOTICEl
PAVHEHTI
REFUHD (CR)1
(--
I
-.-.! .;.;,
00
To fulfill the requlrelllenh of SectIon 2141) of the Inheritance and Estete Tall Act, Aot U of 1991. en P,S,
SltotlonZl40),
Oetach the top portion of thJs Hotlr.a and sub~lt with your paY~Qnt to the Register of WIlli printed on the
reveru side,
.- "ake check or money order payable tOI REGISTrR OF WIllS, AOENT,
AU lHly",enh reCfllved shall first be applIed to !lnv Interut which may be d~le, with an~ remainder applied to thll tel<,
A refund of a tall credit, whioh W8S not requested on the tall r"turn, may be requuted by cOlllpletlng an "APplicatIon
for Refund of Pennl',ylvanla Inheritance llnd Estflte hlltt (R(V-13Bl, ApplJoatlons are avalhble fit the Offloe cf
the Register of Wills, any of the 23 Revenue District OHlou or by ceJllng the special 24-hour answorlng servloe
number. for forms ordering: In Pennsylvania 1-800-362-Z050, outside PennSYlvania and within lec~l
Hllrrlsbllrg flrea 0\7) 787-8094, rooll (7171 772.2ZS2 (Hearing Impaired Only),
OBJECTlONSI Any party In interut not satl&fled wIth thll appralsllllent, alluwllnce or disallowance of deductions or alliUlllent
of tax Ilnolu(Ung discount or Interest) u sho\>ln on this Hotice lIIay Object \>IlthJn sb:ty (60) day. of receipt of
this Notic. bYI
"written protest to the PA Departlllent of Revenue, Bonrd of ApPtllu, Oept, 281021, HarriSburg. PA 17128~1021, OR
"electing to hllve the lIIatter deterlllined lit the audit of the account of the pGrsonal representative. OR
--appanl to the Orpho!lns' Court
ADHIN-
ISTRA'ilVE
CORkEC T10N~ I
OISCOUNTI
PENALTY I
INTEREST 1
Factual errors discovered on this asses"'lent shOllld be o!Iddressed In writing tOI PA Oepartlllont of Revenue,
Bureau of IndlvldUlll TllXes, ATTNl Post Auuslllont Review Unit, DEPT, r80601, Harrisburg, PA 17128-0601
Phone (717) 787'6505, Se'i page S of the booklet "lnstnlctlonl for Inherltllnce Tall Rlturn for a Resident
Decedant" (REV'15011 for an ellplanatlon of Ildllllnistratlvejy corrlctable errors,
If any tell due Is prliti within three (3) Cllhndllt Illonths afhr the decedent's dClo!lth, II five percent (s%)
discount of the tsll paid 11 ll11owed,
The 15% tall a~nestv non-parttclpatlon pennlty Is computed on the totel of tho tall Ilnd In~erest llslesled, Ilnd not
Plthl bofore January 18, 1996, the first dllY I'lftor the end of thl tall alllnuty period, This non-pl'lrtlclpatton
penalty I. appulllble In the SaMe lIIal"l"er IInd In the the sue tlllle period as YOU would appeal the tu and Interut
thllt hili been aliened illS Indicated on this noUce,
I~terl.t II chargld beginning with first day of delinquency, or nine (9) months llnd one (1) day
froll the dat. of dlllth, to the dllte of paYMlnt, T!l)(tI \>Ihich beClllle deltnquent before JanU8ry I, 1982
bUt Intetut at the rate of sill (6%) percent per flnnUIII cnlculahd I'lt e dally rnto of ,000164,
All tallQl which bltcame delinquent on or lifter J8f'luary I, 19f12 will bear Interest at II rate whloh will vary fro.
cl'lhndar year to calendar year \>II th that rate llnnounced by the PA Departlllent of Rel/Clnue. The al'plleabie
InterlSt rfltes for 1982 through 19<:J6 lire I
Yur tnt.rut Rate O"lty Interut Factor Year Intsrlllt Rate Dally tl'lhtrlut Factor
1<J82 ~07. ,000548 1987 9% ,000247
1983 16% ,000434 1988'lQ91 11% ,000301
1984 11% ,000301 19q2 <1% ,000247
I<las 13% ,0003S6 19q~'1994 7% ,000192
1986 10% ,000274 19%-1996 9% ,000247
--Interest Is calculated .. folloWSI
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DA~S DELINQUENT X DAIL~ INTEREST FACTOR
--Any Notice Issued after the tall beCOIllU delinquent will refloct lln Interut clIlcullltlon tll flftnn <IS) d~ys
beyond the data of the IlIIUllIlent. 1f paVlllont Is IUIde fitter th. tnterut COMputation data shown on the
NotJc., llddltlonlll Int.r..t !lIUlt b. clll\lu!f1ted,
PURPOSE OF
HOTICE I
PAVMEHT:
REFUND (CRlt
"
.,:
,,')
I
~, ~!
j .Ie)
To fulfill thCl requlrolllonts of Setltlon 21(,0 of thG InherltancQ,flnd (.tote Tax Aot, Act 22 Qf 1991, C]Z P,S,
Section Z140),
O.tech the top portion of thl. Hctlce and submit wIth your payment to the Register of WillI printed on the
r.....rll sid.,
-- Hake check or ~on.y order payable tal RtGISTER OF WIllS, AGEHT,
All p!lY'"enh recell.'ed shall fIrlt be llPPlICld to any Intarost Which lII/'1V be duo, with !'IIlY relllsJllder lIPplled to the tftll,
A refund of ill tftll crodlt, which was not requested on the tal( r.turn, lIIay be roquested by comphtIng an "Application
for Rofund of P.nllsylvanI", Inhet'itanco and Estate -rAlllt (REV-1313I, Appllc~ltlons rill) aVAllabl. tit the Office of
thl RIghter of Wills, any of the Z3 R"venue Dlutrlct Offices or by colling the special 24-hour answering ssrvlce
nUlllbers for forms orderlngl In Pennsylvania 1'8C!0-36Z-20!;O, outside ponnsy1vi!lnJa and within 100e1
Harrisburg i!lrn (7171 781-8094, TDOll (111) 772-ZZSZ (Hurlng Impaired Only),
oeJECTIONS: Any party In lnt.r..t not latlsflad with the appralse~Rnt, allowancl or dlsftllowance of deduotlons or a.I.....nt
of tall (Jnoludlng discount or Intel'ut) as shown on this Hotloe IIIay objeot within sllltv (60) day' of rec.lpt of
this Notice bYI
"written protut to tho \~A Departlllent of Rovemle/ Board of Appeals, D8pt, 2810ZI, Hl!lrrlsbutg, PA 17IZ8.102l, OR
".hctlng to hrlVll tha IIIattllr dllterlllned at the audit of the account of tha personal rllPrlluntfttlvl, OR
- -applrll to thlll Orptlftnl' Court
ADMIN-
ISTRATIVE
CDRRf.CTIOHSI
DISCOUNT I
PENAlTYI
INTEREST I
factual errors discovered on this asseosmlllnt should be addressllld In writing tOI PA DlllpArt~ant of Revenua,
Bureau of Individual Tax.., ATTN: Post AUOIu,ent Rlvi.w Unit, DEPT, Z80601, Harrl.burg, PA 171Za~tl601
Phone (717) 787-6S0S, See page S of the bookl.t "Instruot1clhs for tnherltano~ Tall Return for a RuldMt
Dacadlnt" (REV-IS01) for af" Illplnnetlon of adllllnlstratlvely corrllchbh errors,
If any tall due I. paid wlthJn thr.. (3) calendar ~onthl "fter thll deced.n~'1 dillath, ft flv. p.rc.nt (5%)
discount of the tall paid 1ft allow.d,
The 15% tall a~nill.ty non-PArtlr.lpAtlon p.nalty II oOMputed on the tctAI of the tall and Interolt assl.,.d, And not
paId b.for. January 18, 1996, the flrot day after thll end of the tall allnuty period, This non-partlclpl!ltltln
penal ty II app.ahble In thl sallie manner !lnd In thl the sallla t IIIIIl per lod as you would apPllel the tall and tnt.rut
that he, b.ln a"osled A' Indicated on this notlc.,
Int.rest l. chftrged b.glnnlng with first day of d.llnquency, or nln. (9) months rind on. (1) drl'l
frail the d8te of duth, to tnl drlte of paym.nt. TallIS whloh blcalle d.Unqullnt b.forl January 1, 198Z
bur Int.rut 81 tha rate of sill (6%) p.rcent per nnnum crlloulahd nt a drlllv rat. of ,000164,
All tftll.S which blcnlll. delinquent on or after JanUAry I I 198Z will beAr Intor..t lit ft rat. whloh will ~ary frOM
calendar yuar to calendar Ylillr with that rote announcl\d by the PA nillprlrtment of Revenue, Thl appllcrlble
Inter.st rat'l for 198Z through 1996 rlrel
Vur Int.relt Rat. Dally Intarut FMtor Veftr Interest Rfttl Dally Intel'lIlt Factor
--
198Z ZO% ,000548 1987 9% ,000241
1983 16% ,000438 1988.}I)91 lJ% ,000301
1984 11% ,000301 1119? 9% ,000247
1985 l3% ,1100356 lljl}3-19l)lj 7% .000192
1986 10% ,000274 1991;.-1996 9% ,000:!47
--tnterut I, cftlculat.d .. followS!
INTEREST = BALANCE OF TAX UNPAID X NUNBER Dr DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Hotlo. lUlled aft.r the tl'lll bo()onAl dlilllnquenl 1'1111 ruflllct lIn Interest cltlC\dlitlo/1 to flft..n (15) dlWS
beyond the ollte of the Illlu.fIIl.nt. If paYMent Is made after the Interest COlllpullltlon date ~hown on the
Notice, Addltlonll1 Inhr.st III11St bill clllcuIAtQ,d,
PURPOSE OF
t4QTlCEI
PAYMENtl
REFUND (CRll
en
I
,
Ul :5.
i50
To fulfJll the requlrelllenhof Section 2140 of the Inheritance ~nd Estate TaK Act, Act ,~ of 1991, (72 P.S.
Stetton 2140),
Oetuch the top portion of this Notloe and submit with your paYllIont to the ~8gJstar of Will, printed on the
reverse sidll.
-~ Haka oheck-or money ordllr payftblll tOI REGISTER Of WILLS, AGENT.
All pftYllenh recel\l.d shtlll first bll applllld to Imy Interest which llIay b" due, with llny remainder sppll0d to the hK.
A, refund of 8 tall credH, which was not requested on the tax rllturn, may be requuted by completing an "Application
forRAfund of Pennlylvanla Inherlt&nco and Estate tall" (REV-1313), Appllc.!Itlonl <Ire ~vallllbla at the Offioe of
tha Register of Wills, any of the 23 Revenuo DIstrict Offices or by calling the specIal Z4-hour answering sorvlo.
nUMberll for forlU ord8rJngl In PMnlylvl!tnJa 1.aOO";S62.20S0, outside PennsYlvanIa and within Local
HnrrlsbuI'g ar.n (711) 787-B094. TDDII 01"1> 77i!-2252 (Hearing h!paIred Only),
OBJECTIONS I Any party in interest not sntlsfled with the appr~lseN8nt, aIlowanclI or dlsallowanc. of deductions or aSS.I.ment
of tall (inoluding dlltcount or intarest) as shown on thIs Notice may objllct wlthl~ sixty (60) day. of rllceIpt of
this Notioe bYI
.'wrJtten protut to the Pk Dapllrtment of Rev9nuI, BOlllrd of Appenh! Oept. Z61021, Harrhburg. PA 171Z&-1021. OR
~~el~oting to have the mnttar deterMIned at the Audit of the account of thll personal r.pre$entatIve, OR
~-appul to the Orphans' CO\Jrt
AD"IN~
ISTRATIVE
CORRECTIONSJ
DISCOUNT I
PENAllVl
IHTEREStl
Faotual errors dIscov'rlld on thIs asseSSMent should be address"d in wrlttn; tal PA n.pnrt~ent of Rel.'.nuI,
Bureau of Individual hlll'lt, ATTN: Post hsaulllent Review Unit, DEPT, 280601, HarriSburg, PA l7128~0601.
Phone (711') 787-6';05. S... p!lge S of the booklet "Instructions for Inherlhnce Tall Return for a Re.ident
Decedent" (REV-1S0l) for lln explanation of ad.l!nlstratively correctable errors,
If any tnll duo is raid within three (3) oalendar month. after the dec~dunt'l dGath, a flve plrcent (5%)
discount of th. tax paid Is allowed,
The lS% tax nlUluh non-p8rticIpat!Qn penelty Is cOMputed on the tot81 of the tax and Inhrut 811"lId, and not
paid before January 18, 1996, the first (jay after the end of the tall alllnuty period. This non~partloIpation
penalt)' Is appealable In tho sa!..'., 1118nnClr and In the the S!llle tJllle pertod al YOU would appeal the tax and int.,..st
that hu bllt&'" ell.ued aI Jncllcated on this notlc..
Interllt Is charged beginning wIth first dey of delinquency, or nine (9) Month. and one (1) day
frC\. the date of desth, to the dflh of pa'llllant. T81<81 whJch bflcallle delinquent bllfor" Janulllrll' I, 198Z
benr Interut at the rate of six {6%l percel)t por /lnnWIl cnlcl/letod at e delly r8te of .000164.
All talllS which booellD delinquent on or after Jen~lllry I, 1981 ~lill ben Interest at a rate which wlU Vary fro.
Clalendar yelH to calandl'lr YII~r with thet rnh snMwnced by the PA Dllp8rtlllllnt of Revenue, The llppllcabll
interest rahs for 1982 through 1996 aral
~ Inhr.st Rtlte ~~ntar.st fflctor Vllllr lntllr..t Ratlll n~lly Interut Factor-
1982 211% ,000S48 19M 9% .000241
19n 16% ,000438 1988-1991 11% .000301
1984 11% .000301 1992 9% ,000Z41
1985 13% ,0003SIl 1993~1994 7% .000192
1986 10% ,0002'4 1995'1?9fi lJ% .000Z47
-~Intllrest II Clsloulatlld .. follO'lf11
INTEREST . BALANCE OF TAX UNPAID X NUHSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NoUc. IlIued fIIfter th. tall boca_lei dellnqulnt will r.flect an Inhr..t clllculfiltJon to fifte.n (l~) dan
bllyond the datil of the 1l1....Il.nt, H pllVlrlont \s IIIAde fIIftor the Int.relt COlllputntlon dat. Ihown on thl
Notloe, additional lnhrlut IltUlt b. clllculat.d,
PURPOSl! OF
NOTICE I
PAVHENTI
REFUND (CR)1
t:(i
.:c, -'
00
To fulf1l1 the requirements of S8ctlon 2140 of the Inhnrltllnce and Estate hI( Act, Aot 22 of 19'H, 02 P.S',
Seotion 2140),
Deteoh the top portion of this Notice Md $Ubmlt with your payment to the Reghter of Wills printed on the
rIvers. side,
.. Make check or money order peyabJo tOI REGISTER OF WIllS, AGENT.
~ll p8YMent. reoelved .hllll flrlt be applied to ~ny Interest which may bill due, with any remelnder appliad to the t8~.
A rafund ',Jf a trill credit, whIch w"'s not raqull5tl!d on the tall return, nl8y be roqueshd by completing _an ttAppl1oetlon
for R.furld of Ponnsylvenla Inherltance Md Estate Tall" (REV~13t31, Applications are 8vPlI18b1e et the Offioe of
the Rallhter of Wills, any of tho 23 RevenuB OJstrlct Offices or by clIlllng the special 2l,"hour answering servloe
nUllIbers for forlllsordarJngl In Pennsylvanh 1-800-36Z-Z0S0, outsIde flenl'Sylvanle Hnd withIn j,ocal
Harrluburg aroa 1117J 787-8094, TDOIt (17) 772-2252 Otearing Impelrc;Jd Only),
OBJECTIONS I Any pl\rty in Interut not seU.fhld with the apprelsement, allowflnce or d1sellowan/JI of deductto,,1 or <<'ISln.Mlnt
of tal( (Including discount or Interest) liS shown on this Notlce may Obj8ot wIthin sixty (60) days of reoelpt of
this Notlcl bYI
--written protut to the PA Dop!'lrtllent of Revenue, Boar_('j of Appuls, Dept. 281021, tlarrlsburg, PA 111Z8-10Z1~ OR
"electing to hav~ the IIfttter deterlllined at the lludIt of the acoount of the porsonal repreuntative, OR
--IlPPslIl to the Orphanl' Court
ADH1N-
ISTRATJVE
CORRECTIONSl
DISCOUNT:
PENALTY,
INTERESTl
Faotual errors dhoovered on this asseSSMent should be.:tddressed In writing tOI PA Oepart",ent of Revenue,
Bureau of Indlvlduilll Taxu, ATTN: Post Assaulllent Revl&w Unit, DEPT, l6Q601, tiarrlsburg, PA 171Z8~0601
Phone (717) 787-6S0S, Soe pagQ 5 of the booklet Hlnltruotions for InherItence Thll Return for a Resident
necedent" (REV-15011 for an &Ilplanatlon of admInistratively correctable errors.
If &ny tall due is paid within three (3) calendar months nfter tho deoedent's death, a five percent (s%)
discount of tho tal( paid Is allowed,
The 151. tall 1I.nest~ tlOn~partlcJpation penelty Is computed on tho total of the tall and h,terut f1ueuad, and not
paid blforo January 18, 1996, the first day lifter the end of the tall flJlnuh parlod, Thh non'p~rticlpatlon
plnalty Is apP8alflble In the sall8 ",anner and In the the sallie time plrlod as you would appeal the tl!lX and Interllt
that hili been asslssld as Indl08ted on this notice,
Interest Is oharged beginning with fIrst day 01 nellnquency, or nine (9) months and one {II dflY
froll the data of death, to the date of payment. Tall" whiCh became delinquent before January 1, 1982
bear Interut at the rate of sill (61.1 peroent per annum clllculated nt a dally rflte of .000164,
All tM8S whIch beelillle de11nqulnt on or after January I, 1982 will b4lftr Interest at a rate which 101111 var,,!, fro.
c!\lendar yur to cslendBr yellr with that rate announced by the PA Oepartllutnt of Revlnue, Thu ItPpllcltbl.
Jnterost rateD for 1982 through 1996 8rOl
Vellr !.."~~ Oftl1v IntarRllt Fector
Year Interest Rate Oally Interut Fltfltor
1987 9% ,000i!41
19811-1991 11% .000301
1992 9% ,000Z47
1993~ 199'+ 7% .000)9;'
1995-1996 9% .000247
1982
1983
1984
1965
1986
--Intarut
20%
16%
11%
13%
10%
I, cl'Ilculated
,OOOS48
,000438
.000301
.000356
.00027,+
nil followSl
INTEREST. BALANCE DF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Arw Hotlr.e luued I'dter thl tall: becolllos delinquent wlli ",lfleet ml lntorut C1I1C\lllttlon to flft..n (1S1 ctft~S
beyond thlt dati of the fllSUllIIllInt, If Ilayment III JIlflde flfhlr the interest computation dah Sihown on the
Hotlca. nddltlonal Interut must till r.nlculshd.
r;(]
~
o
PURPOSE OF
NOTICE I
To fulfill the retluJre/lltllnh of Seatlon 214D of thtt lnhorltnncQ_e!nd Elilhlte Tal( Act, Aot ZZ of 1991. <7Z P,S,
SeotIon 2140),
PAVI'1ENTI
Detach tho top Port Jon of thls NotJ~o flnd lubmlt with your payment to the Register of Wills prInted On the
rel,l~rile Side,
-~ Make check or ~o".y order payablo tOI REOlSTER OF WIllS, AGENT,
.11 ..,...,t. ro,ol,o. .h'll Ilr.t ho '..110. t, ,." lntoro.. whlah .e, bo .uo, with .n, ,e.etn.er epplte. to tho t...
REFUND (CRJ I
· rolun. ,/ . tew ,ronlt, whl'h w.. no' requette. on lhe to< retu,'n, '" be requested by ,o'.letln. nn "APPllo.tt,.,
for Rafund of Pennsylvania Inherlte.nC9 and !:shto Tall" (RE\{~1313), APPlIcations lire avallab1Q at the Off1<:1l of
tho Rellhter of IoIJ1ls, any of the 23 Revenue Olstrlllt Offlcas or by callIng thv spealltl Z4~hoLFr fu,swerlng 111"1,1100
"Wllb.rl far forn"l ordllringl In PennlylvanIa 1-600-362-2050, outsido Penn3Yll.'lInia and within local
Harrlsbur"Q area (]11) 167.8094, TOOII (117) nZ-2ZS2 Olll!\ring Impaired Doh),
oaJ~CTlOHSI Any port, In lnt"e.t not seUllle" with the .pprnl...",., nl10..noo or .lsel10w.",e 01 .e.uotlon. or ........n.
af t~x (Intludlng d~lcount or. Interest) ~I shown on this Notice may object within IiIJllty (60) day. of reoeipt of
thh Notlc. bYI
'"wrllt'n prntes' tn the PA Oepnrt"nt nl ..,enue, 'oor" 01 Appe'h, O.pt. 2'1021, Hnrchbur., PA 17128-1021, OR
-.oleot!ng to have the matt"r dehrlllned at thl' aUdjt of the Mcount of the personal ropr8llentlltlveJ OR
--apPul to the Orphans' Court
ADMIN-
ISTRATIVE
CORRECTIONS:
Faotual errorn dJscol,lered on thl, allellillllent should be addras8ed in wtJtlng tOI PA Oepartment of Revenue,
BUreau of Individual Taxu, ATTN: Post AUllulllnx Revle... Unit, OEPT. 280601, Harrhburgl p~ 17128-0601
Phone (717) 787w6505, S.. page 5 of the bookht "Instructions for Inherlttlnca Tall Return for a Resident
O'cedllnt" (REV-IS0l) for an 8)(planatJon tlf admInhtratlvflly correctablllllrrorl.
DISCOUNT:
If any tall due is paid wlthJn thrlll8 (3) calendar monthtll'lfter the dOClldtlnt's death, a five peroent (5%)
discount of the ta)( paJd I. allowed,
PENAL TVl
Th. 1'% te, ..n..ty non-p.rtlol,.tlon nonelt, 1. 'n.pu..d on tho t'tnl ,/ tho t.. end Int.r..t ......... .n. not
paJd be for. January 18, 1996, the first day after the end of the tall .mnGsty perJod. ThJI non-partioJpation
penaHy h appealabl. In the sa"'e mar.ner and in th" the uu.e th,. plilrlod alii you Would appul the tal( and interut
that hat been ass,sled as Indicatod on thJs notlce,
INTEREST:
Interelt II charged hegJnning wJth flrst d5y of dellnqutnoy, or nJne (91 months and on. (1) day
fro", the date of dlll.'lth, to the date of Po!IYlllent, rltJ<u which becaMe delinquent before ,Ianuary 1, 1982
bear tnt.rut at the rate of sh (6%1 pllrcent per 8nnLJm caloulated at a dally rate of ,000164,
Ali t.... whioh boo... d.lInqu,". on or ,It" .J.nuor, 1, 1982 wlll b.er In'''est .t ere.. whloh will "" lro.
caln.ndftr yeer to cflhndar year ...lth that rat. announcQd by thll PA Oepllrtlllunt of Revenue, The applicable
Interest rates for 1982 through 1996 are:
V'tlr Interest R!!! OaUy Inhrut Fllttor' Vur Intarest Rftte Dallv Interelt Factor
- -
1982 20% ,00D548 19a1 9% ,000247
1983 16% ,000438 198ij~1991 11% ,00UOl
1984 ll% ,000301 199? 9% ,000?47
1985 13:'" .000356 1995'1994 7% ,000192
1986 10% ,000274 llJ9!i-19% 9% ,000247
ulnhrest is OftlouJated e. followll
INtEREST . BALANCE OF TAX UNPAIO X NU"BER OF DAYS DELINQUENT X OAILY INTEREST FACTOR
~wAnYNotJO. lUlled I!lftor thllt t~)( bocamlllS delinquent will rofl.-ot 1'111 lnterRflt QllloUlatlon to fifteen OS) day I
beyond the dllte of the ltUeUlIlflnt. If paYtll.nt Js Il\IIldft lifter tha Interest COfllputfttJon dflta Ihown tin the
Notice, flddltlonal lnterut J!Iult b, calculated.
(n
-i
OJ
o
flURPOSE or:
NOTICE I
To fu1f1l1 the rQqulrclln"nts of Section ?140 of thlt InherI tftnoo find Estl'lte Tal< Aot, llet l!l!of 1991. 02 P:S,
SeoUon 2140),
PAYHENTI
Detaoh the top p\'Irt!on of thh NotJce and submlt with your pllymont to the R&glstor of wlHs prlntod on the
reverSG sIde.
"~ Make chiok or ~onoY order paYRble tOI REGISTER OF WILLS, AGENT,
All pay",.nts ,'ece,lvsd shall f Irlit ue applied to any Interollt wtdch nlay bll due, with any remaInder eppll.d to, the tell.
REFUND (CR)1
A r.fund of a tft)( crQdlt, which was notroquuhld on the tall roturn, mllY be r-;quested by oomplotlng an "Application
for Refund of Pennsylvania Inherlt"nce and Est8te Tall" (REV-1313), Applications lIro available ~t the Office of
tho Register of WIlls, I'lny of the 23 Revenue DistrIct Offices or by calling the specIal Z4.hour answering servloe
numbers for forlllS cr'derinpI In Pennsylvenia 1.800-362~20!)O, outside POMllylvanlll lInd withIn local
Harr'lsburg /troe (717) 71\7-8094, TOOl! (717) 1fZ'"Z2!)Z ctiuI'lng ImpftJred Only),
OBJECTIONS I Any pl.\rty In Jnttlrut not IiI'ltlsfled with th. appr"a!s8lllent, "llowance or dlsallowllnce of deductions or aUllISlIlIlllnt
of tltll (inclUding clhcount 01' lnterutl as shown on this Notlcfl may object within sixty (60) days of receipt of
this Notice bYl
-~wrlthn protut to the PA Oepartlllent of Revenue, Board of ApPIlll"lIB, lJopt, 2810ZI, HarrlsburQ-, PA 17lZS-1021, OR
--electing to hnve the lllftthr deterl'lllned at thlil 8udlt of th. uucount of thlil plirsonal representative I OR
--apPlal to thel)rph8n\1' Court
ADMIN-
ISTRATIVl;
CORRECTIONS:
factual .rrcrs dllcoverad on this assessmgnt should be nddressed In writing tOI PA Dep8rt~ent of Rev.nue,
Bureau of IndIvIdual To)(e., ATTNl po~t AlsQss~ent Review Unit, DEPT, 280601, H8rrlsburg, PA 171Z8-0601
Phone (11) 787-6505, Selill pag" S of the bookllt "Instructions for Inherlt!lnc. Tall Return for a ResIdent
Decedent" (REV-I!)01) for an ellp18natlon of ad~lnlstrl"ltively correct~ble errors,
DISCOUNT:
If l"lny tllll due Is paid wIthin three (3) calend8r Monthl 8fter the deced8nt'lt death, ~ five percant (5%)
djscount of thlil tax paid is nllowed,
PENAlTYl
The 15% tbll nMne.ty non-particlp8tlon penelty 16 computed on the total cf the tftll end Interest assessedl and not
paid before January 18, 1996, tho first dl/lY llfter the onC'l of the tall IltInosty periOd, This non.partlclpatJon
ponalty Is app8lllable In the SIlIMe manner snd In the the salll8 title periOd 81 yoU would appeal the tell and Interest
thllt hall been auesud as indicated Oil this notice,
INTEREST:
Interest Is chargfld beginning with first dl"lY of delinquency, or nine (9) month, and one II) day
fro~ the dah of duath, to the date of paYlllent. Talle. whj(:h bectlllle delinquent before Jllnuary 1, 1982
bear Interest et the rate of slll (6%) percent per annum CAlculated at a dally rate of .000164,
All tl"llles which bec"",e delinquent on or aftir January 1, 196? will benr Interest at 8 rote whIch will vary fro.
calendar Yllar to calendar yur with that rate announced by the P~ Oepart~lent of RClVenUQ, rhe appllllllble
IntClrest rlltu for 1982 through 1996 are1
Yenr Inhrut Rl'lte lJally Interut Factcr Yur Interest Rata Dally Interut fMtor
1982 lO% ,000548 1981 9% .0001'(l7
1983 16% ,000438 1988~19ClI 11i: ,00O!01
1984 11% ,000301 19Q1' 9% ,000247
1985 13% ,00035fJ 1993- 1994 1% ,000191'
1986 lOr. ,OOO214 I'lQS '1996 !J% ,000241
ulntorellt Is calculnted .. follows:
INTEREST " BALANCE or TAX UNPAID X NUMBER or DAYS DELINQUENT X DAILY INTEREST FACTDR
--Any Notice Iuuolld llftar the tall becomes dellnqulilnt will rlflect an Interut (:"Iculatlon to f1fhln OS) days
beyond the dnh of thll 81i1"Slllent. If PftYlllent ill lIIade nHer tho tnterut coMputation tlate shown on the
Notloe, addltlon"l Int.rellt IIIU.t bn cftlcuhtod,
PURPOSE OF
NoTICE:
To fulfill tile requiroPlftnts of SscUor\ 2\40 of the InherltaholB Md Estate Tall Act, Act 22 of 1/)91. H? P,S,
$IlCtioll- 2140),
Olltaoh thl top portIon of this ~otloQ and subllllt with your payment to the Reglster of wills prlntod on the
revtlr!le sldll,
.. Htlk8 check or manay ordor payable tOl REGISTER OF WILLS, AGENT,
All p"..n15 ,.c.lv.d 'h.1l flee' b. onPll.d to .n, Inte,." which ,.. b. du., wl'h on, ",.Ind.' ,"pll.' '0 ,h..,,,,
, ,.fun' of . ,,, cr..I', which w.. no' ,..v.,'.d on 'h. ,,, ,.tven, .ev b. ,.....,.. b, ca,pl.lln, '" "'pnll..t1.n
foe R.f"d of p.nn"lvanl. Inh.' 1'0000 nnd E"". T.'" [REV-13m, 'ppllc.'lo", or. .vell.bl. ., 'h. Offlc. af
,h. R..I,'.' of Will<, 'nY nf 'h. 11 R.v.". DI,'dc' Offle" or b, collin. ,". ,p.ol" "-ho," .",w.dn. ,",vice
nUllhlll'S for forlls ordClrlngl 1n P~mnsy\vanlB 1.t\OO-36Z-20!)0, outside Pllnn&Ylvanlill and within locel
Harrisburg aroa (717) 781-809'1, rOOM (717) 172-ZZSZ (Hoarlng Impaired Only),
PAVHE~Tl
REfUHO (CR):
DUCTlOHS, 'nY p,," In In'''''' no' ..,I,fl.' wtlh 'h. .pp'.I....n', .llow'no. oe dl..llowenOO of '.dvello", or .......on,
of tall (Ir.ciudlng dIscount or lntQrestl 8S shown on this:; llot1lie may Objllct within stlltv (60) days of ruceIpt of
this Notice bYI
--w,ltten pro'''' [0 'h. PA D.p",..n' of R.v."" Bo'" of ,,,..1., O.,t. 101011, H"rl."'.' PA 17128-\011, OR
nlllActlng to havo thll !lI!ltter dlltllrllined at the i!'Iudit- of the eccount of tha personal repreilentatlve, OR
-.appni to the orphanl' Court
ADHIN-
ISTRATIVE
CORRECTIONSl
Factuel 8rrorB discovered on this I'IUUSlllent should be I'IddrUl,led In writing tOl PA Dep!lrtment of Rellenue,
Bureau of IndivIdual Tallu, AnNI POlt ASlleSllment Rovlew Unit, DEPt, 2806011 Harr'lsburQ, PA 17H8.0601
Phone (11n 787w6S0S. Sail page S of thCl booklet "Instructions for Inheritance Tall Return for a Ruldant
D.ced~mt" (REI/-1S011 for an ellPlanntlon of ndllllnl~tratll.'1I1Y corrCld!lb18 IitrrorS,
If any tall due III palrl within thru 0.) calendar IIlonths sfter the dllcedent's deatn, 1'1 five percent 15%1
dlscount of the toll- p!lld 1t allowed,
Th. 1'% t., ..nu'y nWP."lelp,'I" p.nel'Y I, ,ompu'.d on 'h. ,otol of 'h' ,., .nd In'.'''' .......d, on' n"
p.ld b.fo'. J.nv"y ,~, \"6, 'h' fl," d.Y of'o, the on' of 'h. ,., ..n."Y p.,I," Thl. non-p,,'lclp.'lon
p.n.l" I. .pp..I.bl. In tho .... ..nno' an' 'n 'ho 'ho .,.. ,1m. p.,lod .. ,ov w,uld opp..1 'h. ,., and In'.""
that has bun assessed as indiCAted on 'this notice,
Intor.st Is oharged beginning with first dey of delinquencY, or nine (q) months and one(!) day
frolll th. date of duth, to the dllte of payment, Tl'Illlll which beC8111e delinquent before Jllnut'!ry 1, 198?
bear Interilst at the rnte 01 sIx (6:0 parDont per nnnum culculatlld ~t ~ dally rate of ,000164,
AU tall" \oIhlch becill,e dRllnquent on or nftQr .If1n1l8ry 1, 1982 wlll blu\r lntereat I'It II rata which will vary fro'"
calendar year to cfllandflr 'IlIsr with th8t rlltn annollncnd by the PII Department of Rivenue. The applloable
Int&rist rates for 198Z through 1996 nrel
DISCOUNT:
PENAL TV I
INTEREST I
1982
IIJ8!
It;184
11}85
1986
"~ Int,rut
20%
161.
11%
\3%
lOX
II calculated ilS
,0005(18
.000438
,000301
,0003S6
,00021(1
followS:
Ve!lr Interest R8te DPllly IntllrllSt Faotor
1987 9% ,000247
1938-1c'91 11% ' OOv~Ol
11.11)2 q% ,000241
1993' 1994 1% ,00019Z
19lJ~- 1996 9% ,00Oi!47
"!.!!!: Interest Rate Dally Intarut FMtor
INTEREST = B^L^NCE OF T^X UNP^ID X NUMBER or D^YS DELINQUENT X D^ILY INTEREST FACTOR
--Any Notice luued "~tor the tal( becomes dellnquont will reflect tin lnterflllt cl'llculfltlon tc flfteon (1!i) !IllY'
beyond the lInte of the nuess!llent. If pav",ent 15 mAde ldUr the tnt.rut OOIllPutlltlon d!lte $ho;ll\ on the
Notice, nc!cUtlonlll Intllrut (!lust ba C\'llculllted,