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COMMONWEALTH Of pfHHSYlV.\HIA
OfPAATHEHT Of' REVENUE
BUREAU Of IN~IVIDUAl TAKES
OF.PT. 280601
tlARRISIUJRQ, PA 111t1-D'IH
'*'
INFORMATION NOTICE
AND
TAXPAYER R~SPONSE
FlU
ACN
DATE
NO. 21 .Cp -~.s7
97111206
03-10-97
TYPE OF ACCOUNT
o SAVINGS
[XJ CNECKING
o TRUST
o CERTIF .
ttv'IUIUI"",."
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EST. OF IDA SHAW
5.5. NO. 200-05-3700
DATE OF DEATH 12-23-96
COUNTY CUMBER LAND
VIVIAN L KWNTZ
912 DERBYS~RE AVE.
MECHANICSB~ PA
17055
REHIT PAYHENT AHO FDRHS TO,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
rf-'
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II! 0.: 0, ;.) ~;-
PNC BANK cr.. . hu ~w1d1td the Oepllrh,.nt with tM Infor."Uon 1 htad balow whIch hu b..n u..d In tnlculllUno the
potenUal hlle dull. Their 'Mordl tnfI~t. that lit the d..th of the abo"e deoadant, yoU w.r. II joint own.r/ban.f!al.rv of thlt IHlOOOOt.
If YOU f..l this Infor.atton 11 lnc:orrllot, pl.... obhdn written ClOrl'.otlon frOM the 'lrl/lnch! Inlltltutlon, t1ttlloh II oopy to thh for.
and r.turn it tfl tIM tlboVII IIddr.... Thl. ~count I. hMabl. In 8CClordenol with thll Inherltanoe hM lltWlI of tll. Couonwealth of PIM.ylvtltdn.
R.._.\lu,~,.. ....~ ::.. ..."~,,_,,Io'; .;.)' ...1Il~i.i,.. \;~,'. 7<ii-CJn,
COMPLETE PART 1 DELOW .
Aooount Ho. 5140..54066
. . SEE REVERSE SIDE FOR
Doh 08-01-76
Eotoblhhod
FILING AND PAYMENT INSTRUCTIONS
Aooount hlonoo 7,481.89
Poroont To.llblo T- 50.000
AlIOunt Subjoot to To. 3,743.95
Tox Roto K . l!i
Potontlol To. Duo 561 . 59
PART TAXPAYER RESPONSE
[!] 1'l=AI"'UIl.a.,t(l.lIa.P9'1l!lt~...~.~.'.~~rJ" ....~qFfI~XAI/ TAX' A1I81l88MIHTIAS!lI,. ON . THIS H4)TICal
A.
To In.ur. prop.r cr~lt to your account. two
ez) copl.. of thh noticllI ..at aOCDllPany your
paVlHIflt to thlll R.gllt.r of Willi, H.. check
payable tal "AAflht.r of Wllh, ""nt".
HOTE I If triM paYMnh sr. II~ within U,,'..
(]) IIOnth. of tha dec.dent', dllt. of ~.th,
you Ill'lY deduct. S% dl.count 0' the hM dUG,
,lny lnherltantllll tllM due wHI b.colll4l delinquent
nln. (9) .-onth. aft.r the dl!lt. of d..th,
[CHECK --,
ONE
BLOCK J
ONLY
[9 Th. aboye Infor.atlon and h)( WIl I. cOI'rect.
I. You aay chao.. to re.it plI!ie.nt to the RlIghtar of Willi with two (lopl.. of tht. f\Ottc. to obhl1n
a dhcoont or avoid interut. or YOU illY ch4tCk bOle "A" Md return thh notlc. to the Reght.r of
Wl1h and Itt1 c,flchl IIUII..".nt 101111 b. luu.d by the PA o.p.rtlHmt of Rev.nue.
B. 0 Tn. above IIU.t hll. b..n or will b. r.port.d Itt1d taM "lid with the Pannlylv8/'1lf1 Intwlrltanu Tlue return
to b. fll.d by tb. ~c.dont'. upr..anhtlvll.
C. 0 The obavlfI Jnforlllltlon i,-:Ancorr.ot andlor debts and d.dt..'::ltlonll Nilr. paid by you.
You aullt co~l.tll P",RT ~ and/or PART 0 balow.
If you indicate a differant t.x r.t., ple.i. .tat. your
ral.tlon,hlp to decedantl.
PART
[!]
TAY ~P.TIJ"N - ,..n~"I'TATTnN
LIHE I. Dot. ~.tobI1.hod
2, Account 8.A~.
3, Paroent T~xable
4. A~unt Subject to TAX
5. Debt. and Doduct1on.
6. AlIOunt To.oblo
7. Tox Rate
a, Tax Due
n" UV tiN .)nTHT/TIWST A~,.,nIINTCl
I
2
5 M
4
Ii
6
7 M
8
".'.;:""
,,::":"'..;",
'~~n
,.'OFFICtAl USE ON LV 0 AAF
.. PA DErA~TMENT QfI REVENUE ..i
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PART
[!J
DATE
DEBTS AND DEDUCTIONS
. 1
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6
7 ~,..., .
8
CLAIMED
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PAID
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PAYEE
UESCRIPTION
AMOUNT PAID
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TOTAL IEntor
on l!na S of Tax Conputatlon)
Under p.na1ti.. of perjury, ~ declare that the faot. I
coltPlet. to the b.d of .Y knowledge Ilnd baU.f,
~;~~(A~~R !rGN%JRE' l'
have report.d aboye are
HOME ('In ) '1M,
WORK ( )
TELEPHONE NURlE~
true, correct ~
II J"I
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESUI,T IN AN OFFICIAL TAM ASSES5HEHT with ...11,"1. In""" ...od on Inl.".tlon
.ubIIlttfld by the 'InllOol,1 In.t1lutlon.
Z. lnh4trHllnol tilt btKlORU dellnqulInt nln. lonth. tftu th_ dICldlnt'. date of "uth,
J. . JuJnt ltOC0U11 it tM.bl, "Yln thouih thl dlcldent'. np. w.. "dd" III . ..tter of convlntenell.
It, Aocoootl IInc11udl". tllO" held tl,twltlIn hu.blnd Met "HUtl whtch thl dlcedwtt put In joint n.... within (mil '11".' prior to
..,Ih .t. fully tDMtbl. II trtnllf.rt.
5. Aocounh utltbllthed julnth bltw..n huth-.nd anet wlf, lor. then M1' yur prior to d.ath lit. not tlllllbll.
6. AOClounh hlld by. dlaldlHlt "In tru.t for" IHlOU,.r or ot~r' .t. tlMlbl. fully,
REPORTING INSTRUCTIONS - PART
1
TAXPAYER RESPONSE
1. StOCK A " If the In'at..t1u" IWtd OOllputttlon In thfl not 108 at. corr.ct and dlductlon. nt. lI\1t being olalNd, plICl' In "."
In block fl." of Ilttt 1 of thl "ll)(PIYlr R..pon.... 'la\lon. Sign two copl.. and lub_1t th.. with your ahfKIk for the MOUnt of
h)( to the Retht.r of Wl1h of the (lounty Indlo.hd. Thl PA n.p.rt.lnt of Rev.nu. will I..u. an oUiot,1 ......Mnt
(For. REY.1S41 EM) upon r.colpt of thl return fro. thl A.allt.r of Wills,
2. IlOCI(" If the ....t 'PGClfl.d on this notln hu bien or wUI bl rlported Ind tl>C paid with tM PItM.y!v."t, InhtdtlnOe
TYH R.turn fll~ by thl dec.o.nt'l r'Pre'entltlv., pllOl In ~~ In blOOM "I" 0' Part 1 of the ~T~"p.ver Re.ponle~ Itctl~. Sian onl
C10py Md rlturn to tM PA DIPlrt.."t of AIVInUf, lur.., 0' ~ndl"ldu.1 TIMII, ~t 280601, Hlrrhbur" PA 17121~0601 In the
Wtvtlope provided.
J. ftLoct( C ~ If the notlel Infor..Hon II lnanrrlot Irw:t/or deduction' ere b.lng olliNd, oheok block "C" Itl1d oDIIPhh P.rt. 2 end 3
~::':'l~lr., to \t.t 1:,:truo11011:1I::lo:l. ::1g.-, tW(\ ~op!c: er..:I :'.f.lrla 't!'.::; ,'!~~ :;U~'.' ~'~::,., 'r:" +h" ':"!!','''~ ..~ +~, rp!,.."'l. +" thfl P.ald."
uf Willi 0' thl county Indicated. The PA DIp.rll'tnt of Rlvlnul will lllUI In offlolll ......IInt (For. REY-1S41 EM) upon rtt:lllpt
of the r.turn froe thl Reghter of Willi.
TAX RETURN - PART 2 - TAX COMPUTATION
lllE
1. Enter the at. thl 1IC0ount orlgln.llY "',. e.tablllhld or HU.d In the unntIr .)(lttlnu at dlta of Hatl'1,
HOTEl for a dlcld.nt dying aft.r 12/12/821 Account. which tho dacldlnt put In Joint n.... within one (I) Y.lr 0' df"th ara
ta:-.abl. fully II tran.far". Uo",ov.r, th.r. It an IMclu.lon not to IMco.d U,oou ~r -trlnt'''.. r.,.r:U... 0' thl valu. 0'
thl 1lO00Ynt or thai ~r of lltCloounU h.ld.
If . ~II utar Ilk (MM) app..r' baforl ~our flr.t nu. in thl l!ddr... pClrtlun of this notl(l., tha n,ooo .xolu.lon
,Ir..y hili ~ dHuot.d 'rOIl thai .CCDunt balanc. III reflort..d by thl flnanclal Inltltutlon,
Z. Entar the totlll baltlnOl 0' the llllcount Innludlng Inter..t Icorued to tha data of d..th.
J. Tht perotlnt of the aocuunt that 11 taxabl. 'or nch .urvlvor II dlt.raln.d .. 40110101.1
A. The FHtrolflt t'MMlII fQr Jolnt ....t. ..tnblhh.d ItGr' thin on. y."r prlo,' to tha deudant'l delthl
1 DIVIDED IV TOTAL ~IER or
JOINT OWNERS
E>ceapl.1 A joint ....t raul.t.rld
DIVIDED IV TOTAL HlIHIER Of X 100 . PEACENT TAXAILE
SURYIYIHO .1OIN1 OWNERS
In the nl'. of thl d.cilCMnt and two 01ho,. p.rsons,
1 DIVIDED IV 3 (JOINT OWNERS) DIVIDED BV 2 (SURVIVORS). .161 M 100 . 16,7;( (TAMABLE f'OR fACti Sl1.WlYOR)
I. ThI parotnt taxable for ...a1. or.a1ld withln ona yaar of the d.cadant's del1h or acoount. owned by thl dac~ont but held
In tru.t for lWlO1hor Indlvldual(.} (tru.t banlfhlJarlull
1 DIVIDED IV TOTAL HUMIER Of SURVIVING JOINT
OWNER$. OU TqUST IEHEFICIARIES
K 100 . PERCENT TAMAllE
fXMfll11 Joint acoount raght.red In tha naa. of tn. dlcedent and two othtlr parson I and a.tabl hhad wlthJn ~ ye.r 0' d..th by
thl dlcadant.
1 DIVIDt.ll BV 1 (SURVIVORS) .. .50 M 100 . SOX (TAXABLE FOR EACH SURVIVOR)
4. The IIIOUnt ~Jl()t to hit (11M 4) 1. d.tar.lnad by Mlltlpllllng t~ IIccount ball1nCle (1I1lI 2) by the peroent tlxabl. (lIne J).
S. Enter thl totll of the dctIt. IW\d deduction. I ht.d 1n Plrt 3.
,. The..aunt tllllble (l1na Ii) 1. eNter_ln.d b:;o .tJbtracting thl dabt" .net deduotlunl (1lna S) frOll the ~t .UbJHt to talC (llna 4),
7. Enter thllPflrOl1ri"ta tax rato Ulnl 7) II jetar.in.d blIMl.
A. For dataa of dNil(n occurring ..#ter 6/50/94, thai tax r.tu far tr..,.fQrI to IPOU''''' ara .. followlI
1. Oat.. of H.th on or IU.r 711/'(, IInd bel for. I/l/9S thl rah 11 3X.
2, Dlt.. I)f de.th on or Ifter 11119t. tran.fer. ta 'POUI" ",111 hi t.1t1Kl ,t OX tlM rlt..
Mot., For datil of d..th prior to 111/94 trerufl" 1:0 .pOUI" art tnltbla at ti.i(.
I, TrMaf.rl to 11"..1 d.lclndant. lnoludln9 fath.r, loth..r, .an, dl\uQhtar, grandchlldr.", lon-In-law,
dltUlht.r-ln-IIH, .tepehlld end th.lr 1..Ut1 ar, texabl. at .hi parcant (6;0,
C. Tnn.f.rll to all othlrs looludlng broth.r, .lIt.r, uncia, aunt, naph... and nia08 ara t.xable at flft"" peroant nsx).
D, If.,oo chango thl tile rita, pin.. .peclfY your rahtlon.hip to thl deoecNnt In thl ara. provided.
I. TM lINt",t 0' talt due (lIn. I) II d.taralnod by aulttplYlnll thM Mount taMahl. (lln. 6) by thl hlle rate (Una 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AIlONabl. dabtl end daduotlon' Ira d.tandn.d u fol1o~ll
A. 'too lapl1y art rIlPon.lbl. for pfty.ant, or thl ",tote .ubjsot to edllnhtretlon by a per.onal rapr..antatlv. 11 Inlu,flclent
to p.y the deduotlbl. It....
.. You .tCtuI11Y p.ld thl dabtt afhr d"lth of the d.cadlnt and oan furnish proof 0' paYHnt.
C. Dabts bllng elal'M lIut b" 1t..111d fully 1n Part 5. If ltdditlonl1 'PM' h n.aded, ula pl.ln pltPer . 1/2" It 11". Proof of
P.yant ..yo tM raque.ted bv the PA nlpsrt..nt nf P.SV."UI.
TAXPAVER AS$ISTANCE . . ....>
IF YOU NEED FURTHI!R INFORMATION O~ ASSISTANCE ,CONTACTANV
. RESISTER OF WILLS.. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
. .......... OR CALL THE llUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISllURGAT (7171 787-8321, TDD. <7171 772-2252 (HEARINIl IMPAl~EDONlY)
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To fulflll the requlr..-nt. of Section ~140 of t~ tnn.rltenco tndE.t.t. fax Aot, Act 2t~f;i995.
hot!", 9100).
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PIlYMINTI DetHh the tQfl portion of this Notice It'ld tubIIlt with your p.vwent to tn. Reght.r of Wilh printed on tM
r.wr.. .1de.
-- "-k. check or ItOMW orchr Plly.l. tal REgISTER OF WILLS, .GOff.
REFUND (CRlt A r.ft.fMt of a tali' (Iredlt, which 1f.1 not rlq\...ted on th8 hx r.tl4rn, ..y bl requtl.tad b~ cCMlpl.Ung ." "AppllclltlDn
for R.fund of PannlYlv~11 Innerltane. and fetete T.x" (REY-Ill!), AppAicatlonl ar. ~~.llabl. at tho OfflQ. of
~ R..tlt~r of Nlll., any of t~ 25 R.v~ District Offlc., or by calling thA .,.ct.l 24-hour en'Wlrlng ..rvle.
flUIIba:-1 for fcr., ordtlrlnll In Penntlylvanl. l-aoa-56hlOSO, outlltla PemnlylVl!lllh and within locld
"rrllbura Ir.. (117) 787-&094, TOOt ('117) 112-2ZSi! Ufellrlr\A 11Ip.lrt'd Onb>.
OBJECllOHlI Anw party 111 lnhre.t not I8th"~ with the apprehIHn't, IUoHaoqa or dhlllllowanr,1 of dMuctlonl or 1I...SHrit
of tax (lnoludlno dlscount or Int.r..t) a. ahawn on thl~ Notice alV Objaat within .I~ty (60) daYI of r.celpt ~f
thh NotJO/l bYI
uNrltt"" prot.!!t to the PA O.,..rt.."t of R.venue, lo.rd of App.all, Dept. 211021, Harr!lburg, PIl 17121.1021, OR
~-.leot1ng to MU. t~ ..ttotr d.tQr.tMd .t tM tktdlt of th. IKIcount of the per.anlil rttprUlH1hUII., OR
""epp..1 tl:l thil Orphen,' Court
AIlHIN-
UTllATlY<
CORRECTIONS I
F.ctual .rror. dlacov.red on ttlh ......HOt .hould be Mtdr...uct in "rUing tOI PA Dlpart.."t of R.UMUe,
Iur8.u of Indlvldua1 T.~_I, AfTNI POlt A......ont R."t.w l)ntt, DEPT. 21060), ~rrl.burg, PA 11121.0601
Phone (717) 717~650S, $.. peo- 5 of the book1.t "tnl~ructton' for Inherlt~cG TaM R_turn for n R..ldent
Dacadant" (REV.1SOI) for." .Mp1.,.tlon of adatnl.tr,tlv.ly corr.ctabl. .rror..
DISCOUHTI
If MY tll)C duI!II h paid ~dthln thr.. (5) ulandllr IIOnth. .ftar the dacect.nt'. d..th, It fly. p.ro.nt (5:()
dlaeoun1; of thII talC paid 11 .Ilowed.
PENALTY I
Tho 15;( taw ..,..ty non-p~rtl(llpatlon ,*",1 ty Is (I01pUtld on thtl totd of thtl tax 1M Int.r...t UIIIUed, end rMlt
PIIJd bIt.ora Januer)f 18, 1996, the flr.t dt~ alt.r th. end of the taM 8Mt11ty parlad. Thh non-p...tlclpatlon
penlltv 11 .,..labh In tn. ..... .aoootr and In tIM the lNO thllll pGrlod as you would Ipp..l thtl t~ Ilnd Inhr..~
that tI.. bHn 1U....1td a. lndlo.t.d on thlt noth:..
IIfTEIlEIT.
Int.r..t Is eMr.. btttIlMtne ...lth flut day of daU".IWKIY, or nine (9) Ittmth. lOtI on. (1) dey
frOll tM _t. of ct..th, to tM dllt. of fllly..."t, leMU whlch bef:l.. d.Unqu.nt before JlInUtIry 1, 1912
baar lnt.r..t at the r.t. of 11M (6^) perCl(lt p.r annuw c.lcul.tld at a d.lly r.t. of .000164.
All t.k., Nhlqh beu... dallnquent on or Ift.r Januery 1, 1912 will b..r Int.r..t .t .. ret. Which will v.ry fr~
oa,.nder y..r to aal....r y..r dth thot r'.t. ~ by tIM PA Oap.rtMllt of 1'1."'110\11, n,. ~UClllble
interl.t r.t.s for 1912 through 1997 .r.,
v..,. Int.r...t Rat. O.Uv Int.r..t Faattlr V.., Int.....t R.t. 08Uy Intlr..t fll<ltor
1912 20~ .000541 19.7 .~ ,000247
1913 16:.c ....431\ )'9Ia~I"1 m ,000501
1914 1I~ .000501 1991 .~ ,OD0247
UIS 13:C .OOeSS6 1995"1994 7~ .01101'2
1916 1O~ .000274 1995-1997 .~ .000247
--Int.r..t 1. calcul.ted .. fOUmlll
INTEREST . BALANCE OF TAX UNPAID X NUKBEA OF DAYS DELINQUENT M DAILY INTEREST FACTOR
-~AnY NoUe. hlU4td .fter ttM tlt)( lHtnOlltIli delinquent wUI ,'.flact an Int.rut c.lcUllU~ to f1ft"" US) .~,
beyond the date of tM fI"_'MMt, If p.W......t h IIIllde IIft.r tM Inta,...t coaputaUon det. shown on 't~
Motloa, additional Int.r..t .u.t be a.lou1.ted.
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