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rFOtJ~i~U:9~~F OE.4.TH "HER 12/.'1"1 CHECK HERE
filYJifW'JlliliU llli><J.MlillL.CJ
~ILE NUMBER
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. / I
COM~m,;~tfJ \\'lfl.tW1Ij)'&~'NI'
HARRIS R8~t,,,,~ \Z8 -060 1
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
2197.0391
YEAR
COUNTY t;OOE
DECEDENT'S COMPLETE ADDRESS
2019 Yale Avenue
Camp flill, PA 1'1011
~
I
DECEDENT'S NAME (lAST, FtnflT, AND MlDDLE INITIAL)
PETERS flILDA D,
S~';~ ~I~~~I~~N~M.."_-];:'/~~;;~_~~;- OA{t:~~jf~;8_
Count
(11' APPlICA.BLE)SUAVIVING SPOllSE'S NAME (LAST,pmST AND MIDDLE INITlIlL) SOCIAL B!CU"ITY NUMB!R
CAB X I,
~ ~ a 4,
~o~rxle,
p G ~
Original Aoturn
Llmh.d Estato
~
C
A
P
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A
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Cumberland
,l
NUMSER
AMOUNT RECEII/eo (9EE INSTRUCTIONS)
0.00
De.
1 8,
Romalndor Return
(la, dot.. of deat~1 prior to 12-13.92)
Fed.ral Estat. Tax A.turn Required
Total Number of Soto Deposh Bo'.'
,
168 ,896.00
None
None
4~073. 44
None
78,303.00
..,
(8)
---02, Supplomentol Aot~7,;"
D 41. Future IntereSl ComrrClmlse
(for dol.. at deOlh aher 12-12.92)
Deced.nt Died Testoto 0 7, D.codenl Molnlolned a Living Trust
(Anooh copy at Vv111) (Anoch a copy of Trust)
C p ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
o 0 NAME COMPLETE MAlLIND ADDnE'S
R g John E. Slika,~ Saldis, Guido, ,Sh4ff & Masland
~ ~ TELEPHONE'IUMSER 2109 Market Street
T 717 737-3405 Cam flil1 PA 17011
I, Reol Estot. (Schedul. A) 1
2, Stocks ond Bonds (Schedule B) (2)
], Closely Hold Stockll'ortne..hlp Inle,e'l (Schedulo C) (3)
4, Mortgoge. ond Not.s Roc.lvoble (SChedule 0) (4)
e, C..h, Bonk Depo.hs & Mlscollon.ou. Porsonol Proporty (Sch. E) (e)
6, Jointly Owned Prop.rty (Schodulo F) (8)
7, T,on.io.. (Schodul. G) ISch.dulol.) (7)
8, Totol Gross A..ets (total Lln..l.7)
9, Funeral Expen.es, Admlnlstrotlve Costs, Mlscell.noou.
E,pen... (Schedule H)
10, Debts, Mortgoge L1obilhles, Liens (Schedule I)
II, Total Deductions (Iutol L1n.' 9 & 10)
12. N.t Value of EstatelLlne 9 mlnu. Line 11)
1], Chorhobl. ond Gov.rnmentol Bequosls (SChedule J)
14, Net Volue Sublect to T., (Line 12 mlnu. Line 13)
15. Spousal Tronsferslfo, dot.s at de.th .her 6-30-94)
See InstrUellon. tor Appllcoble P.rcentege on poge 2.
(Include value. tram Sch.dul. K or Schedule M.)
16. Amount at Line 14to,ebl. at6'!. rata
(Includ. vo!u.. from Schodulo K or Schedule M.)
17, Amount of Line 14t"obl. otIS'!. rote
(Include volue. tram Schodule K or Schedule M.)
Ie, Prlnclpolt.. duelAdd t., tram Lino 15, 16 ond 17,)
19, Credh./Sp Poverty Prier Poymenls Discount
_~OO+ 40,000.00 + 2,105.26
zg, It Lln. t91s greoter Ih.n Line 19, onler Ihe differonce on Llno 20. This Is the OVERPAYMENT.
~ 0 IChKk hel.1t you ore requelllng I refund of your OVlrp"1!!!!!!!:J
21. It Line 191s yre.to, than Line 19, .nt.r ,he dIN.r.nce on L1no 21. Thl.ls the TAX DUE,
A, Enter the Interesl on the balance due on Uno 21A.
8, Enle, the totol 01 L1n. 21 ond 21A on Line 218. This is tho BALANCE DUE,
Mike Check Peyobllto, Regl.ter of Wlllo, Agent
.. .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 ANO TO RECHECK MATH '" '"
Und.r peMIII.. of pef~ c1~I.r.lhllll hive tIClmlneCfiliTi""i"8turn, Ineludl1l9 accompanying Ichltduln Ind s"t.menl., end 10 the bUi01"ii1Knowredgl and bell.f, Ills true,
correcllrrcl campl.I..l d~I.,. that.1I ,..1811111 hI! been reparted a' llUe market valul. Oecll",l!onof p"'plre, other th.n the persoMI 'epresentlll....'. bued on.lIln1ormallono1
which prtp.,.r nlSlny knowledlltl,
(9)
24,886.16
(10)
5,320.24
(II)
(12)
(13)
(14)
(le).
0.00 X
,
(18)
o . 00 X ,06 :
(17)
357 ,951.0/+ X ,15'
(18)
Inl..est
(19)
(20)
(21)
(21A)
(21B)
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
( (. I 1" .
\ I......'-'-~ ~.f.<-lu,
F. OF FAEPARER OTHER THAN REPAEflENT ATtVE
7 ;) ,
't Ll ,>' &I.(G
JC) 199~ form lofh".r. only CPSyslems, Inc.
.John E. Sllke
2109 Mflrket S'creet
Camp' iif ii": 'rA" " "i7oii -" m......" -.."""" -......"
Saldls, Guido, Shuff & Mas land
2109 Market Street
Camr' " j.iiii",' "rA'" i7<iii".."..."." - -"...."..........
388,157,1.4
30,206.40
357 ,951. 04
3f7,95l.04
0.00
0.00
53,692.66
53,692.66
42,105.26
0.00
11,587.40
0.00
11 ,587.40
DATE
'0'/) 't I 'j-/
DATE
'i / '}7/9 )
Form1500 (A8\1. 7.9~)
NII'~.Il\'l'l\ql1 ~i~ J
(oMMO"W"~I:;>':"N"''''''' SAFE DEPOSIT BOX
DI'''ll.tMfNI 01 UVWUf INVENTORY
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OmUlIMl
IIAUIUU~a, rA 11lUOMI ~I.a.! Print or TVP~n_~..
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MU!T BE COMPLETED BY BEPREm,TATlYE OE FINANCIAL IN~T1TlJTlON wmRE !AFE llEPOSI! lOX IS LOCATED ANll RETUR~jEO TO ABOYE ADDRESS
COUNTY CODE---:--~ILE NUMBER- --.----~~ SOCIAL SECZR~T~ ~R ;:A.TW<'('1ICATE NUMBER
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NAME AND ADDRESS Of PERSON REQuhllNG THE OPENING OF THE SAF"fDEPOSIT BOK
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NAME, ADDRESS AND RELATlONSIHP (If ANY) TO DECEDENT, Of PERSON(S) PRESENT AT THE BOX OPENING
Q, lHAM[l"~~-'_w .T__.......~-~-."n"'..--_.-~~. (RElATIONSHIPj
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(!TATEI
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[ZIP CODE}
17&>11_
Pit
(!TATEI IZlP CODE I
/701/
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{~TREEl ADDRESS}
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(StATE)
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NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAfE DEPOSIT BOX IS LOCATED
INAMEj () AJ C Zs';:-k
(STRd~5S~ ._0.... \ __._-0 Jt\ k t ) -
C ) S-r -+ l'.JM e Su
I NAME OF PERSON MAKING lASiE~Hiiy--~------.
, pr'ATE) I~IP~
I II ':!:L. 1761/
AND TIME OF LAST ENTRY
_ ..3JQ..
NAME AND AODRI5S OF PERSON(S) KAYING ACCESS TO BOK
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ISTATE)
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fI4'" ~) De4'ff"t
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b. Nam. and addr... of p.r.onal "p,...n1atlv'l If nam.d In the will
(NAME}
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(STREET ADDRESS)
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TAX YllAA
1997-98 REAL ESTATE TAX NOTICE
..........;~lltnllILL SCHOOL DISTRICT
ANN M. MARKLEY, TAX COLLECTOR
242 N. 17TH STREET
CAMP HILL, PA. 17011-3910
PHONE 717 737-2090 9AM-5PM WEEKDAYS
"
"
DATI AII.8IM.KT BILL NO, C 1
.. SCHOOL . . JULY 1 1997
I 6,710 2166
OFFICE HRS TUESDAY 9-2 AND 4-6PM
SEE NEWSLETTER FOR CHANGES IN HOURS
II
II
II
1,045.5
1,066.8
ACCT NO 01-22-0536-161
PETERS, JOHN E.
2019 YALE AV~UE
CAMP HILL PA 17011
THIS
,"-:;:\.
, ,
.
I ,"'n"""'II.,AI..h.""I''''(I''''''I' JIl""''',m,''"",u'
II
,
.. DONNQ THII IIf."toD
'AY THI! AMOUNT
DISCOUNT
FACE
.7ULY-AUG
SEPT-oc'r
1,045.55
1,066.89
2019
YALE AVENUE
LOT 191
HOUSE
IF UNPAID BY 1/09/98 TAXES WILL BE
TURNED OVER TO CUMBERLAND CO.
TAX ~LAIM BUREAU.
$1.00 FEE FOR ADD'L RECEIP~S REQUESTED
, .
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MI CELLANEOUS EXPENSES
REV. 111111)< I (1-sa)
CO....~gMhl'ANIA
IITA E Of
HILDA D. PETERS
ITlM
NUMBER
SS, 207-01.4049 04/19/1997
DESCRIPTION
AMOUNT
A. FUMr.IE.,.n.oll
1
Myers-Harner Funeral Home
5,770.00
I. AdRllhlltrlllvo COlltI
1. P.".,,,,,I R.p....nt.llv. Comml..Iq". I~ f1-'-'of.<, 13,700.00
Soclll S~urhy Number of P'lIo",,1 R.pr...ntatlve: .:?S'
VII' Commls.lon. paid 19'97
2. Abo,ney F... Saidis, Guido, Shuff & Mas land 4,500.00
3. Family E..mpllon
Clllmont Rolltlon.hlp
Add.... of Cillmont at d.c.denl'. d..th
Strllt Add....
City Stall Zip Code
4. Prob.ta F... Register of Wills 328.00
C. MIlIQlU.neolltl Exp.n."1
1 Cumberland Law Journal - legal ads 60.00
2 Patriot-News Co. - legal ads 53.16
3 Register of Wills . filing fees 25.00
4 Reserved for future taxes and expenses 450.00
I
TOTAL (AI.o .nllr on line 9, R.c.phuiltlon)
(II RlOII Iplce I. "ood.d. In..rt .dd"lonl'"hMto 01 11m. 1111,)
Copyright (cll99-4 formloflwl,. only CPSYII,ma, Inc.
. 24,886.16
Form llOOSchodulo H(RIV, H')
, - /17 ;/
;5-- ( .7
aUREAU OF I~DIVIOUAL TAMES
IHHUHUHCr tAl( DIVISION
DtPl, ..8O-.1I1
IlARMISlUAG, PA J11l6'0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
( .
~__..J
NOTICE OF I~HERITANCE TAM
APPRAISEHE~T, Al.LDWA~CE OR DISALLOW^NCE
OF DEDUCTIONS ANO ASSESSHENT Of T^M
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
12' 15- 97
PETERS
04-19-97
21 II7-0HI
CUMBERLAND
101
[,~,,~~~_A"~.~~O.I tto~ "-=3
MAKE CHECK PAVABI.E AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV: iS4"?" EX" -;, F p -j of 9'1'1 - NOY i c r" 0' F" i"NH iiif i;: Aifc E - i'AX - iiP PRAY sEi.fE" NT"; - ^ i l"owANc E - (fA' - - - -" - -. - -"" - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HILDA 0 FILE NO. 21 97-0391 ACN 101
JOHN E SLIKE ESQ
SAIDIS ETAl
2109 MARKET ST
CAMP HILL
PA 17011
ESTATE OF
PETERS
TAK RETURN WAS, (X I ACCEPTEIl AS fIl.ED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
~-----
APPRAISED VAI.UE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l Est.t. (Sch.d~l. Al
2. stocks and Bonds (Schedul. OJ
3. Closely H.ld stock/Partnership Xnt$r..t (Sohedule C)
4. Horta.oa./Not.. Receivable (Schedule D)
S. C..h/Barn< Dapoaits/Hlsc, Parsonal Propnrty (Schedule 1:)
6. Jointly Owned Prop.riy (Schedule f)
7. Tr'an.ferl (Schedula G)
a. Totlll A...ts
I CHA~GEn
III
121
ISI
141
ISI
161
171
95,885,00
168.896,00
J!Q.
,00
45,073,44
,00
78.303,00
(81
APPROVED DEDUCTIOMS AND EXEMPTIONS:
9, Fun.ral E~pen.../Adn, CoutI/Hi.Q. Expen'.M (Schadule H)
10, Debh/Hort"a". Uabi1i tiali/Lians (Schad\,l. 1)
11, Totol Doduotlons
12. N.t Val~ of Tax R.hwn
15, CharUabltt/Govarnlltllntal baqu..h; Non-el.ct.d 9115 Tru.h (Schedul. J)
l~, Net Valu. of E.tat~ Subjact to r_x
Xf an a.....ment was issued previouuly. line. 14, lS and/or 16, 17 and 18
re1lect figures that include the total of !LlJ. returns alle.sed to date.
ASSESSMENT OF TAX:
lS, Anount of lina 14
lb, AMount of I.in. 14
17. AMount of 1.1nl."l 14
la, Principal T.x pua
NOTEI
at SpauJ.l rat.
taxable at Lin.al/Cla.. A rate
taxable .t Coll.taral/Class Drat.
TAX CREDITS:
--
PAVHE~T
DATE
07-17-97
09-03-97
REr.EIPT
NUMBER
AA211554
AA211698
DISCOUNT 1'1
I~TEREST/PE~ P^ID I-I
2,105,26
,00
191
1101_,
USI
U61
U71
24.886, 16
5.320,24
Illl
1121
1131
1141
,DO ~,OO,
_~ M ,06,
357.951.04 X ,15,_
1181,
AHOUNT PAID
40.000,00
11.587.40
TOTAL TAX CREDIT
BALANCE-OF "TAX D'UE
INTERFST AND PEN.
TOTAL DUE
. IF PAID AFTER PATE I~pICATED. SEE REVERSE
FOR CAl.CULATID~ OF ADDITIONAl. INTEREST,
*'
UV-lhlIlI" Uf-'!I
HILDA
D
DATI!
12-15-97
NOTE I To insure prop.r
credit to your .ccourlt,
subMit the upper portion
of thi. for. with your
tax paYMnt,
388.157 , 44
3D .,,206 40
357.951,04
,00
357,951,04
will
,00
,00
53.692,66
53.692,66
53.692.66
---.---
,00
,00
,00
IF TOTAL DUE IS l.ESS THA~ U, NO PAYHENT' IS REQUIRED,
IF TOTAL DUE IS REflECTED AS A "CREDIT" CCRI. YOU HAY DE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR I~STRUCTIONS.I
'u l
t'.~ ,
I_J'
, ~~i
i~') C~,
RESERYAT10NI E'htu of dlcodent. dyJnt on or b.for, O,o".r 12, 19112 ~~ IfIIlV luturI Intlirllt in the uht. I. trln'f,rred
In Po.....lon or .nJov..nt to el.,. B (eoll.t.rall b.n.flolarl., Qf the d'ood'nt afttr th. 'MPlratlon of Iny ..tat. for
lU. or for yUrt, th' Co..onw..\th hlreby uprully re,.ry.. the right to apprth. InCf ...... t,ltn,f.r tn~rltanc. hu,
It th~ lawful Cia., B (0011,ter,11 rite on Rnv euoh future Inter.,t.
PURPOSE Of
NOTICE I
PAVMENT I
REFUND (eR) I
OBJECTIONSl
AOftIH
ISTRATIYE
CORRECTIONS I
DISCOUtn I
PENAL TVI
INTEREST I
To 'ulflll the rlqulre..nt. of Seotlon 2140 of thl Inh,rltlnOI and E,t.t. TIM Aot. Aot 21 0' 1995, (12 P.'.
S.otion 91401.
D.t~ch thl top portion of this Notlc, and .ub.lt with your Ply..nt to the Regllter of Will. prlnt.d on the r,v'r.~ .Id..
-~".k. oheck or Mon.y order PIYl'Ibh tal REGISTER OF HILLS, AGENT
A refund of a talC or.dit, which wa' not ,'Iquut.d 011 th. TaK hturn. "IY b. r.que,tld bv co~l.tlng an "Application
for R.fund of Pennlylvanl" Inn-rlttlncl and E.tete Tall" (REY-UU), Application. ar. av.l1.bl, at the Offlol
of t~ Regllt.r of Wlll~. any of thl 21 Rlv.nu. DI.trlct Offlo.., or by ell ling the ,peolftl 24-hour
an,wlring "rvioe nUMblr. for for., ord,rlngl In P.nnlylvanla 1~800~]62~205G. out,'d, Plnn.vlvanla end
within 11)(1.1 Harr huurll ar.. (717) 181-8094, TOOl (711) 712-2252 (Heednll hpllr.d Onl y I,
Any party In Int.re.t not .,ti,fl.d with the approl...."t, allowanc. or dllollcwlno. of d.duotlon,. or ~1.e'I..nt
of te~ (Includln9 dl.count or Jnt.r..t) I' thown on thll Hotle. .Ult obj.ot within slxtv (60) dlY. of r.cllpt of
this Hotlc. bYI
..writtan prot..t to the PA Depart..nt of Rlv.nu., loard of Arp.alt, DIPt. 281021, Herrl.burll, PA 1112a~1021, OR
'~.I.ctlon to havI the .att.r d.ttr.ln.d It audit of th. acoount of thl Plr.onal rapr...ntatlv., OR
~-Bpptal to the Orphan,' Court.
Flctual Irrort dhcov.rflld on this ........nt Ihould b. .ddr....d In writing tOI PA D.part_.nt of Ravlnul,
lurflfIU of Individual TeK", ATTNI Po.t A1II.....nt Revl.w Unl1. O.pt, 280601, Harrl.burg, PA H12a"0601
Phonl (117) 7&7~650S. S.. pagl 5 of thl booklat "In.truotlon. fer Inhlrltanoe Tall Rlturn for. R..ldtnt
Decadlnt" (REV~1501l for an explanttlon of ad~lnl.tratlv.IY oorrlot~l. .rror.,
If Iny t'lI dut I. paid wJthln three (3) oallndar lIlonth. .ft'r the decldlnt'. d'lth, a flvl plrclnt (5~) dl'~ount of
the till ptld i. aliowld,
The ISX till .-n..ty non-partJolPltlon penalty I' co.pvt.d on tht total of thl tax and Int.r..t .......d, and not
paid before Jlnuary I', 1996. thl flrlt day aft.r the ,nd of thl till a.netty p.rlod. Thi. non~partloipatlon
p."alty I. tpptahbl. In thl ..11I. mann.r ."d In thl the Inlll. tI.. pit lod II you would apPlal the tl't'll and Inhr..t
that hll bit" ....u.d II Ind1<:at.d on thl. natlc..
Int.r..t I. charg.d beginning with flr.t day of d.llnqu.ncy, or nln. (9) .onthm and on. II) day fr~ the det. of
d.ath, to the elat. of ply..nt, Talll. whJch b.ca.e dellnqulnt b.fare J,"u.rv I, 1982 b.ar Int.r..t at th, rat. of
.iII 16%1 p.rc.nt per 8nnUII cah:ulat.d .t a dally rab of .000164. All tall'. which b.oa.. ".Ilnqulnt on and aft.r
January 1, 19'1 will b.ar Inter..t at n rat. which will vary froR cal.ndar y..r to Qal.ndnr y.ftr with that ratl
announc.d by the PA nep.rt..nt of Rlvanu.. 1h. appllcabl. Int.r..t r.t.. for 198Z through 199. .rll
'!.!!r Ipterut Rat. Qally Intarllt Factor ~ Intlr..t Rat. DillY Int.rut Factor
1911 20% .000!i48 1981 9% ,000Z47
1983 161: .00041' 1988.1991 n;l, ,000301
1964 11% .000!lOI 1992 9% ,0(10247
196!i 13% .OOO:!S6 1993-1994 n. .000192
1916 10% ,000UIt 1'I9S.199& 9% .000Z47
--Interllt h calculat.d .. foiloWl1
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. tllu.d after the tall b.ca.... dlllnqu.nt will rtfl.et .n Intar..t caloutation to' fUhln lllil day,
b,yond the date of tll' ........nl. If paVIIl.nt It Rotdl aftar the Int,,"t cOIIIJ)utl!ltlcm dl'lt. .hown on thl
Hotlel, addltlon.l Inttrll' IIlUtt' be c.ICUlatld,
. .
20, II L1no 191. groalor Ihan Line 18, ohlor Iho dlfforonco on Llno 20. Thl. I. tho OVERPAYMENT,
[[J 0 IChock hero If you are roquo.llng a refund.I your overplymo~
21. If Llno 18 I. groalor Ih.n Line 19, onler Ihe difforonce on Line 21. Thl. Is tho TAX DUE,
A. Enter tho Inlere!!t on the balMco duo on line 21^
B, Enlor Ihotolal 01 Line 21 and 21A on L1no 218 ThIS IS Iho BALANCE DUE,
Mako Chock Pa ablo 10: Re Istor of Wills, A ent
~ ~ BE SURE TO ANSWER All QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~
Under penllllos of ptIr!ury, I doclare thall ha..." lIxamlnod Ihls /Blurn, Including accompanying schedules and alalemenls, and 10 the best of my knowledge and belief, 111'1 true,
rlcnecl and complete. doclare Illat all feal oslate haa booll roporlod IlllrUIl marklll v<llull, Declarallan of pfllpllror olher than the personal ropresentatlve Is based on all In la/maliI'm of
whIch preparer hIS any knowledgo
.'
CAr
ng
C S K
K P S
11
E
C
E
D
,
INH'~I;A~clTJ REf URN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS C(lUNTYCOOI:
,
OECEOliNT'S NAME (LMIT, fIAHT. MlO MIODl.E INlTIAl1 [)[CEUfNPi COMPUTE AO()RF.~!1
petera lIilda D 20.19 Yaln A""
gOelAl ""C""IlYN""'~"'-JDATEO';;L;;-':;--lATE OfW~t7'--.- Camp H-J 11, PA 17011
20'l-01-4049 4 /1~/91 11/22/1918
Counly Cumberland
,IF APPlICA.' EISU"VIVINO SPOUSE S N~..',"Sl AND M'DDlE 'Nil"" 1 SO("~mv'NUM.E"
1, Original Roturn -m 2, Supplomenlal Relurn --03,
4. Llmlten Estfllo D 4.. Future Interest Compromise
(lor dille' 01 doalh allor 12-12-82) 0 8,
~ 6. Decedent Died Testato 07. Decedent Maintllined a LIVing Trust --1-_8,
(Mach copy 01 W,II) (Allach a copy 01 Tru.l)
All CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED 1'41
c.....
IU;V" 1500F.X . (7.9")
ron (JArES or Dr:ATH AI Tim \?!] 1/91 CHl'CK HEn!:
IF ^ ~;f'OUSAL r----L
fill'..\ifU.t.illlWllIS GLAlMEO L;.. .__~__._.~
FILE NUMBER
COMM~t'tI.~~W\~ 'ff1!tIt1l0~^NIA
HArmISRm~~,~~9 ha.olio I
~ 19'J n (i]~l
YflAR
NUMBER
AMOUNT RECEIVED (5EE INSHlUCHON~)
0,00
Remainder Roturn
(Icr dolo' of dealh prior 1012-13-82)
Federal Estate Tax Return Required
Total Number 01 Safe Deposit Boxes
C P
o 0
i ,
COMPLETE MAILlNQ ADORF.9"s'
Saidis, Guido, Shuff
~jAME
John E, Slike
TELEPHONE NUMBER
& Masland
2109
CaOl
Market Street
Hill PA 17011
None
15,839.00
None
None
None
None
6,727.98
717 737-3405
1, A.al Eslalo (Schodule AI 1
2, Slocks and Bond. (Schedule 81 (2)
3, Closely Hold Slack/Partnership Interost (Schedulo C) (3)
4, Mortgagos and NolOS Aecelvablo (Schedulo D) (4)
5, Ca,h, Bank Ooposll' & Mlscellanoou, Person.1 Proporty (Sclo. EI (5)
6, Jointly Ownod Proporty (Schedulo F) (6)
7, Tran.fers (Schedulo G) (Schedulo L) (7)
8, Tolal Gross Assets (total Lines 1-7)
9. Funeral Expenses, Administrative Costs, Miscellaneous
Expense. (Schedule H)
10, Oobts, Mortgage Liabilities, Lions (Schedule II
11, Total Oeduclion, (Iolal Line. 9 & 101
12, Net Value of ESlalo (Line 8 minus Line III
13, Charilable and Governmental Boqllesls (Schedule J)
14, Nol Volue SubJecllo Tax (Line 12 minus Llno 13)
15, Spousal Tran,lers (lor dates of dealh a<<or 6.-30-941
See Instructions for Applicable Percentage on page 2.
(Include values from Schedulo K or Schedulo M,)
16, Amounl of Llno 14 taxeble 01 6% role
(Includo valueslrom Schedulo K or Schedule M,)
17, Amount of Line 14 taxable at 15% rate
(Include valu9' from Schedule K or Schodulo M,I
18, Principal lax duo (Add tax from Lino 15, 16 and 17,)
19, Credils/Sp Poverty Prior Paymenls Ol.counl
22,566.98
~
C
A
P
t
l
A
T
I
o
N
(8)
(9)
(10)
(15)
(16)
~
(17)
C
o
M
P
f
o
N
(19)
(20)
,
0,00
0,0.0
,
(21)
( 21A)
( 21B)
3,215,85
0,00
3,215,85,
SIGNATURE OF PERSON RESPONSIBLE FOA FIUNO RETURN
j-I~
E OF PAEPAAEA OTHER THAN REPRESENTATIVE
h.-~ ~t.;_L
9" 101m SOftWiHo only ,PSY9Ioms.lnc,
John E, Slike
~~l_~~. ~.~~'~.e_~ _~_ty~~~_ _....... H" un. __.".. ..~....
C",mpHill, PA 17011
Saidisl Guido, Shuff & Masland
2109 _ t<larke_t _ Styeet.. _ .. ..... ... _ _ _ _. _ _ _ _ _ _ ___
C~Hill, PA 17011
DATE
/11-Jn
FormllRfO(Aov, 7.9-4)
DATE
//J) )fv
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I.
J
ss:
~__.________.___~_ Johl'LF.. SI ikQ.,-,E&q~--~-- ___n.__..__.
bOlng duly ____s..w.orA-______.__ oceordlng to low, do pot.. ond 10\'1 Ihol ho .._,~_U_J;lHiL n~t9.J.!.j:oJ;'.
,.___. _~._..____ _.____._..__...._____.._,., of Iho Eltato 01 _'____ Hilda 0.... P4tt9r....-~~-.-
lotu of . .the Ber-oughof Camp.Hill.-- --..-....-.....-.-.-..-, Cumborland County, Po" doculod ond th,1 It",
within i, ." invorllory modo by --.:l'GhR-.E-.--Sl-!-kfr--~~---'" .~ __,__.__..__, Iho said_8XeQ~r..
of tho nntiro oltolo of said docodont, conliltlng 01 01111,0 po"onolprop.rty ond r..1 OItoh, oxcopt rool o,lato outsidu
Ih, Co",",,,,,woollh of Ponn.ylvanio, .nd thot tho figure I oppollto ooch itom 0111,0 Invonlory roprolonl il'l foir v,luo
,]\ "j II,,, 'J,'. of docodonl'. do.lh,
...... ... Mar.ch.-~-,--__
19.-9.8.....__
~~ I
,__ _'A~9...~~....
. '.. ElCtcufor . Admlnhlr.hH
109 Market st.
.~w=.n to
.____ .nd lubscribod boloro 010,
CAmp Hill, PA 1701 L___
Add,.u
Doto of ODOth _.__..
1 '1th __..
D.y
AprU--
Month
1 997.__... ...___.. ......._
Vur
INSTRUCTIONS
I, An Invontory mUll bo II10d with!n Ihroo monlh. ofto, oppolnlmonl 01 porsonol ,opr..onlal!vo,
" A lupplomonl invonlory.mvll bo filod wilhin thirty d.y. 01 d!lcovory of oddllion.lo..o",
), Additionol.hools moy bo .lIochod 0110 po"onolly orroolty
4, S.. Artlcl. IV, Flduciori.. Acl 011949.
, ::l
!I I .;;1 II
,
I
II i'
I' Ii
II I , j:
~ i ~ w' 1 il
I . Ii,
II ~ < . i!
..
... ... v
I' 0 ::n .. .' 'I
~ 0 ~ I ~' 0 en ..
g; . .. II
'!Z ... r e>. c
I ...J . ~
I ... ~ 0 ...
1 j: IoU ... <( :t:
Ii ~ 0 cc: i- <( II
Z II
I: 0 0
0 ~ . 'I
0 - VI Z , 0 I,
-, ~ <( 0 U ~ Ii
., "'0 II
I < c II
.
I ~I - '-':
0 .. I!
H' .., "'0 ""
1Il' .. E
.. .!l ~
I . 0
--' u ir '"
.,"~~.,,,...'"~.,; }
1f,"117-f
COHHONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IU~EAU Of INDIVIDUAL TA"ES
It+llUUTAHCf fAM DIVISION
OfIlT. 110601
li,nRIIIURO, III 171U'OllOl
NOTICE OF INHE~ITANCE TA"
A~~~AISENENT, ALl.OWANCE O~ DISALLlll/ANCE
Of DEDUCTIONS AND ASSESSNENT Of TA"
04-06"98
PETERS
04-19-97
21 97-0391
CUHBERl.AND
101
C=_ Aft~unt_ R"lIt.~~J
HAKE CHECK PAYABLE AND REHIT PAYHENT TOl
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TH18 LINE .' RETAIN LOWER PORTION FOR YOUR RECORDS ...
il Eli: ist,nif - AFP-l liF 9'ri- tlii'fi cr-oF -INHiiii TANeE - 'fA'ii -XP'jiiiA-iiii;,iitlr; -A L i"liwANc EO DR - -. - - - - m_ -" - -,,-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HILDA D FILE NO. 21 97-0391 ACN 101
If .n ........nt w.. i..u.d previously, lin.. 14. 15 dnd/or 16, 17 .nd 18 will
r8fllct figur.. th.t includ. the total of ~ return. .......d to d.t..
ASBESSHENT OF TAXI
1&. A.......t of Line 14 ot $pou..l
16. -...t of Line 14 t..oI>1o ot
17. A.......t of Line 14 to.llbl. ot
II. ~rlnclpol To. Duo
TAX CREDITS:
PAYNE NT
DATE
07-17.'97
09-03-97
01-26-98
JOHN E SL IKE
SAIDIS GUIDO SHUFF AND
2109 HARKET ST
CAMP HILL
PA 17011
ESTATE OF PETERS
TA" RETURN WAS I I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
_._- ,.,
APPRAISED VALUE OF RETURN BASED ONI SUPPLEMENTAL
1. R..I E.ht. ISClhedul. A)
2. Stock. and Bond. (ScMdule 8)
3. Clo..ly Held stol:lf(/Pert"8rlhi'i Inter.at (Schedule C)
4. HarttageI/Not.. Ree_iv.bIg (Schedul. DJ
6. CallhlOal"lk Olpaatta/Hhc, Par.on.l ProPlrty (Schedull E)
a. Jalntly Dwnod Proplrty ISohldull F}
7. Trat\lfl,.1 ISch.dul. Q)
a. 'fotll Au.ta
APPROVED OEDUCTION9 AND EXEHPTIONSI
9. fun."ll EXP~'I~/AdM. Co.t,/H1,e. Expen.., (Schedul. H)
10. Debt./Hort~ lJ&bl11tlll/lian, (Schedule X)
11. Totll DMiuctlons
12. Net IJIlue of rlX R.turn
IS, Chorltoblo/Gov.rnoont.1 loquo.t'j Non-.looted 9115 Tru.t.
14. Net UIlue of E.t.t. Subjlct to rl)(
NOTEI
rlrt.
Lineal/Ct... A rlt.
Coll.t.rll/ClR.. I r.t.
~ECEIPT
_.E~
Al\211554
AA211698
AA242692
DIStOUNT I')
INTEREST/PEN PAID I-I
2,105,26
,00
.00
BALANCE OF UNPAID INTEREST/PENALTV AS OF 01-27-9"
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCUl.ATlON Of ADDITIONAL INTEREST,
DATE
UTATE OF
DATE OF DEATH
FILE NUMIER
COUNTY
ACN
I I CHANGED
RETURN
III
121
151
141
ISI
(6)
(7)
NO, 01
,00
15,839.00
,00
.00
,01.
, .00
6.72l..98
III
..
1I~'IIH"." 1""1
HILDA
D
191
UOI
1,128.00
.00
UIl
1121
USI _
114)
DATE
04-06-98
ISchodul. JI
USI
U6I
U71
.00
,00
379,390,02
" .00.
" .06.
M .15.
UII
NOTE I To in sur. prop.r
arid! t to your HCount I
''''011 tho ,_r portion
of this fo,.. with your
hM Plyltlnt,
22,566,98
1.1:>8 DO
21, 438.98
,00
379,390.02
.00
,00
56,908.51
56,908.51
56,908.51
..--
.00
5.56
5,56
If TOTAL DUE IS LESS THAN 11, NO PAYNE NT IS REqUI~ED.
If TOTAL DUI: IS REFLECTEO AS A "CREDI!" ICR), YOU HAY IE DUE
A REfUND, SEE REVERSE SIDE Of THIS fORH FOR INSTRUCTIONS,)
AHOUNT PAID
40,000,00
11,587,40
3,215,85
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
~--..... ...... ......"
h',lH ~.'1.
6
l~i
CUI,
REIfRYATJONI E.tet.. of dIoIdwnt. d~int ~ or blfor. DlO..o.r 12, 1912 ~. if en~ future Int.t..t In tne ..t.te 1. trln.f.rrld
In POIMIIlon or ."jQ~Mnt to elll. I (coUat,r.1> IMMfl01.rl.. of thl Heedent ,ft... thlt .xplrltlon of If'l~ IIt.te for
11f. or for ~..r., thl C~,lth hlrab~ 'Mpr'I,I~ re..ry.. thl right to eppr.ll. Ind ....i. tren,f.r tnhlrlt~. T.x"
at the IlWful Cll.. I (oall.t.r.l) r.t. on ~y .uch future Int.r..t,
_01'
NOTICE I To fulfill the rDq\llrHMte of s~tlon 21ttO of the JnhlIrUence and E.t.t. fix Aot, Aot 21 of 199'. (72 P.I.
s.oUon "lUJ.
PAYMENT I o.tHh thl top portion of thlt Not.lc. and .UbIlIt with your p.ysent to thl Rethtlr of Willi prlntH 6ft the r~r" .Ide.
4_Mtk. CIhIck or 1tOf'II~ order p'YMl. tOI R!OIITER OF MILLS, AGENT
REFUND (CR)1 A r.fund of . t.x orldlt, which WII not r.qu..t'd on th. TaM R.turn, "Y be reque.ted b~ cu.pl.tlng In "Appllc.tlon
for R.ftfti of Pennlylvenl. Inh.rHeno. Itfld E.tlt. TIM" (AEV-UU)' Appllc.tlool .re IVIUabl. at thtl Offlcl
of the RIol.t'r of Will" InY of th. 23 A.venut ol.trlct Offl~.., or b~ ellllnt the .peel.1 24-hour
an'warlno ..rvle. m~r. for for.. orderlngl In P~lylvanll 1.800~3'Z.Z050, out.lde PennsYlvania and
wJthln local tiarrltbYrll .rll (711J 167-6094, TOO' (711) 772-Z252 (Hro.rln. hap.lred OnlY).
OBJECTIONS I Any party In Int.r..t not ..thU.d with the appralt..."t, allo~tncll or dh.llo~"'~' of dlducltlon., or .....OI(1t
of t.ll (IncludIng dlaeount or Inhr..U at Ihown on thh Notle. IIUlIt objllet within .'xty (60J d.y. nf rllCl..Ipt of
thh Notle. bYI
.'wrltten prot..t to thtl PA Ottp.rtHnt of RIl,lllllHl, Board of Appealt, Dept. ZaloZI, H.rrhburll, PA 1712I-lD21, 0"
....hetlon to h.v, the .atta" dthrlllh~ at audit of the ltCleotltt of thl perlonel rllflr.Hnt.t!vt, OR
--apptll to thl Orphan.' Court.
ADMIN
UiTRATlW
COAAEC"(IOHSI
FactOll .rror. dllcov.red on thl~ ".,.II-.nt .hould be addr...ad In ~rltlnt tOI PA Dl9ftrt-.nt of R.venue,
aur..... of IndIvidual TaMil, AfTNI Po.t A......*"t A.ViaIW Unit, Dept. Z80601, Harrhburlll PA 171Z'~060l
Phone (711) 711-6S0S. S.. pftge S of thl ~llllt "In.tr~tlon. for Inherltanc. Tax R.turn for III R..ldant
hclldlnt" (REV-l!iDJ) for an 'lfplatlatlon of adltlnhtratlv.h correcttbl. .rror..
DISCOUNT I
If any t.~ dull It paid ~1th,ln thr.. (~) calwld.r aonth. IIIUtlr thtt OIclCMnt'. de.th, . flv. p.rcent (5;() dlscount of
ttM tlM Pllld It lI11owad.
PENAL TVI
ThI 15;( t.)C .."..ty non~ptrtlr:d~.tlon pvlaltl/ It COIIPUtltd M thl tot.l of thl tll)C WId Intlr..t .....Nd, and not
Plld blfor. JtnUIlry 16, 1996, the flrtt day .ft.r thl end of the tll< ......,ty period. Thh non"partlclpatlon
pef..lty It tpptalllbla In tho .... NNWr IMld In the the ... tl.. period u you would .....1 the taM and Int.r."
that hi. bMn Il.....td II Indle.tld on thlt noUea.
J",UREIT I
Int.rut It c:harllld beg I..., I". with flr.t ",,'II' of dtll~y. or nine (9) IIOnth. ..Nt one (1) d.y frOll thl ate of
~th, to thl det. of pav-ent. 'IX" whleh bIo... OtIJ~t befor. Janutry I, l,az ~.r Int.r..t .t thl rite of
.1M (,;() pere""t per '"""" c.lculr.ttd at a d.U)' r.ta of .OUOIM. All t'M" which bH... delinquent on and aft.r
JlnUlrll 1, I'IZ ",Ill bear Int.rltt at . rat. which will very froe (I.lend,,' y...r to c.lendtlr y..r ~lth thtlt rat.
"tnounotd by thl PA n.parhllflt of R.v.nue. The epplicllbl. Int.r..t rat.. for 1962 through 1"1 .ral
'!!!r Int.rllt Rat. D.l1v Interut FlKltor ~ Int.rut R.tlll O.lly Intllra.t FK12!:
l'll 2U . ClOOS46 19&1' .~ ,oonttl'
1.13 16;( .0000' 19"~199l 11:< .000501
I... II~ .000301 .99' .~ .oooztt7
1m U;( ,ooon. 1995-199tt 1~ .000192
I'" 10;( ,QOO274 1995-l"l .~ ,000241
~.lnt'NI.t AI e.leuhttcl .. fallow.t
INTEREST . IALAHCE DF TAX UHPAID X HU"I&R DF DAYS DELIHQUEHT X DAILY INTEREST FACTOR
'.Any Motlo. luutd aUar the t.M bleo..1 delinquent will r.fteot en Intar..t ClIlleuhtlon to fift,," CIS) ctaV.
beyond thl dIlte of thl .....Mlnt. If '.YMnt h neds .ft.r the Int.r..t eOflPUt.tllln date shown on the
NoUee, addltlon.l Intarut MI.t be a.hullt".
/5: 177 - 'I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERI1'ANCE TAX
STATEMENT OF ACCOUNT
c...~
~
BUREAU OF INDIVIDUAL TAXES
INHERITAHe[ TAM 0lY1IION
DEPT. llll601
ItARAUIURO, PA 1711S-0601
1I~'14" U ". IlI.HI
JOHN E SL IKE
SAlOIS GUIDO SHUFF ANO
2109 MARKET ST
CAMP HILL PA 17011
DATI 05'18'98
ESTATE OF PETERS HILDA D
DATI! OF DEATH 04-19-97
FILE NUMBER 21 97'0391
COUNTY CUM~ERLAND
ACN 101
[__ A..unt R.Tttld J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOl
REGISTER OF WILLS
CUMBERl.AND CO COURT Il0USE
CARLISLE, PA 17013
HOTEl To 1n.ure proper oredit to ~our account, subMit th. upper portion of this forM with your t.~ p.y..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE.v:i6o"f-EX..AFp..coi.:97i.---....MM..iNH-iRlr.ANcE-.TA)f.STA.fEMifNT.O-F.AC.COUN.f-.iii....-...----..........
ESTATE OF PETERS HILDA D FILE NO.21 97'0391 ACN 101 DATI! 0~-18-98
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN TIlE NAMED ESTATE. SHOWN BelOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, TNE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 03-30-98
PRINCIPAL TAX DUE, 56,908~
PAYMENTS (TAX CREDITS),
PAYMENT RECn PT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (.)
07'17-97 AA211 554 2,105.26 40,000.00
09-03-97 AA211698 .00 11,587,40
01-26'98 AA2(,2692 .00 3,215,85
04-10'98 AA269949 5.56- 5,56
'" t:;~
'0 9-
I/) I.)
~I;~ ....
G: ~1 :-
()
,)
CO
N ".I
, >- ,d
,.I r'
'.'.' 'll
b '(,h ~~
u<u ~
&0:.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
56,908,51
.00
. IF PAID AFTER THIS nATE, SEE REVERSE
SlOE FOR CALCULATION OF ADDITIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN '1,
ND PAYHENT IS REqUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YDU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUC110NS, )
.00
.00
PAYII!""
DetlOh the to, pnrUon of ,thh NoUOI end .ubIIlt Mlth your Plv..nt ,aide Plvlbllto tht n... 1M "'r...
prJnttd on thl r.vlr.. .10..
If RUIK"' DECEDE"' lokl ,hock or ..... ordor pI.oII'" 101 REGIITU OF WILLI, AOS"T.
If "~-Rt!SIDEM' to€CEDE"' lokl 'hOOk or _. ordor p..lbll to, CDIttOMWEAL TH OF, PENNSVLVANIA.
REFUND eeR). . refund of . tlM C1rldtt, whlch WI' ~t ,.quut. on the hI( Rlturn, lav be r~qu..tld by ootlPllUt\lIn
"AppllolUon 'or R,fund of PIM.vlv."lt Inherltlno. tncI E,tlt, T,K" (RCY~lJU). ApPUGlUonl Ir' twill_II It
U,. Offlcl of the R.gl.tar of WUh, any of the 2J RIlItnUe Dl.trlot Offlo.. or 'rH the D.p.rtHfltt, 14"Mur
~Iwert"' ..rvlol nuIIIb.r. for 'orlll orn.ring, In PtnnlvlvlJf1l, l~'OO~J62.l!nO, outl1dl Penn,vlvllnJI
end within 100.1 H,rrltburg tlr.. (717l 187-1094, TOO' (711) 7'IZ~22S2 Ol"rlng hlp,lrld onhJ.
REPLY TOl Due,tlon. r...rdlng .rror. contained on thl, not I.. lhould bl ,ddr"11d tOI PA c.p.rt..nt of RIVInUI, IurtQU
of Individual T8MIII, nTNl Po.t ........unt R,vlew Unit, b.pt, 210601, H.rrllbYrll, PA 11121-0601, phone
(117) 7f7-6105,
DIICOUNT I
If any t'M du. II peJd within thr., (3) o.l.nd.r tonth. ~ft.r the d.o.alntt, d.,th, . fly. p.rc.nt (I~) dl.count
c.f the t'M p,ld It .How.d.
PENAl TV I
The 1&~ t'M .-nI.tv non-p.rtlolpfttlon pen.lty 1. ooepu..d on the totll of the tlM and Int.r..t n.....Id, ~ not
p.ld blfar. Jllnu,ry 18, 1996, the Hr.t day .fhr thl end of the t'M I.,.,ty p.riod,
INTEREST I
Inhr..t It oherg.d b.glnnlllg with flr.t d,y of d.linqu'noy, or n1n. (9) lonth. tnIl on. (1) d,y fro. the det. of
dlllth, b the det. of P'YMnt, TIM" ~Ich bee... d.linquent b.for. Jenu.ry I, 1'12 b..r Int.r..t .t the r.t. of
.Iw (6~) p.ro.nt plr &nnUD e.loul.t.d et . dailY rete of ,OOOI6~, All teM., which b.~... d.llnquent on end .ft.r
JtnU.r~ 1, 19.2 will b..r Int.r..t .t . r.t. which will Y.ry frol clltnd.r y..r to a,lend.r YI.r with thlt r.t.
ennouncld bv thl PA o.p.rt..nt of R.Yenut. The appllcebl. Int.r..t ret.. for I'IZ through 1'" '1"1
V..r Int.r..t R.t. DallV Int.r.,t factor V.flr Int.r..t R.t. D.lly Int.r..t f~tor
1912 20X ,0005~. 1911 'X ,000241
I9IJ I6X ,000431 19"-1991 II! ,000301
1916 IU ,000501 1"2 .X ,000167
1915 IIX ,000556 1991-1994 7X ,ooom
1'16 lOX ,000276 I'U-I'" 'X ,000267
--Inter..t I. a.loul.t.d .. followl!
INTEREST . BALANCE OF TAX UNPAID X NUNIEa OF DAYS DELINqUENT X DAILY INTEREST FACTOR
"-Anv Notlo. It.ued aft'r the bill b.eo... d.lInquent wUl r.fl.et In Int.rllt e.lcuhtlon to flft,., UI) by'
beyond thl d.t. of the ........nt. If p.v.ent I. ..0. .ft.r thl Int.r..t oOIPU,.tlon d.t. thown on 'hi
~ntlCl'1 addUlant! Irtierllt lMJ.t be elllClultt.d,
...
')' .~
-r:~-t----''''H:--.''''''~:.' ~ - _\ 't(;:.
\
",