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21 - 97 - 221
RENUNCIATION
In Re Estate of
WILLIAM M. SUPKO
d-*,
To the Register of Wills of
Cumberland
County, PennsYlvania.
The undersigned
Sharon Supko, daughter
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Donald Mlchal!'1 Supko as sole Administrator of the Estate of William M. ~.
and that' he shall not be required to post any bond.
WITNESS her hand this 1st day of March , 19.J!1.-.
(~~~l~-
(SI.nalure;\.JI<oV
Sharon !Wpko () . \
~Cj' F-t'>.'( ~o\\ov.> "'"0"""
Shermans Dale, Pennsylvania 17090
(Address) ~:;)
Social Security No.: ~. 5{p- IltJD
(Slsnature)
0 (Addr...)
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(Addr.ss)
r
III v I ~O() I J(. {! 441
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[OMMONWl,l.\lH Oi f'(Hr~~nVMII^ I
{l[PAJlTM[NT Of Rrv\tWI I
fJ[PI 18ol>(JI
Ih\ItRIS8lJllO: p." \_7 \ ROI'O I _ _
- 'f1I:~I.of~n'i. NA~rll^;fhIIi~T~^,:~TI Mif)hl'r'l~jll-i"-j\
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPl.ICATE
WITH REGISTER OF WILLS)
I fOR OATES Of OIATH AnlR 12131/91 CHICK flERI
: If A ~"'OUSAl
'I POVIRTY CRIOIT 15 CLAIMlD I i
fill NUMBIR
I 2H17"221
('(ll!t-lIY COllI YfAI{ t'HJMOfH
>- ,.SUP!<()"WILIJAM M. 100 NOl'way BIl'ocl
~ 'o~,~;~,~~~v;~u;;;. r;,:~~.";';': 19!J71"~',:::."';';;, 1 0:10 "'"'f ~~I~:~~;.i\~~~ll'g, P A 171155
:!: i....;;..,';.,,, ,",;;;"",'"",,,,', "'M' "," "..""""",,,,,,,,,,,,, I"'''^' ,,,,,.,,, ""M'" AW""" "''''''01''' '''',,"IJC''OIl'1
~ [11 Original Return IX) 2. Supplemonlal Return I J J Remainder Return
w::! en (for dole' of death pdor to J 2.13.82\
trlf.~ r] 4. limiled Estate I I ..ta, Future In!ftre,' Compromlte [ ] 5, Federal Ellote TOk Return Roquired
:s::c9 (for doltu of death aftfH 12.12.82)
ul!'..
I: r.1 6, Decedent Died Tellate Ll 7, Decedent Maintained Cl living Trult
C (Attach copy of Will) (Attach copy of Trust)
II.. ~:~~~~;~~;~;-~:~~N:~~"I~f0~~17~~;~-_~~.. .. ...
2. Stock. and 8andl(Schodulo BI (21 __"W~_________"___" ' ;:3: ':.. C?
3. Clo.oly Hold S'ocklPorlno"hip Inloro" (Schodulo CJ ( 3 ) _'______.__.____._. ~ ,',
4. Morlgagel and Nates Receivable (Schedule 01 ( 4 ) ....-.------..--."----.------- N
5. Cash, Bank Depollll & Mltcellaneoul Personal Proporty (5) .________J.!.~Q_Q.!.9JL.._
iSchodul. EI
Jointly Owned Property (Schedule f)
Tronl/o" (Schodulo GIISchodul. L)
T 0101 Grou Alleh l'alallln8~ 1.7)
Funeral EKpenl81, AdmInistrative COlli, MIsceUolleoul
Expenlel {Schedule HI
Debll, Mortgage liabilities, llenl (Schedule Il
Total Deducllonl (Iolalllnel 9 & 10)
Nel Volu" of Ellole (line 8 ",Inus Une 111
Charllablo and Governmental Bequesh (Schedule Jl
Net Valve Sublecllo Tax (Une 12 minus line 131
Sp{lulol Tremlfers (for doles of dealh after 6.30.941
5ee Instructions for Applicable Percentage on Reverse
Side, (Include valulllfrom Schedule K ar Schedule M.I
Amount of line 14 laxable 01 6% rate
(Include value I from Schedule K or Schedulo M,l
Amount of line 14 taxable at 15% rate
(Include values from Schedule K or Schedule M.)
Principal 10)( due (Add lOll; from Lines 15, 16 and 17.)
CrediU Spousal Poverty Credit Prior Payments
z
CI 6.
S
:0 7.
~ 8.
III 9,
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10,
11.
12.
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.___ 8 Tolol Number 01 Sole Depoiit BOke~
( 6 1 _______"__,__ _.____"<0 l.
....1
( 71 ___________._._,_._.. ~
(81
"0
l.v
f...:l
0\
iifo
3,500.00
;>
140.00
(91 _"______,._.___."
(l0)
140.00
------..-..,--
_____ .3,360.00
(III
(121
(131
(141
},3.60.0_0
(IS) ,------"-",.--=
(161 ______ 3,36~-,-~~.__" .06 m
201. 60
(171-___ ."~..__'..___"__._... _._._" .IS m
(18)
201.60
Discount
lnlerelt
+
(19)
(201
If line 1911 greater than Line 18, enter the difference on Une 20_ Thil i5 the OVERPAYMENT.
110
ChNk here ., yov are tf,!ql)osling n refund of your ove'p~ymc"l.
21. If Une 18 is grootor thon Line IQ, entor tho difference on Line 21 This i~ Ihe TAX DUE,
A Entor the interal! on the balance due on Line 21 A
A. Entor lh\) Iota! ot Lino 21 and 211.. on Line 21 B. This i~ tho BALANCE DUE.
____"_~___MQk___~_~~~~~.~a~I_._!!_:__~!!'~...!.!! .~~ _~~I~I_ ~~_!.!1t _
(21)
PiAl
(2181
201.,60
8.71
210.31
-_.~ ~--BE SUREXOAN!~~_ Ai.i~QIIESTiONS~ll_R~V[!~~~E -~~!!:.!Qlt_~CH-EC:KMI\!H.'. ~~_:,_______
Under penalties 01 perjury, I declare !hat I hovo okominod thil return, including accomptlnying st;hedulos and stotemonts, and to the beil of my knowledge elnd belief,
it il Irue, correct and complele. I doclore thaI 011 real o,toto ho, been r(tporled 01 true market volun. Dnclorotion of preparer otner IhCln tnn pononal reprelontolive is
~,~~,di~."(~,~~~~~~al~lo.n ~S2~~;\~,~;~e (,""i;.rYk'>OA:~'~~: ' , ,'" nA"u
<:-f~~'I.-.."!..LLL .',_1/"./ ,:;,1f13LW,-OreenSl., Mecllanicsburg,PA17055, May Z LI09~.
TATUR( Of PRfPARf, lHtfR ~N IHt S YA1IYf AOORf5~ nAif
rz.,_L--<~l" }"'-.o"7 5 S.HanoverSl.,CarlisJc, PA17013 May 7 ,199JL
,~,,,,,..,,,, dlk
COMMONWEAllll 01 rrNN~,Yl VANIA
ItlHf:RITANCE lAX R[ lURI~
B II}. f.,' !
ESTATE O~
Debts of decedent mUll be reJl(>rttd on Schedule I.
ITEM
NUMBER
A FUNERAL EXPENSES:
1.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
_--=-:=,.QEJ~=
FILE NUMBER
Wlllilllll M, Supko
DESCRIPTION
B, ADMINISTRATIVE COSTS:
1. PerlOnll RepIeItIltallve'a COmmissions
Name of ParlOnel Roplll88ntaUve (I)
SocIal Security Numbe~e)' EIN Number of Personal ReprseentaUvo(a)
Street Add....
City--- Stale Zip
Yea~a) Commission Pa~:
2, Attorney Fees
3, Faml~ E,empllon: (If decedenta oddreee ~ nol the same 81 clalmanta, onecll explanodon)
Clelmenl
Street Addmss
City Stele Zip
ROIaIlo"'hlp of Claimant to Decedent
4, Probate Fees
5, ACXXluntantaFl108
6. Tex Retum PAl,,","rl Fees
7,
TOTAL (Also enter on line 9, Recapltuiatlon) $
(If more space Is needed, Insert additional shoots of tha same size)
21-97-221
AMOUNT
140.00
140.00
I r'
'-0
/ Ir \
;~
(1,.
fOR DATl50f DEATH "fUR 12/31191 CHICK HIli
If A SPOUSAL
POVIRTY CRlDIT IS CLAIMID I I
fill NUMBIR
tH'\', \500 rx t 17,Q~1
.9,,~,~
~\U
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWfAltH Of """'\lVANIA (TO BE FILED IN DUPLICATE 2.1~97-"21
Drl'''RTM~NT or RfV~NUf r..
H..",fJlb, ~~'i'i:" 0601 WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMaE8
~-; !~i~~~:"~~~;;;'I~:.[E~g~~~~;o;;-- ..
w ,=_w_ . I" '''''''.''',,",''''HO ,"0"'" H'" "'" 11.\1 "'" "N'" '""'''' Jom, mu,," N"M,," ("MOUNT ''''IVED I'" INmUCIION'1
!10 I. OrigInal Relurn l J 2. Supplemental Return r:13. Remoindetf Retvrn
('ordale, of dttath prior 1012.13.821
[] 4. Umiiod eslatCt r:-1 40, Fulurfllnterei' Compromise [] 5, FedArol Estate Tm. Return Requ/rod
(for dotot of deoth alter 12.12.62)
{] 6, O.e.d.nl Died Tcnlate [J 7, Decedent Maintained 0 living Tru$t _1 e, Tolol Numbnr of Sol., Oepo,1I Saxe$
IAlIach copy of Will) (Alloch copy of Tru,l)
--"--.__.... llL 'COiIUftONDENCE AND CONFIDENTIAL TAXlNFORMATION siioulii-iEDiRiCiiD'io;-:'--'_ro_"_.---,..~-~---~~.
"'ME FrQY and 'I'il~Y ------.~IOM~E~~~lt';:G~:~E~Sver Street .
il"iPHoNfNuM",.--.~h' . . .'n Car'lisle, Po. 17013
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(3) ____~_______
14 ) ..,._'ww______~,P.~_.___
(5) 168.321.73
(6 )
( 71
1. Reol Ellale IS,h.dule A)
2, Stock. and Bond. (Schedule BJ
3, Clo..ly Held StockfPartnershlp Inlerelt (Schedule C)
4. Mortgag8i and NOhU Receivable (Schedule 0)
5. Calh, Bank Depalih & MilCollaneous Penanal Property
(S,hedule EI
6. Jointly Owned Property (Schedule f)
7. Tranders (Schedule G) (Schedule l)
8. Total Gran Auels (total lines 1.7)
9, Funeral Expenses, Administrative Cosls, Miscellaneous
hpenses (Schedule H)
10, Debts, Mortgage Lioblllties, llens (Schedule I)
11. Tolal Dlilductlons (tolol Unes 9 & 10)
12,
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5
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18 I ,____,__,l_~~~.E~ 73
19) ,_____,_ 23,067. L_
ITO)
IT 1) ~_~_,_,?},,9_q'1..1L
112) _______~ill.6H..56
(131
---wuT53,604;56
(14)
Net Value of E~late (line 8 minu~ Une 11)
13. Charitable and Governmental Bequests (Schedule Jl
14.
15,
16.
17.
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... 18.
..
... 19.
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.. 20.
..
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Net Value Subject 10 Tax (Une 12 minus ~0.e 131
Spousal Trans'en (for dales of dealh after 6.30.941
See Ins' ructions for Applicable Percentage on RevlHle
Side. (Include values from Schedule K Of Schedule M.l
Amount of line 14 taKable at 6% ralo
(Include values from Schedule K or Schedule M,j
Amount of line 14 hlll:.able at 15% rate
jlnclurl€l value" from Schedule K or Schedule M,)
Principal laK due (Add tox from lines 15, 16 and 17.)
Credits Spousal POV6rty Credit Prior Poymenh
+,8,77!!,QQ, +
(151 -------e-__>('_.-
(T6IH.._,_____~~.~.ll!.O'!~_~~_..__x ,06 .
...9,2)6.2.7
(171 ..
....__,x ,15 .
(181
Discount
jJlQ,81
Interes'
9,238.81
22.54
(19)
1201
If line 19 is grooter Ihon line 10, enter the difference on Line 20. This Is the OVERPAYMENT,
UlIXI
Chot;~ here a you orc requesting a refund of your overpayment
21. If line 18 is gl'f1ater thon U'11l 19, ontor the difference on line 21. This is thfil TAX DUE,
A. Enter the inlerest on the bolancfl due on line 21 A
B. Enter th6 total of line 21 and 21A on line 21B. This is tho BALANCE DUE.
__ Ma~~~~!~(.!<__!.~V.~_.~.I~~__to:..~~~I~~!.r_ o~ WIII,~ Agent
1211
(21AI
(21 BI
==--=-~~,~~=- ~~=iEsjjREToANswER-Ai.LQi.jiisil~~Sc>.NR~vi;_R5EsiDE ANO!ORE6iEc:i<~ATH:~~: . '.'~_____
Under penolli!)l of perjury, I declare Ihat I hnve fl)wminodlhis \"elurr\, including accompanying schedu!e~ and slolomonts, ond to Ihl) bust of my knowlodge and beliof,
I! h true, corre~l and complete. I doclare that 011 reo I estate hus bOt;n reported 01 true market volua Doclmation of proparor olhar thcln the personal reprasenlotivt) i~
bOled on all informalion or which. pref-1arer has My ktlOwltHJge
';:':;;?f;:~71~,,::~;:"f~~~::t:lt::::~ S:~:'l::~I~~~l,i:~~~:I~'I: ^ 17055
Y L ~ _ '. ~_
( )
[),;"If
^ ., -; 1997
ug. '.lY ,
PA.I!
^ug. .;'( ,1997
~
ddh <:> II> S oC
.... ... iil
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.... ....
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jlll I
~ atl .... 00 ;1i '"
... .... 00 f ~
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'" '" '" ell .f tl ~ i
... '" <:> 0
. . . .
N 00 N '"
... iii '" t ~ 41 1>1
g ~~! lIl""kl
ti~
i ~i 1
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N "" I I I I
Ihh I!~~
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'" <:> 00 iii
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.... 00 M '" ~
.. .. <:> '" II> II> III
. , . . ~ .. II>
N 00 N N III S'Ill k
'" In ... U U III
I~ I .... 'l"4.j~ ...,
II< I> II< ""
.... .,.........
~ . ~lIl"
8 U k k.
. III ~ III lo
... tll u""ug
I III
i fJ ~ '1 .~
III U I>
k ~ "" k '"
In In II> In tlllll "',110 1Il
00 '" ell '"
I I I I I I I , I
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... ... ... ... g~r:l~lIl
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., .... "" ....
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tI u .... U
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.... J . . .... .... III a
.... It III III
.... b'o.... 8,,,,, III
II: III 1Il
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.... .8 II>
<:> .... "" 0 III
III N I U II) I) It) '11
N M .. III k':;j III rl
ell '" ... .<l II> III
I I I III Ul><CIll><1Il
'" C> III
C> <:> .... i
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,,~.J~/9~
-JIJIu;
COMMbNWlAlTH Of fleNNSVl'VAt,jlA
INHERItANCE TAl( nmJMN
MflIOlNl D!CtD!NI
nmr~ '-'~"".
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCEllANEOUS EXPENSES,., j , '.'" ".' .P!!O'. ~rl"!..!'~!y,,.
_.~.____m. '___m______ '-----m'FnENUMBER
WILI,IAM M. SUPKO
.L___,_,
21-97'.221
ITEM
NUMBER
_...._.._".k.._...' __ ~.. ._~ _~"'.__.~...n__"_,___'_.~~_~_~__
A, F~n.rol Exp.n,."
DESCRIPTION
AMOUNT
1.
Myers Funeral Home, funeral services
B. , Admlnlll.otl,v. COltl:
4.
C.
1.
2.
3,
4.
5,
6.
7,
8.
1.
Personal Representative Comminion.
Social Security Number of Personal Repre.entatlve:
Year Comml..ions paid
2,
Attorney Fee.
3.
Family exemption
Claimant
Addre.. of Claimant at decedent'. death
Street AddreSi
Relationahlp
City
State
Zip Code
Probate Fee.
MIIe.llon.ou, Exponae"
Cumberland Law Journal, advertising Letters
United Water Pa., water service
Suburban Cable, TV Cable
PP&L, electricity
Bell Atlantic, telephone
PP&L, electricity
Cellular One, account
Dauphin County TaK Claim Bureau, 1996 real estate taKes
------------ -~.,._-~--_._.....,..._--_....,.._~._--...
TOTAlIAI.o enter on iine 9, Recopituiotion) $
(II mare apoc. 10 ne.ded, Ina.rt addlllonal ,heela of aom. 01...)
9,782.50
0.00
8,093.00
o.ou
224.00
60.00
39.54
6.38
9.69
23.33
10.21
28.80
164.02
PUllIl
"I
INSTRUCTIONS
(11 Calh, Report lolnl only
(2) Stock.. li\1 In aoloil 0\(01 y {0111111011 III {lIolol rod t ('rli{iHlIr-, wnnnnl or olllllr righh found In boll., '5lock\ oro
10 bo dOiignolod by nOlno of tOll1pnny, corlilicoto Ilumhm, dotn of rorllficotll, nama In which \lo(k ii roghlorod,
and numbor of .hartu and dOH of ilock.
(3) Obllgatlonl 01 U.S. Governmlntt Numbor 0/ i1om., dnlo 01 ill"O, foco voluo, nomoI in whkh reglll.rod
ond type 0/ owne"hip, Le" joinlly hold, poyoblo on doolh, ole
(4) Bond.. Designate by namo, amounl, sorlal numbor, or other do,ignation. (Bearer BondI)
(5) Bank and Sovlnga and loa" Pa"book., SIoto nomo 01 dopo.ilor, l1umber of book, 10.1 dote appearing in
book, name of bonk and branch, ond bolonco,
(6) Jlwelry, Col"., Stamp., Manumlpll, etc, lI.t and d.\Cribe os fully a. ponlble,
(7) Deeda, Martgag.., Current lnaura"ce Po lie I.. or otherevldenc.. ol'ndebt.dne,,: lIsI ond descrlbo os
fully 01 pOlliblo,
(81 All other contenll.
.-....--.-- ~.'_.4._____.__.___~._~_______._._________ -
IrEM ITEM DESCRIPTION
NO,
..-.----- ------ .~.,'_.._-~..-._---._..._~----_._----_.._.~_._---~~----~---- .___4.'.__
-.-_......_- -.....- . -, - -_..._.'._-~--_..__.._-_._- ---"'~'-"-'
__H_....__.. --_.~- - 4'_.__
----.. ----.-..-. -~---_._---- ---
...--.. - ---_.,.._._._-----~-- - .--- .u.__
.... .... ._ u....____._, ti!J111/;.J)-~uF-?>;~L/~~~~-----..-.-
.
-. -
,
u_ - ..
-
,
f---- ~---... -..
.n
1----- -'-- - .-----.---.- ---.
1---- _.'_._.______~__._.___._.______~~__..'__._...._._ ~_._____~_._~_R ---...-
--. ...... ...-------. -.._--- ._--"_.....----~------_._._..~,.".__._._._--_._~. '._,...-_.._._--_..._-----~. ,_.
--_.- ..... ---- ......-...-...----.....-.- ..... ---- .. ..__.._-~---~..--------..._-.. ._._....--_.~.-- ....-- ----~-_._-_..__. ~-
c------ .-. _...._--_...._.~--_.~-+----_._._---_._~-~_.- -_.._._-~_.._~-_.-
Tciiii.iFV'UNDERPENALTYOF riiiTliii'i-YHAT THfA-BOVE RECc5Rli-iS-- pmON RECETVINGCOPY 0.,------------.---.--
~!I\E~T-AN~>'O..MPlETE.!.~ THE..B.E5T 91..M.Y.~~C?~lED~i.!~ND B!lIEF. SAFE DEPOSIT BOX INVENTORY, ........... ...---
IONAlURE / ..----... ,"GNAmRl .------~--. --~--
, /" - ,{;;;-r~Ocr;?';& " ,;,;::
_ ~,,:~?,o/~~.t"',J ~ /""// -~--
NUNI r~ ,7 / -
, C'.. /2-~)f-7 7 ? tI /f-/). 1---/
!'RII~! 1111 [ ,,,,,, (IUO Al'1'ROI'IIIAI! no~
J/ , if.I.HlJl(,,(l.l>) ! ,
I l/l.d""flllt.<I1fll(I.',f
f( , 1.)- I 1111<l11'!!"I'I"lj,n((1I1"" I I JOlnl "wIW' oj Irlfl' dl'pO\it bo~
I
SAFE DEPOSIT BOX INVENTORY
NOTE: Attach additional 81h" II( 11" ihoot (sllf necossary or use dupllcatos of thh page of form.
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
151("6~
IUREAU Of INDIVIDUAL TAKES
INHUtltAHU UIl nlYIIIOH
IM'PT. IlOilO!
tlAARUlUAG. p", IlIl8-0.01
.
~ ","
NOTICE or INHERITANCE TAK
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTICNS AND ASSESSNENT OF TAK
DATE
ESTAT!! OF
DATE OF DIATH
FILl NUMIER
COUNT V
ACN
12"15-97
SUPK 0
02-17"97
21 97-0221
CUMBERLAND
101
FREY . TILEY
5 S HANOVER ST
CARLISLE
PA 17015
~___A.ounl Ro.lllod
'*
UY.lh' U U, IIt.HI
WILLIAM
M
--i
MAKE CHECK PAVABLE AND REMIT PAVMINT Tal
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, I'A 17013
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR VOUR RECORDS ....
R 'EV: is;ii - iif "A Fii" f 0'9-:97"1 - iliir i c r -oF" Y Nit iii iT AN-C'! - "fAx "iiPPRii i sE;'lEil,'; - -Ai. rowAN"cE - OR - --" -- - -., -.... -.."..-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SUPKO WILLIAM M FILE NO. 21 97-0221 ACN 101 DATI! 12-15-97
UK RETURN WAS: (X I ACCEPTED AS FILED
RES~RVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, R.al Elt.t. (Schedule A)
2. Stocks and Bondi (Schedula f!)
3. Clo..ly Held Stoek/P.rtn.rl~ip Intere.t (S~h.dul. C)
4. Hortg.gal/Not.. Raceiyable (Schedule 0)
S. C.lh/Bank Deposits/Hisc. Parsonal Property ISch.dule E)
6. Jointly Owned Property (Sch.dul. F)
7. Tran~f.r. (Sch.dule Gl
a. 1(,ta1 Auet.
J CHANGED
U)
(2)
13)
(4)
i51
i61
17J
B,350.00
.00
.00
,00
168,321,7JL
,00
.00
lDI
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens../AdM. Costs/HioQ. Expense, (Seh.dula H)
10. Dabtl/"artgag. liabi11ti.m/liena (Schadul. 1)
11. Yot.l Daduction.
12. Net V.lue of Tax R.turn
15, CharUable/Gover",,,.nt.l Beque.ts; Non-.lected '115 Trusta (Schedule J)
14, N.t Value of Eat.tv Subjact to rax
If en e.sessment wes i.suod previously, line.
reflect figures thet include the total of ALL
ASSESSMENT OF TAX:
IS. A~ount of line 14 .t Spou..l rat.
16. AJlGunt of Un. 14 taxable .t Lin..l/Cla.. A ".ta
17. AAount of Lina 14 taxable at Collateral/CI... 8 r~t.
18. Principal Tax Du.
NOTE:
TAX CREDITS:
------
PAYNE NT
DATE
05-13-91
12-08-97
RECf,IPT
NUNDER
----7G\2112 9 9
REFUND
DISCOUNT ltl
INTEREST/PEN PAID i-I
460,81
.00
(9)
UOI
23,067,17
NOTE: To in.ura prop.r
cradit to ~our account,
.ubait the upper portion
of this for. with your
'tax pay,".nt.
176,671.73
?l.D~7 17
153.604.56
.00
153,604,56
14. lS and/or 16, 17 and 18 will
return. ass.s.ed to dete.
.00
9,216,27
.00
9.216.27
TOTAL TAX CREDIT 9,216.27 ~
BI~~~~C~E~i:~~T~:~:NU.E --..-----1~d
IF TOTAL DUE IS LESS THAN .1. NO PAYNENT IS REQUIAED.
IF lOTAL DUE IS REFLECTED AS A "CREDIT" lCR). YOU NAY BE DUE
A AEFlIND. SEE REVERSE SIDE Of THIS FORN fOR INSTRUCTIONS.)
,00
Ill)
(2)
US)
(4)_
1151
(\61_
1171
.00
153,604.56
,00
K .00,_
K ,06.
K .15,
IIDI
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEAEST.
ANOUNT PAID
8.778,00
22,54-
AESiAVAflOH, E.t.t.. .f ......nt. .,1.. on .r b.f.r. O......r I" I.., -. If .., futuro I.t.r.at I. tho .at.t. I. tr...f.rr..
I. .......1.. or ..J.,_t t. Ch.. · (r.lI.t".11 """,,ft.l.rl.'.f tho ......"t .ft.r tho ...Ir.u." .f .., ..t.t. f.r
IIf. .r f.r '..'" ... e...."...lth h.r.b, ."",", r...r... tho rloht I. ..pr.h..neI ...... .r...,.r I"".rlt""". ra...
lit the h"ful CliI.. 8 (cOllet.rlll) rate on any Such ~utl./". tnter..t.
_Of
HOTlCEI
T. fulfill Ih. ro""lr....to .f S..Un. '140 of 'h. l.h."It.nao .n. E..... To, a.t, a.. '1 .f 199.. (ll ....
Sectiun 9140),
PAVHEHTI
..'..h Ih. 'ap ..r'l.n .f Ihl. Hotl.. .n. 'ub.I, .Ith '.u, PO'..n' I. tho R.ol.t., .f Wl11. .rlnt.. .. tho '0'.'.. .1...
~-HlIk. chock or 1I0nay orela,. payftbl" tOl REGISTER 0.. MILLS I AGENT
RfFwto (eA) I
a '.fund .f . ." ".dlt, .hJ.h ... n.. ,..u....'.n 'h. To, R"u,n, .., b. ,....,t., b, .'.'llIlno "" "A""II..Uon
for R.fund of '.nn"I.,,"Io Inhorlt.n.. an. E'h'. T.... (RE,'I"31. appll..U...." ...II.bl..1 Ih. Offl..
.f lho A.oh'.r .f Will., .ny of 'h. " A...nu. .10.,1.1 Offl..., or b, '.Illno tho ".0101 "'h.ur
.....rln. ..r.I.. 'uob.r. fo, fo,.. .rd.rln., In P.nn"I.""I. 1-"'-S"-",., ou..I.. '.nn',I...I. and
within 100111 Hlrrhburg Br... (717) 781-8094, TOOIl (717) 772-2252 OlurJng IlIpalrad On1'0,
O'JEeTIONS, on. ..r., In In'.r... nal "II.fl.d .llh 'h. ...r.I....nl. "lo..n.. or dl.o',o.on.. .f ..du..I..., .r ........nl
.f .., Iln'IUdln. .Ioooun. or In..,.,,, .. .ho.n .. '!>h H.U.. .u" .bJ... withIn .1,., CO" ".. of r...I.. of
thh Netic" bYl
"wrltl.n .roh.1 t. lhe PI ..'''I..n. .f R...n.., 'o.,'d .f aPP"lo, ..." """, IImhbur" PI 111"-"", OR
""'.Uon I. h... Ih. ..ttor ...oroln.. .1 ..dlt ., 'h. ...o"n' ., tho P'''.n.1 roP"'.n..u.., OR
--IIPPuJ to the Orphans' Court.
ADMIN
ISTRATJVE
COORfCTlONSl
r"l..l ,,,,,, ."."".d on 'hlo ........n' .hould b. ......... In wrltln. '0' '0 ..por'..n' .f R..onu.,
.ur..u of (nell.lduOl T...., anw, Po" /,.......nt R..,o. Unl', ..... ".,.,. >-.rr"bur., PO 1711....01
Ph... m7> 137-..... s.. PO.. . .f to,. booklo' "lnUry.Uono fo, Inh.rlhn.. T., R.'urn for. R..I.Oht
Decedent" (REV-IS01) for an .~planatJon of nd.jnJ.tr.tlval~ corractabl. arror..
DISCOUNT:
If "" .., "'" 10 POld .Ithln 'hr.. (S) .ol.n.or ..n'h. o".r Ih. ......",.. d.."', . fl.. por..nt (S%! .".ount .f
the tl~ paid J. allowed.
PENAL TV:
Th. ax .., oone". non'p.r'I.IP.Uon p.nol" 10 ".put.d on .h. '.'0' .f tho .., "'" In.or... ........, .... nol
p.ld b.f". Jonuo" 11, 19", tho flro. d.. ."or .h. .n. .f 'he .., ..n..., pori... Thl. n.n'p.rll.lpoUon
P'n.lI, I. "P"'obl. In Ih. .... ..nnor 'nd In 'h. 'h. .... tI.o por lo. .. '010 would OP...' 'ho .., ond Intor..t
that hu been .......d al IndJcated on thh not Ic..
INTEREST:
Intoro" 10 .hor..d b'.'""IOO .lth flrot .o'.f d.lln...n", .,' nl"o CO) .onth. "". .n. (ll .., 'ro. 'h. ..1. .f
d'.'h, '0 lhe d.".f P....n.. T.... Whl.h b..... d.llnqu.n. b.foro J.n"." I. "" b.., Into,o.. ot tho ,.... .f
.i, (6%1 .."... por ""nu. ,.Ioul.t.. o. . d.ll, '.0" .f .""6;, all '."0 .hl.h b..... ..1Inqu.nl .n ond .ftor
Jom,.r, 1, 19., will b..r In.o,." at . rot. .hl.h .111 vor, fro. '.londor .oor t. "''''d., ,.., .lth 'hot r.t.
announced b~ the PA D.part.~nt of Revenue. lhu nppJJcablu Int.r.lt rat.. for 1982 thrOUgh 1998 aral
!!!r lntarut Rat. lIallY Intar..t factor ~ Intera.t Rata .!!!J~rut Factor
198Z ZO;( .000543 19'7 9% .000247
1981 lIi% .000438 19'8-1991 11% .000301
1984 11% .000101 1992 9% .1)00247
1985 13% .0110356 1991-1994 7% .001)192
19116 10% .000274 1995-1998 9% .000247
.-Intarllt is calculatad .. follaw'l
INTERESt = BA~ANCE or TAX UNPAID X NUNDER or DAYS DELINQUENT X DAILY INTERESt rACTOR
--An, Noll.. ,..... oft.r th. to, b...... .'"n.uonl .111 r.fI..t .n Intor... c.I"'oll.n .". flft..n 11'1 d."
b."., .h. .... of 'h. ........nl. If P....n. 10 .... oft" tho Int.r... .o.putoll.n d.', .hown on tho
NotJca, eddiUonal Interest IlUlt ba calculatad.
\
"
P~VMENT I
o.tloh the top portion of thl. Notlol and IUbMlt with yOUr Ply..nt Mid. pftyabll to the n~le and .ddrl,'
print'd on the rlv.r'. ,Ide.
If RESIDENT DECEDENT ..ke ch.ok or Mon.y ord.r payablt tal REGISTER OF WILLS, AGENT,
If NON"RESIDENT DECEDENT IlIl1kl oh.ok or ",onn order payltblt tUt COMMONWEALTH OF PENNSYLVANIA.
REFUND (CR)I A rtfund of a taK crtdlt, whtch WII not rlqul.t.d on the Tal( Return, "'Y be raqu.,hd by co.phUng an
MAppllcdion for Refund of Penn.ylvanla Inhlrltanu and E.tatl TIM" (REIJ~U1:5J. Appllcl!ltion. arl IvaUablt at
thl Office of the Reghtlr of Wllh, any of t.h. n Rlvlnue Dhtrlct Offlc.. or frolt the DIPutlllent'. eft-hovr
an'Wlrlng .ervle. nv.b.r. for for.' ordlrlngl In P~nn'Yl~anl~ 1.800-362-Z050, outllde Penn,yIVRnl.
and within looal Herrl.burg .r.a (717) 787"8094, TOO' (717) 77Z-225Z (H..rlng I~p.Jr.d only).
REPlV TOl
QUI,tlon. regarding .rrorl oontalned on thl, notl01 'hould b. .ddr....d tOl PA O'Plrtllllnt of Rlw.nu., lur..u
of IndJvldual TIX", ATTNl Po.t AUII.Ill.nt R.yl.w Unit, Dlpt, 280601, Harrhb1.wg, PA 1712&-0601, phOM
(717) 717-6S05.
DISCOUNT I
If any hI( dut 11 paid wUhln thr.. C51 (lallndar .onth. aftar th. dlcld.nt', d.ath, a flvI plrc.nt (S~) dheDUtlt
of the tal( paid 11 allow.d.
PENAL TV,
Th. 151. tax aMne.ty non-partlclp.tion p.n.lty I, oo~putld on the totll af thl t.~ and Int.re.t a......d, and not
plld bafor. January 18, 1'96, the flr.t dillY ,ftar thl .nd of the tll( a.nllty parlod.
INTEREST I
Ir.t.r.,t i. charg.d b.glnnlng with flrlt dav of dellnquenoy, Ot nine (9) .onth, Ind on. (1) day frol tho date of
d..th, to t~. date of pay..nt. TIl(e. ~hlch b.~... dlllnqu.nt b.for. January I, 1912 blat Intlre.t at thl r.t~ of
.1K (61.) p.rclnt plr annUM ollcul.t,d .t I dally rat. of .000164. All t8KO' N~lch blea.. delinquent on Ind aft.r
JllnUlrv 1, 198? ",111 hllr Intarllt at a ratl which wUl vary frol cal.ndar yllr to clll.ndar ynr wUk th.t ratt
announced by the PA O.part..nt of R.vlnu., Th. appllcabll Int.r..t rate. for 1982 thrOugh 1998 arll
Vatr Intarlllt R.t. DaUy Inter..t factor
V.at
Int.rllt Rat.
DaUy Intlrut Faotor
1982 ZQj( .000548 19&7 9% ,000247
1915 16% .OOOUI 191&-1991 11% .000301
I~" 11% .n00301 1992 9% ,000247
19t5 UJC ,000356 1993-199ft 1% .0001t12
1916 10% ,000274 1995~1991 9X ,000247
nInter.., I. calculated .. folloWII
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-.Any Notlc. IUUld afbr thl taxblCOIlII dlllnqulnt will reftlct an Inter..t ollculatlon to filtlan (15) dly.
blyond the date of thl a....w..nt. If pay..nt I, lIadl .ft't the Int.r..t co~ut.tlon data .hown on the
Hotlc., eddltlorlll Interll' lIlJ,t b, celculatac1,
'I
I
, iI
J (i
ci
,...j
'I
'/
,,\
" 11
,
10;'.",
'"
.
~
FInST AND FINAL ACCOUNT OF DONALD M, SUPKO, ADMINISTIlA'I'OIl OF TilE
IIS'('A'I'E OF WILLIAM M. SUPI<O, LA'1'E OF TilE 1I0lWUOII OF MECl/ANICSIlUIW,
CUMBEHLAND COU N'rY, PEN NSYLVANIA, DEe EASED
(,ETTERS OF ADMINISTRATION ADVERTISED,
CUMBERI,AND LAW JOURNAL
Apl'l1 4, 11 and 18, 1\197
TilE SENTINEL
Murch :11, April 7 and 14, 1997
DATE OF DllA'I'Il:
February 17, 1997
ESTATE FII,1l NO. 21-97-221
Accountant charges hImself with the following principal amounts received:
1997
Feb. 28 Mellon Bank checking account #141-109-9250
Accrued Interest to February 17, 1997
Mellon Bank MMA #885-000-3321
Accrued interest to February 17, 1997
Mellon Bsnk Money Market Savings IRAH355-015514
Accrued interest to February 17, 1997
Mellon Bank Growth Certificate # 00086309
Accrued interest to February 27, 1997
Chubb LlfeAmerica Performance Plus Account #81-002643-3
Refund, Paid Pl'escriptions
Death benefl t, American Legion
Refund from cancellation of auto Insurance, Erie Insurance Co.
Refund from cancellation of fire insurance, Erie Insurance Co.
AmerlChoice Federal Credit Union Share Snvlngs Account
#17705-000
Proceeds, AmeriCholce life insurance
1993 Ford PIck-up truck
One-story frame storeroom and garage on tract of land situate
In Borough of Highsplre, Dauphin County, Pa.
28
28
28
28
28
28
Mar. 26
Apr. 25
July 24
24
1998
Mar. 10
PRINCIPAL HEClllVIlD
42,473.30
21.17
li8,484.03
211. 75
2,031. 80
1. 74
32,661. 56
436.27
21,526.84
8.40
200.00
87.00
9.00
1,870.87
467.72
8,500.00
8,350.00
Family allowance from Estate of Doris E. Supko
3,500.00
TOTAL PRINCIPAL RECEIVED
180,839.45
-1-
08-03'"1998
SUPKO
02"17-1997
21 97-0221
CUMBERLAND
101
E_~~-:T R~I:t~_ 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 ....
iiEV:U'4"f"iif-Aj:ji,wiii'F9'fj--iiiii'-ici--OF-YNHiRifANC"E"'TAX-XPPiiXisiHiNi'-,--ALLoiiANi5nili---m----m--u
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
WILLIAM M FILE NO. 21 97-0211 ACN 101
15 IM;,'a/
IUR~AU OF INDIVIDUAL TAMES
IMtEIHUNC(' TAK DIYISIOH
OCPl. l80bOl
HARRISIURG. P. 171l6-0001
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAM
APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESS"ENI OF TA~
FREV AND TI LEV
5 S HANOVER ST
CARLISLE
DATE
ESTATE OF
DATE OF DEA"H
FILE NUMBER
COUNTY
AtN
FA 17013
ESTATE OF SUPKO
TAM RETURN WAS, (X) ACCEPTED AS fILED
) CHANGED
RESlRVATION CONCERNING FUTURE INTEREST .. SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01
1. Rod Er.toto (Schedulo A) (1).00
2. Stocks ond 80nds (Schodule 8) 12). 0.lL
5. Clo..ly Held Stoek/Pertnarshlp Irlteraflt (Sohedule C) (3)_..__._z..!.l
4. Hortgages/Not.. Raoelvebl_ (Schedule DJ (4) .00
5. Cuh/8on1< Doposlts/"isc. Porscnol Proporty (Schodule E) 15) 3.500.00
6. Jointly Owned Proport. (Schodulo F) 16) .00
7. Transferl (Schedul. OJ (7) .00
a. Total As,..t. (8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. F~r.l Expenses/AdM. Costa/Hise. Expan... (Schodula H)
10. Debts/Ho~tg.ge liabilities/Liens (Sohedule I)
11. Total. Deduotions
12. Hat Valu. of Tax R.tu~n
13. Charitabl./Gova~n..nt.l &aquast.; Non~.l.ot.d 9115 T~ust. (Sc~dul. J)
14. Net Valu. of ERt.t. Subjeot to Tax
19)
(10)
140.00
.00
Ill)
112)
113)
114)
If an assessment was issuad previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAX:
1&. A.ount of Lins 14 at Spou..1 r.t~ (1S)
16. Allouot of Lina 14 ta><abl. ~t Una.lIClas. A rat. (16)
11. A~t of Lina 14 taxable .t Collat.ral/Cla,. Brat. (173
18. Principal T.~ Dua
NOTEI
(,---,
*'
RlV.I'-'1n ." ("-"1
WILLIAM
M
DATE 08-03-1998
NOTE: To tn.ur. propar
credit to your ~ODUnt,
suNlit tM upper port ion
of thil forM with your
tax pay..nt.
3.500.00
140 00
3.360.00
.00
156.964.56
14, 15 and/or 16, 17 and 18 will
returns a.sessed to date.
.00 M .00=_
156.964.50 M .06.
.00 M .15.
1181
TAX CREDITS:
PAYHENT
DATE
05=13-1997
12-08-1997
05-12-1998
RECEIPT
NlIIt8ER
AA211299
REFUND
AA270071
DISCOUNT l+)
INTEREST/PEH PAID (-)
462.00
.00
7.71-
AHOUHT PAID
8.778.00
22.54-
210.31
.00
9,417.87
.00
9,417.87
TOTAL TAX CREDIT 9 419 14~]
BALANCE OF TAX DUE 1 27CR
''',:::,':;''''.. _~:~-,:k.
IF TOTAL DUE IS LESS THAN .1, NO ~AY"ENT IS REQUIRED.
IF 10TAL DUE IS REFLECTED AS A "CREDIT" ICR). VOU "AY IE DUE
A REfUND. SEE REVEASE SIDE Of THIS FOR" FOR INSTRUCTIONS. I
. IF PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
,
00
G ~,
~",,'''','
f"f".
1fl
:0:0
.'!,~
~
c:.'
,JJ
'u
f~J
1":
'D
(J
RESERVA'tIONI ElIt,t.. af d4MMdenh dVlng on or btfore OMuber 12, 19a2 -- if .,y ,,,turt lnte,...t In the ..tate It tr~.f'rrlld
In po......on or ,"jo~t to CI,.. I (0011Itl,.11) beneflclarlt. of the daoldent .ftlr the Ixplratlon uf ~y ..tet. for
11f. or for ~"r'; the C~.lth hereby txPr...ly r...rvI. the rl~t to appral.. and ...... tren.fa" Inherltenoa T~..
ftt the l.wful el... D (coll~t.r.l) rata on any ,UGh future Int.r..t.
_lIF
NOTlCEI To fulfill the rlquirHWItl of Seotlon 2140 of the InheritencI ~ Eltat. fax Act, Act 21 of 1995, 172 P.S.
hotlon 9140),
PAvtlEHTl Detach the top portion of thh NotJOI and .ubIllt with your plYMnt to the betahr of NUb prlnt.c:l on tM rlvor.. side.
--HIke oheok or lIonly order payable tal REGISTER OF MILLS, AGENT
REFUND (ORJI A refund of . taM crldlt, Nhlch wa. not rlque.tld on the TaM Rlturn, .ay be rlquestld by c~pl.tlno In "Applioation
for Rdood of Penn'Ylvanla Inherltenoe lNld Estlt. TalC" (REY-13131. ApplJoaUons ar. avaUable at tha OHlo.
of the Reghbr of Willi, lIlt1yof ttM 2:\ Revenue DlItrlct Offioes, Ot. by oaUlng the .p.olal 24~hour
en....rlng .arvlce lIu.bor. for for.. orderlngl In Pann.ylvWllp l-aOO-362~2050, ouhlde P.nn.ylvanill and
Mithln 100a1 K.rrl.burg araa (717) 787-8094, TOO' <717) 772-2252 (Haarlng I-ralrad Only).
OBJECTIONS: Any party In Intara.t not .atilfl,d Mlth the apprallo..nt, allowance or disallowanc. of deductlonl, or ........nt
of hx (Jnoludlng dlsoount or Int.re.t) .... .hown on this Notloe ItUlt objeot Mlthln .lxty (601 day. of rltOaipt of
this Notlc. bYl
--wrlttMl prah.t to tht PA DepartMent of Ravllnue, Board of Appeals, nept. 281021, Uarrhburll, PA 17128-1021, OR
--aleotion to have the aatt.r a.tar.lned at audit of the account of tht par.onal r.pre.antatlv., OR
--app.a1 to the Orphans' Court.
ADHIN
ISTNATIYE
CORRECTIONS I
faotU81 error. dllcov."d on thh alllln..nt .hould be addrulJed In writing tOI PA napartaent of R.v.nue,
Bureeu of Individual TaM", ATTN: Po.t A.......nt Review Unit, Dept. 280601, Harrisburg, PA 17i28~0601
Phon. (717) 787-6505. S.e page 5 of tha bookl.t "In.truotlons for Inheritance Tax Raturn for a Re.ldent
o.ced<<lt.. (REV~150lJ for an explanation of lJdtIlnhtratlve1y oorr.otftble arrors.
DISCOUNTt
If any taM due I. paid within thr.. (~) calendar aonth~ aft.r the d.c.dant'. death, a flv. peroent (S%) disoount of
the tal( Plt.td 11 81lowed.
PENAL TV I
TM 15:t. tlX .,.,..ty non~padiclpltUon Pftflltlb It cOllputad on tho totltl of tho tl!IIl( ond Int.r..t u....ed, IInC'l not
paid befor. J8nu~ry 18, 1996, the flr8t day after tho .nd of the tal( ..n..ty porlod, This non-partlolpatlon
penalty I. lIppeltllbl. In the .~. .anner and In the the .al9 tl.. period a. you would app.al the tal( Bnd intara.t
thut has baan .......d lIS Indicated on thh ootlca.
IHTEREST I
Intar..t Is Charged beginning wHh first day of delinquency, or nine (9) ~nth, and one (1) dBY frOll thlt date of
d.ath, to the d8t~ of pay..nt. ral('s which bac... dalinquent befcr. Janu~ry I, 1982 b.ar int.r..t at the rat. of
she (6:t.) p.roant par 80nUIl calculatad at a daJ1y rata of .000164. All taKas which bec..e dallnq\IMlt on and aft.r
January 1, 1982 will bIltr intarust at It r.te which will vary fro. oalendar y.ar to oalendar y.ar with that rate
announc.d by thCl PA Oapart.ant of RClvanua, ThD PlPfll Jcabl. Intetallt rat.. for 1982 tllr'ough 1998 ara,
'!!!t lnt.r..t Rata Dally Intar..t f'actor r!!r !!l!!t!.!.!. Rl!lte !!!!~ lnter..t Faotor
1982 20X .000548 1987 91: .000247
1983 16X .000438 1988M1991 11% .000301
H'84 11% .000301 1992 9% .00020\7
1985 13% .000356 1993-199(, 7i': ,000192
1'86 10% .000274 1995-1998 9X .000247
-MInt.ra.t ill calcullttad .. followll
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-~Any Notice i..Uld aft'r the tal( baooe.. dellnquant will reflect an Inter~lIt cal~ulatlon to flft.an (15) day.
bltYond t.he data of the as......nt. If pay..nt Is aado after the Intare.t o~put.tlon date .hown on the
Notlca, additional Inter..t au.t ba c8lculatad.