HomeMy WebLinkAbout97-00687
1f.;jC\'1 13
CO""DHWfAlIH OF PENNSVIVANIA
DEPARTMENT OF REVENUE
lURE AU OF INDIVIDUAL T'XES
DEPT, 210601
HARRISIURG, PA 111ZI.0601
*
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
FILE NO. 21 -9 J. (.t 7
ACN 91131370
DATE 07-09-97
t1HUI .. I" a.~u
r'
TVPE OF ACCOUNT
o SAVINOS
o CHECKING
o TRUST
lXl CERTIF,
'.J
EST, OF MARV A MVERS
S,S, NO. 197-40-6812
DATE OF DEATH 05-20-97
COUNTY CUMBERLAND
WAVNE E MVERS
1320 INDIAN PEG RD
BOILING SPRI~GS ,A,17007
i; rj()
RENIT PAVNENT AND FORNS TD.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
HElLON PSFS has proylded the Depart",.nt with thl inforlllatlon Ilstllll below which htlS blllln uud In calculating thl
potlntllll tu dUll. Thllr rlcords indio8t. that At the duth of thl nbolll dlcedent, you were a jotnt owner/benefltlary of thl. flClcount.
If YOU ,..1 thh InforlllaUon II incorrlct, pllul obtain written corrlCltlon 'rolll thl financial lnltltutlon. attach fl Ctlpy to thlt forlll
and return It to thl abovI addr.... Thlt acoount I. tltKtlbl. In accordanc. with the Inherltancl talC law. of thl Co..onwealth of Plnn,ylvlnll.
Ch...~~~u".. ,',oi.l' II. .",........J Lo, "tll1;1I1il (717) 7a1~IUZj".
COMPLETE PART 1 BELOW .
Account No. 220-084398-C
. . SEE
REVERSE SIDE FOR
05-14-93
FILING AND PAVMENT INSTRUCTIONS
Doto
E,tobllshod
To In,url proper credit to your aooount. two
(ZI ooplet of this notice Ilu.t aceollpllny your
pay..nt to the Reghter of Will.. "frIo:lohlok
payable tOl "Reghter of HUh, Alent",
PART
[!]
5.020,02
50.000
2.510.01
.15
376.50
TAXPAVER RESPONSE
I'AlLUIlI 'ORIII'ON8 llILLR'S"~T IN ANClf..~CIALTAX ASSESSNENT.. lAS.ID ON,HISNOTICI
Aocount Balance
Percent Taxable
AlIOunt Subj.ct to
T.x Rate
Potential Tax Due
K
NOTE: If taK pay.enh are ..de within three
(3) Month. of the deeldlnt" d.t. of dI,th,
yOU .ay Mduot a Si( discount of the taK due.
Any Intl.rltanee taxdu. will beeo.. dlllnquent
nine (9) .onths after thl d.t. of d..th.
To.
K
[CHECK ]
ONE
BLOCK
ONLY
A. 0 Th. above InforMation .nd talC dUI it oorreot.
1. You .IY choo" to r..lt pay..nt to the RIgI.ter of Wills with two copl'S of thl, notlo' to obt.ln
a dhoount or avoid Inter..t, or you .ay check bOle "A" and return this notlcl to the Rellhter of
Hill. and an offlcl.l Ill......nt will be 1.luld by the PA nepart..nt of R'Ylnu..
I. 0 Th. above asut has been or wUl be reported and taM paid with the P.nnsYlvanla InhedUnc. hlC r.turn
to bl fll.d by the dec.d.nt'. r.pr...nt.tly..
C. ~ Th. ebov' Infor...Uon Is Incorr.ot and/or debh and deduotlon. w.r. Pllld by you,
Vou IU.t co.pht. PART 0 .nd/or PARr ~ b.low.
If you indioate a different t~ rate, pl.... .t.t. your
r.laUon.hip to d.c.dent I --S. () n
. .OFF1ClAL USE O"lY :0 Mf'!
.1'11 DIPARTllE"T OF .,RIVIIlUE . ..: ..,
PART
[!J
TAIl( ltrTUIlN . CDMPUTAnnN
LINE 1. Doto Eltobllohed
2. Aocount aalanc.
3. P.roent T..able
_. Aoount Subject to To.
5. Dobt. ond Doductlon,
.. AMount T..oblo
7. To. Rob
I. T.l< Du.
~ : : : ~ . : : : : : ; : : ~ : : ' : ! : : :; ; : ; : : : : : : ;
:'f::''!''~,';l~'
"'~!;::';;;:;;!'Z:;:';:~::J.;::;':;~::~::'
TAV DN ,lDINTlTllUllT
1 - 14+ 9.:3
'S' i::.~O, v,:.t
. ~t;f), DO
Ul 'S" ID. 0 f
n_
1
2
S
-
5
.
7
a
';:':;:,!,:,:":';
x
'","!,',,:,',;
x
I () ll'
J t;;O I i A ()
PART
!!I
DATE PAID
-\
PAVEE
DESCRIPTl ON
AMOUNT PAID
c
GENERAL INFORMATION
1. FAILURE TO RES~OND WILL RESULT IN AN OFFICIAL TAM ASSESSHENT ., th ...1 'o.b'. 'ntor." b.... on Inforoollon
tublllttltd by thl flnanclll tn.tUuUon.
2. Inn.rltllnc. till( bloO." delinquent nln. IIIonth. .,'tlil' thl dtudent', dllt, of d.ath.
S. II joint IClOOU"t it tall.hl. IVln thaugh thl dtudl"t'lI 111... WI" added I'll " lIIatt.r 0' ootll,!.,.I,nol.
t" Accounts (Including thOMI htld a:ttw..n hlllPllInd and wlft' ~hloh thl "Ieldlnt put In lolnt nOIll.. within ono ~..r prior to
d..th .r. 1ullv 'alClIbll III tr.n".rt.
S. Account. ..tebUthed Jointly b.t",.." hUlbend ..nd wlf. lor. 'hM lint ..,n, prior to dUUI 8f' not tfll)({\bll,
.. Aooounts hald by . dlCld,nt "In tru.t for" ",!"lOth.r or other. art '''liable fully.
REPORTING INSTRUCTIONS - PART
1
TAXPAVER RESPONSE
1. II,OClC A ~ If th. '"fof..Uon and lCollputlltlon In tht notlcl lif. (larr.at Itnll dtductlon. art not bling nl,I.ld, pl.u an ")("
In block "A" of p.rt I of the "Tal<paYlr "U'IOnl'" S:lcUon. Sign hm cop I.. l'Ind tub.lt U'l" loIlth :iour ohltk for tha IlltOunt of
t'M to thl Aaght.r of Willa of tha county Indlcatad. Thl PI. DIP,.rt..nt of R.vanu. 101111 lutla an offlol.l ........nt
(for. AEV-lS4& EK) upon r.calpt of thl r.turn fro~ the R.gllt.r of Willi,
2. IlOCk a ~ If thl ....t Ip.oIO.d on thll noUn hftll t"ln or 101111 b. r.portld ...nd tll)( Julld loIlth thl I1lnnlvlvllnl. Inhar1hncI
TllC Raturn fllld by the clloldlnt'l rIPr...ntlltlve, plao. 811 "K" In blook "ft" 0' I'"rt 1 Qf the "TlIl<paYlr R..pon.I" ..ctlon. Sign ani
copy and rlturn to thl flA DIPart.lnt of Aavlnu., Rural'lu of Individual 11lMU, Oe,l\ l80601, Itarrl.bllrQ, 1'4 11128-0601 In thl
tnvtlope provided.
I. BLOCk C R If thl noUcl lnforl1atlon I. IncorraClt andlor dlduCltlonl IIrl bllnv dalllld, chlok blook "C" IInd oOIll"lat. 1l3rt. 2' and 5
lMloonJllI" tCl th.. ltl.'IIol....'...I,,. b:.lo" , :ligr, tw:: ccr.~~t LJfI.J s\Jb~,.\+:' +:'1',,, ,-,lt~ ~"'l'r rn..,.lt ~M tn" ...."Ilr'!t of hI! oIlYl'lbl. to U'll M.qhttt'
of willi of the cOUl,ty Indloltad. Th. PA Oe,OIIrt.ent of Revenue wtll Inua 8n IlHlolal u..It..nt (For. REV-IS48 EKI upon recalpt
of ttMI raturn fro. thl Ragl.t." of W1lII.
TAX RETURN - PART
- TAX COMPUTATION
2
lINE
1. Ent."
MOTEl
tha d.ta the account origlna1h wu Iltablllhld or titled In the .anner .)(lltlng 8t date of dallth,
for II daeadant dyIng lifter lU12l82: Accounh loIhlClh the decedent put In joint nalllu within ona (\) Y'flr of cleath Irl
tal<abla fully.. tr.n.flrM. However, thar. II IIn e)(clUllon not to .I<caad '1,000 par tran.f.,tl regardla.. of tha valul of
tha ICCOunt or tha nu.ber of accountl h.ld,
If a double ..ttritk Oun appallrl blfora your flrlt na.a In the addra.. portion of thl. not1(;11, tha U,OOO eMolullon
Ilrllldy he. bllln d.ducted fro. the aocount bahllCI .. raport.d by thl flnanclal In.Utullon.
2. Ent.r the total ballnGa of tha leeount Including lnt.r..t aooru.d to tha date of d.ath.
S. Thl perot"t of the ICU;Ount that h tal!lbl. for ..ch lurvlvClr I. dltlitrdnad .. follow'l
A. 1h4t plroant taMabla for joint ....t. e.tabllth.d 1I0re thIn one Y.lr prlo" to the dauedant', d.lthl
DIVIDED IV TOTAL NUMBER OF
JOINT OWNERS
Ex...1a, A joint ....t raghtllrad
DIVIDED BY TOTAL HU"BER Of K 100 . PERCENT TAK41LE
SURVIVING JOINT OWHERS
In tha nl.a of tha dacadant and two othar porlonl.
1 DIVIDED IV 3 (JOINT OWNERS) DIVIDED IV 2 (SURVIVORS) . .167 )( 100
16.7X (IAXABlE FOR EACH SURVIVOR)
I. lh, paroent talCabla for ...ah cra.t.d within ana yaar of thl daceda"t', d.ath 0" accountl ownad by the dlcad.nt but tlald
In trult for anothlr IndhdduaU.) (tru.t ban.flol.ri.,)1
1 DIVIDED IV TOTAL HUMIEA OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
lC 100
PERCENT TAKABLE
EM..III joint Iccount rlghtar.d In tha n... :)f tha dlcadant and two othar plrtonl and ..tab11thad within oM Ylar of death by
ttMi dlcldant,
1 DIVIDED IV l (SURVIVORs) . .50 I( 100 . SOil (tAKABLE FDA Ur:H SURVIVOR)
It. 1h1 tttOUnt lubJ.ct to t8X (11M 4J 11 deter.lnad by _ultlptylnl thl IICCOUMt balanca Olna j!) bv the IMrclnt talCatlla (lint U,
S. Entar the total of thl da~tI and dMfuotlonl I Ist.d In P.rt S.
.. T... MOUn'" t.Il..... lilt...... ,t u.i..r.'ntid bY tu,Hraotine tna OIOU ..~ oeouudUIUI (I Inti i! '''0. tlull ..UVII\ lu"Jeot tll UlC ~J.IM1 ....
7. Entar thl appropriate tllC nt. Olna 7) II datl,ein.d bIlow,
A, For dat.. of ctalth oCCl,lrrlnl aftar 6/~0/94, tha hI< rat.. for tr'n,fa"t to IpOuI..ar." foUOWll
1. Dati' of delth on or .fta" 7/1/94 and baforl 1/1/9S the r.ta II Sil.
2. D.ta. of de.th on or a'tar 1/1/'S trln,fert to .pou,.. will be t8lCed lit Oil taM reta.
Mot" For data. of deeth prior to 111194 tran,fart to .poua.. ar. t.l<abie at 6X.
I. Trantfa", tD l1naai dl,oandantllncludlnl fethar, lothar, lon, dlUghtar, grendChlldr.n, ,on-In-lew,
dMtlhter-ln-lMl, .tapohild and thalr luuI ara hubll .t ,ilC parc,nt (6:().
C. Trantfarl to 011 Othl,,1 lnoludlnl brothar, titter, unola, aunt, naphaw and nlaea are '.lCat,l. at fUhin pa"o."t UliO.
D. If you chentll thl tal< r.ta, pl.... .ptolflt your relatton'hlp to ttMI dtcadant In the er.' provldld,
.. ThI ..unt of taM due Oln.') 11 det.ralnad by lIultlphlng tha ..ount taMabl. Ulna 6) by tha talC r.ta lIlna 1).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowtbl. debt, and deduction' ara dat.ralnad a. folloNI:
A, Vou l..aUV ara r..pontlbl' for pay.."t, or ttMI ..tata lubJaet to a.lnlttration by a P4lrsonal rapr..antattya l, In.uUlelant
to pi" the daduGUbla It....
., you lotu.lh paid thl dabt. ,ftl!' daath of the daoldent and un furnllh proof of p.y..nt.
C. Dabtt balnt1 oltlllld au.t ba It.aizad fullY In Pllrt I. If .ddltlonal ,PIC. II n.edad, 1..111 plaln paper I 112" I< 11". PrCl'of of
ply"nt "" bt requa.tad by the Pol Oepart..nt of RI".nua.
/5
/"IJ
I'~
to""ONWEAlTH OF PEHNSVLVANIA
DEPART"ENT OF RF.VENUE
BUREAU OF INDIVIDUAL TAICES
OEPf, 210601
HARRISIURG. PA 1112.~O'Ol
*
INFORMATION NOTICE
AND
TAXPAVER RESPONSE
FILE NO. 21 '1I r;. 't 7
ACN 97131371
DATI 01-09-91
TVPE Of ACCOUNT
[] SAUINOS
[J CHECKINO
[J TRUST
[K) CUTlf.
UVd'H U .,_ 0.'1f
EST, OF MARY A MYERS
S,S, NO. 191-40-6812
DATE OF' DEATH 05-20-97
COUNTY CUMBERLANO
CHARLES K MYERS
1369 CREEK RD
BOILING SPRINGS PA 17001
REMIT PAVMENT AND fORMS TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
"ELlON PSFS ha. pro\,ll~.d tha Oepert"'61nt wIth the Inforllliltlon lilted b,low which hili b..n ulled I., calculating the
potential tax due. lhalr reoordl lriJtlc:lJlta \hat at the de.th of the "bo..,e dacadent, yoU war. It joint ownlllr/b'lnaflclary of thll aocount.
If you f.. 1 tnll Infornatlon It Incorrect, plu.. obtain written correotlon frail the flnftnclal Institution, attach !II COpy to thl. for.
."d r.turn It to the above .ddr.... This lIocount it talulbl. In accvrdanll' with the InhorltaMo fix laws of thl COlll.onwe81th of P.nnsYl~.nla,
WUI.ttOnl ..y De answerla ov 1l1111ng lfl/) fbf-B)lf,
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
A..ount N.. 22-A43044-C Dat. 05-14-93
E.t.bl hh.d
Account .Ilance
Percent Tlxable
A.ount Subj..t to
Tax Rate
Potential rax Due
To inlurl proper orad It to your aCClount. two
eZI cDpll1 o~ this notlc. IIIUSt acco.plnY your
pay.ent to the RAghtlr of "'l1h, Hlkl chIck
plVlble tOI "Reghter of W1111. Agent..,
PART
[!]
10,040,04
50.000
5,020,02
.06
301.20
TAXPAYER RESPONSE
'AILUIII'fORISPOND WILL RESULT XN AN OJlltXCSALTAX A8IISSIlIHTIASllI ON THXS HOTtCI
x
NOTE I If taM pay.ents arl Made within thr.e
(3) .onth. of the deud.nt', dlt. of death.
you lIay deduct a 5% dhccunt of thl taM due,
Any Inheritanca taK due will beco.e delinquent
nine (91 1Il0nthl after th. date of dllth.
Tox
x
[ CmK ]
BLOCK
ONLY
A, 0 Thll above Infor..Uon and taM due .II corract,
1. You .ay ohoo" to re.1t pay.ent to thl Reghtlr f'lf Willi Ollth two capia, of thl. naUee tt' obtain
a dllcount or avoid Inte'l.t, or you .~y ch.ck bOM "A" and r.turn thll notlc. to the Ragl,tlr of
H1111 and an official a.......nt wUl ba iuuad by the PA DlpartMlnt of R,vlnu"
e, [] Thl above a..lt has ba.n or will be reported and taM plld with tha Pennsylvanta Inherltanc. TaM return
to b. fllad by tha delledlnt" rapr..entaUvtl,
c. [] Tha above Infor..tinn i~ncorr.ct and/o~ebt. and d.ductlonl ware plld by you.
Vou IUlt cOllphte PART ~ and/lJr PART ~ beloH.
If you indioate . different t.x rate, pl.... .tate ~our
r.lation.hlp to dec.dentl
. . .O!"PICIAL USEO"LY .0 lOAf'.
I"A .D'PARTME"T Of REVENUE ....
PART
[!]
,-.Ill( .!lP.TUPN . CON"UTATION
LINE 1. D.t. Eltob111hed
2, Acoount I.lance
I. Peroent TaM.ble
4. Aoount Subj..t t. Ta.
I, Dabta and Deduotlon.
6. A..unt Ta.ob1.
7. Ta. Rot.
I, Tax OUe
:"#~,_.,>::L::~'\-.', .-<,.:<:. '.::J4:}~;::)~~
PART
[!]
DATE
DEBTS AND DEDUCTIONS
"AD .__
1
2i
3
"
5
,
1
8
CLAIMED
OF TAX ON JOTNT/TRU9T ACCOUNTS
1
2
5 X
4
S
6
7J
a
. - , :.::: ~ : ':
DESCRIPTION
AMOUNT PAID
PAYEE
PAID
j
I
.
I
TOT At
(Ent.r on Line S of Tax Co.put.tlonJ
Under p.na1ti.. of perjur~1 1 declare thet the i.ct. 1 have reported abov. ere true, correct and
00..1.te to the be.t of IIY knowledge end beUef.
TAXPAYER SIGNATURE
!jOME
WORK (
TELEPHONE
)
)
NUMBER
DATE
...
,<',',','
'::";"
GENERAL INFORMATION
1. fAILUU TO ResPOND WILL RESULT IN AN O,nCIAL TAM ASSESS"ENT .lIn ...II,.bl. IntorOl' b...d on Inlor..llon
lublIltttd by t'" flnancle' 1n.Ututlon.
2. l~rlttnc. t.~ blca..' dlllnquent nln8 .ont~. .fta,. thl dlc.dlnt', dlt, gf d~.th,
S. A Joint ICQOunt I, tlMlbll IVln thnugh thl dletoant" n... NIl .dd,d .1 ft .ftttl" af convenlenel.
4. Aocountl (InolucUnl tho.1 hlld batw,.n hu.blnd Ind wif,l which thl dla.dlnt put In joint nit'" wlthln dnl y..r pr'lor to
da,th .r. fully tlMlbl1 '1 trln,f.,...
S. Aooountl utlblhhed jointlY batw"n hUlband flnd wlf. lora thin on. y..r prior tet duth "ra not h)("bla.
.. AClOountl hald by .. Hoedant "in trUlt for" anothlr or othlr" .r. \lMlbl. fully,
REPORTING INSTRUCTIONS - PART 1
- TAXPAVER RESPONSE
1, BLOCI( A ~ If thl InforM.tlon Ind COMPut,tlon ir. thl I\(JUca ar. corrlet and deduction' ara not b.lna al.I..d, pll10e .., "I("
In block "A" of Pert 1 of the "l,ucpfty.r R..pc.,...." ,1.otlon. Slgn two copt.. and 'Ublll t th.. with your oh.ck fnr the lI"Ount of
tI~ to the R.glu.r of Wills of the oountv Indlollted. Th. PA D.plrt",.nt of R.v.nu. will Inu. IIn offlol111 ........;,t
(For. REV~li4' F.~) upon r.c.lpt of the r.turn frail the R.gl.t.r of will..
2. Il~CM. ~ If the ....t .p.clfl.d on thl. not to. hll' b..n or will b. rllPort.d and taM paid with the Pllnn.ylvanla Inh.rlt~clI
lllC A.turn fll.d by the d.o.d.nt'. r.pr....ntfttlv.. plac. an "M" In block ..... of Part I of the "TIIMpay.r R.,pon.a" .actlon. Slgn 0....
oopY .nd r.turn to the PA D.p.rt..nt of R.v.nue. aurallu of Individual TIIM'" O.pt ~a0601, Harrl,burg, PA 111l8-0601 In the
envelope provld.d.
5. BLOCK C _ If the noUeII Infor.aUn" ls Inoorreot andlor deduction. lire balna chl.ad, check block "C" and oOIllPlat. parU ~ IInd 5
accordlna to the muructton. 0..1.0101. ~lgn two cop I,,,, IInd .ub.h th.. whl1 1I0U'. \Jiltlllk fur ("tI d.UUll~ uf t." paJ.:..1. ~w UI. Itltllll.t"t
of Will. of the oounty 'ndlcllt.d, Tha PA Ollpart..nt of R.v.nu~ will I..u. .n offlol~l .I,."..nt (For. REY-li48 EM) upon racelpt
of the r.turn frd the Reght.r of Willi.
TAX RETURN - PART 2
TAX COMPUTATION
ll...
1. Ent.r the d.t. tha account originallY w., ..tabll.h.d or tltl.d In the ..nnar .MI.tlnG at d.ta of death,
MOTEl For I d.cadent dyfng aft.r 12/12/821 Account. which tha d.o.d.nt ~ut In joint n.... within anI (1) 1I..r of death .r.
t.~abl. fully a. tr.ntfar.. How.ver, there i. an .~clu,lon not to .xc..d $S,OOO par trantf.re. reA.rdla" of thl value of
the account Dr the nUllb.r of ,cOGunts :'eld.
If . doubl. .,t.rl,k (MM) app.er' b.for. your flr,t n... In the addra" portion of thl. notlc8, the $J,OOO .Mclu,lon
alr.ady h.. bun d.duct.d frOM the lIIooount balanc. at report.d by the fin.nelel In,tltutlon.
2. Ent.r thl totlll balllnCl' of tha Iccc,unt including Interlllt .ccruad to the data of d.eth.
5. ThI p.rclnt of the aocount that 10 t.~.bl. for .ach .urvlvor I. d.t.r.lnad II folloWl1
A. ThlP.rc.nt t.M~I. for joint ....t. ..tabll.h.d liar. then onl y..r prior to thl dac.dant'. d.athl
1 DIYIDED IV TOTAL HOHlER OF
JOINT OWNERS
EM..,lll A joint ....t rlgl.t.r.d
DIVIDED IV TDUl NUHIER OF M 100 . PERCENT TAMA.LE
SURVIYING JOINT OWNERS
1n the na.. of the decad.nt .nd two oth.r p.r.on'.
I DIYlDED IV 5 (JOINT OWNERS) DIVIDED IV 2 (SURVIYORS) . .167 M 100 . 16.7Z <TAICAllE FOR EACH SURVIVOR)
.. Tn. percent t.xabl. for ....t. cr..t.d within on. y..r nf the d.c.dent'. d.ath or account I o","ld by the u.o.dllnt but held
In trult for another Indlvlckll1<.) {tru.t ben.flalari.I)1
I DIVIDED IV TOTAL HUHIER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
)( 100 . PERCENT UMABlE
EM..,111 Joint account rell.tlred In the na.. of the d.o.dant .nd two oth.r p.r,unl end ..tabll.had within ona YMlr of delth by
tM dMMMt.
I DIYIDED.V 2 (SURVIVORS) . .SO II 100 . SOX (TAMABLE fOR EACH SURvtVOR)
4. ThI.-unt lubject to t.M (11M 4) 111 deteraln_ by IlUlt1plYlnl the account b.11IflCI1 (line 2) by the peroent ta~abl. (1lne 5),
5. Ent.r the total of thl dabt. and dedUCtion. ll.ted In P.rt 5.
.. I"..-ount ta~lIble nine ftJ II daur.lnld by .ubtracUna 'the a.at. .nd dllduCtionl (lina 5)'ro. the uount .ubjlctto hM (Une "").
1. Enter the .,proprlata t.~ rate (line 7) .. detarllln.d b.low.
A. For d.t.. of death ocourrlnt .ft.r 6/S0/'''"' the t.M r.t.. for tren.f.rt to ,pou... .r. .. follow'l
1. alt.. of dIIeth on or .ftlr 1/1/'''" end bafor. 1111'S thl r.t. i. !X.
2. Dete. of de.th on or Ift.r l/1/9S tran.fer' to .pau'" wlll b. tIMid at O~ tl~ r.t..
Motel for dat.. of de.th prior to 7/1/~4 tr.n.f.rl ~o ,pOUI.' .r. t.~.~t. at 6X.
.. Tren'fIIrt to 11na.l dlllClnd-.nU Includlnl f.ther, l'IIoth.r, ,on, d.ughter, grandchl1drlln, .on~ln~l...,
deUlhtlr.ln"I"', .tapchlld Ind thllr Inu' .re tIIy,abl. at .tlC plrclnt (6X).
t. Tr..,.fer. to all otMIrI Including brother, .1I1.r, uncia, .unt, nlph... and nleel are t.~lIbl. at flftlen Plreant (1S;O.
D. If you ohantll the t.M rata, pl.... 'PIIclhl your rIIlaUon'hlp to tha daesdlnt In the are. provided.
I. The.-unt Qf tlM dull (Un' .) 111 d.teralnlld by .ult1plvlnl the ..ount taMnl. (Une 6) byth' taM rat. (11ne 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AU".._11 debt. and dlduaUonl e,. daterllnad .. followlI
A. You 11,llly ar. r..pon.lble for p.Vlllnt, or the a.t.t. .ubJect to adIIlnl.tr.tlon b~ I plrlon.l repr.,entatlv. I. Inlufflcl.nt
10 PlY the daducUbl. It....
.. You aotullly peld the debt. .ft.r dII.th of thl dac.dant and can furnl.h proof of p.y-.nt.
C. Dabt. b.lnl clalled .u.t bl It..ll.d fully tn r.tt 5. If additional .pec. I. nalld.d, u.. pl.ln pap.r . 1/2" ~ 11". Proof of
PIYHl'\t .ay bs ,'squa.ted by thl PA Deper t..nt of R'v,nu..
',I
j" -'f ,.. ,-, ,-- '" .~ .
COMMUNWIi^l.HI or PIiNN9VIVMII^
11I'PM1IMI'N! or BIiVI'NUE
BUREAU OF INDIVIDUAL TAMil
lJf.f1t ?AOftOl
IlMHII8IHJtUl. PA 111::'A.0601
l
~ I
~~
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO AA 2116 3 9 m:\ll\81f.lC (IHllll
. ..
RECEIVED FADM,
NANCY L LEINAWEAVER
le75 CREEK ROAD
MECHANICS9URG, PA 17055
100111lrm.
ESIAlE INFORMATION:
f'1I.f NUMAHt
. .___21 ,..-1-9~97_"ObB7__ 5 SNm19_7=-Ii 0,., 6B 12...- -__"..
NAMf or nfCEOFNf (tAS'1 (nnSll (MI)
.. p... MYERSpMARY A.
t'lATr: or PAYMfNI
. ...8/15/1997
POSIMl\flK DATr
... n._O/OO/OOOO_
COUNty
.. _.__CUMBERLAND
IMIF or: ntAHI
__m_.$/.liQ./_~_ .-------
REMARKS NANCY L LE I NAWEAVER
SEALCHECKIt 4750
1MPMr:R
......~'...1~-..
\.
; "i ~ ,....
ACN
ASSESSMENI
CONlnOL
NUMBER
AMOUNT
..,..-"----..--1,0-1- --t2liS-.-OO---
TOTAl. AMOUNT PAID p_______. 'e85. 00
g ~VZ
/I ) ,
REOEIVED av .~{.('__l.". _ _~
MARY C. ~~"'I S ' Jl(1.IJ?~;;;;ty-
REGISTE~/OF WILLS ~
,
" (' .
" "
, ,
.
'1\ ,
, ,- .,
;Ii" (~;
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" "
,
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"'"
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........-.
-.,-r
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I
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,.('-'o;'.~.(
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.~.,,,,,;,,.,(I,....
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91 SiP " AM 8136
'9<{
1.7
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f\;,. !,'"
in,
el,:!
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;...."~~
......~,.,...~
--- ~- '"
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I.~-;- / tjJ - 8
lURE AU Of IHOIVIDUAL TAMES
INHERITANCE TAil OIVISION
OEPt. 260601
HARIUIIURG, PII 17121~O"1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
'I
C
NOTICE bF INNERITANCE TAM
A"RAIIE"ENT, ALLOMANCE OR DIIALLONANCE
OF DEDUCTION , AND AlIEI8"ENT OF TAM ON
JDINTLY HELD OR TRU8T AIIETI
m.ltUU".IIl.tI,
CHARLES K MVERS JR
1369 CREEK RD
80ILING SPRINGS PA 17007
DATE 12-01-97
ESTATE OF MVERS MARV A
DATI OF DEATH 05-20-97
FILE NUMBER 21 97-0687
COUNTV CUM8ERLAND
SSNIDC 197-40-6812
ACN 97131371
E~o."nt -ii..ltlod::J
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
itiii: ii;;i .ilCAFp.f 03 :,7"i.. ...... ..... .............. ............. --.... ..... -. -.... -...... ..... .......- - - - -..
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-01-97
ESTATE OF MVERS
MARV
A DATE OF DEATH 05-20-97
COUNTV CUM8ERLAND
FILE NO. 21 97-0687
TAX RETURN WAS.
S,S/D.C, NO. 197'40-6812
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
97131371
FINANCIAL INSTITUTION. MELLON PSFS
ACCOUNT NO.
22-A43044-C
TVPE OF ACCOUNT. () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTA8LISHED 05-14-93
Account 811ence
Percent Tlxlb11 X
Amount Subject to Tlx
Debt. and Deduction.
hub1e Amount
T.x RIte X
Tlx Due
10,040.04
0.500
5,020.02
.00
5,020,02
,06
301.20
NOTE. TO INSURE PROPER CREDIT TO
VOUR ACCOUNT, SU8MIT THE
UPPER PORTION OF THIS NOTICE
WITH VOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
A80VE ADDRESS. MAKE CHECK
OR MONEV ORDER PAVA8LE TO.
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAVMENT
DATE
08'14-97
DISCOUNT (t)
INTEREST IPEN PAID (-)
15.06
RECEIPT
NUM8ER
AA211634
AMOUNT PAID
286 . 14
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
" IF PAID AfTlB THlI DATE, SEEREVER~E FOR CALCULATION Of ADDITIONAL INTI EST. ·
I If TOTAL DUE IS LESS TH~H n I NO PAV"ENT IS RElIUIRED.
IF TOTel DUE IS REfLECTED AS A "CREDlT" ( CRII VDU HAV IE DUE A REfUND.
lEE RE ERIE IIDE Of THII fOR" fOR IHSTIlUCTIOHa. I
301.20
,00
.00
.00
,~tw
MOllet I
PAYlIlMII
II!'~ ICR)1
"-j
" c'.?
'.:~()
10 fulllll 1M ,.qul'''''''' of ...,Ion Zl40 .f 'h' 1....'11.".. and Eo"" I.. ,.1. ..1 ZI of i.u. (11 P.I.
'Htlon .140),
IIOI00h 1M 10' ,..Il.n .f Ihlo HoII.. and ._11 .llh .ou, '....nl I. Ih. R..I.,or ., NIlI' "lnl" .n 1M
'ellen' I1ne,
.. Milk. cnectl. or IIOMV or.f PIV..,i. tOI REGISTER Of lUllS, ACENT.
, ,.fund o. . '" ....II. .M.h .00 nol ,......,.. on lho ,.. ro'u,n. ... .. "qu..'" .. ._I.lln. ... "...II..,lon
fe' R.fund .f ,...,..lv..,l. I_dl.".' and E.Io" I.." (REV.utll. ",II..'lon. or. .v.Il..1. .1 Ih. Off I.. of
1M R..I.,or of NlIl", on. of 'h' IS R.v..... 01.,,1., Offl....... ..lIlng 'h. .,..1.1 14'hOU' ..,..orln. ...vl..
nu.btr. for for" ar.rlRlI In Plnnlvlvanll 1~AOO'S62~ZOSO, outside Plnnlvlvlnle end within lOCI I
Harrl.bUr, .r.. (711) 711-10'4, Toot (717) 712-2252 <Helr'n. 1."ir.d Only),
OSJI!CIIOIIt. onv ,orlV In Inlo..., nol ..\1.11.' .llh .h. ..,"1.._.. .110...... .. .1..11....... of ......tI"". or ......_1
of ... llnoludlnG .1...... .. In..,..I) .. .hOWn on .hl. ...1.. ... ..j.., .I.hln .1.,. ('0' .... .f ,00.1,. .f
thh MoUce byl
...,IIt.., ,ro,..1 101M ,. Ooporloonl of R.vonuo, eoord of ",001., 0..1. moZl. ....h...... PI 11I1.-101l. OR
.-.loo\lnG 10 MV' 1M ..ltor ....rolnad .. 'M ....11 of 'M ...ounl of lho ,.""".1 ,.......".tlv.. OR
__."..1 to thtl Orphenl' Court
IIIIlIM-
IIlIlATlIIE
COIIlIlCTlOIIt.
OIICOlIII.
IIlHAL IV I
INTEREST I
Foo.vol ,"0" '1"'Vor.' "" .hl. .......onl ....ul. .. ...ro.... In ..It1n,'" PI o.,orl-' of R.v......
Ivroau of 1""lvl-1 I..... m.. '01' .........., Rovl.. Unll. O€,I. ,,"01, H...I..u... PA 1111"0601
Phono (1\1) 1.1...0i, Soo ,... i of 1M .001<1., "In.l.uo\lon. f.. I""orll"'" 10. 1.lu.n fur .1..ldonl
o.cedentft (REV-ISDI) for en I.pl.natlon of ~tnl.tr.tlv.1Y Qorr.ot~l' ,rfO'"
If .... 10. duo 10 ,.1' .1.hln W" (SJ ..Iandor oonlh' .lIor 'M ....-... ...,h. · f1v. ....onl (iXl
dlHount of the 'llC plld is .11GtitH.
1M U~ 10. _.IV non.,..t1.I,.t1... ,....It. 10 o_ul.. "" 1M 10..1 of 1M to. and Inlor..' ......... ond nol
,.Id bofo,' Janu'" I'. I.... lho fl.., ... .1'" lhO .nd of .h. I.. .....,. ,..1". Thl. non-,..,I.I,..I""
_It. 10 _.1.... In 1M ._ .onna. ond In 'M Ih. .... \I.. ,orlO' .. 'ou ....1. _.1 1M I.. ond In,....,
that hi' b&~ ......ed II lndicatad on thl. notlc..
Jr,te,..t II a....,..... bellnn!'" with fir.t day of dtIl1~V, or nlM (9) .nth. MIl one (1) day
f.oo 'M ..,, of ....h. 10 lho ..,. of ,.,oonl, T.... .hlch ...- ..11_' "'0" Janu'" I. I9U
bear In'.r..t at the nt_ of ,ilt (6;() p.rcant p'" ~ calculated at . dillY rate of ,000164.
All I.... whloh ...... doll_' "" ., .fl.. Jonu'" I. 1..1.111 ...r Inl.,..1 .. . ..,, whloh .111 v.,. frIO
011_' .... 10 0.1_' .... .lth Ih.1 rol. .......... .. Ih. ,. 0....,..." of I.v....., ThO ...110..1.
Int.r..t rata' for 1"Z through 1997 .r.:
'!!!!: lnt.r..' Ma" DeUy tntar..t Feetor V.." In'.r..t Aata O.Uy Intor..t fector
-
nlZ ro~ .00Dl41 1911 .~ .000247
1,.1 l'iC .0004se 1'''-1991 1I~ .000101
I'" 1I~ .00OSOl 1"1 .~ .000247
I'U \J~ .0005" l"J~l'~ n ,OQGl9Z
19" IO~ ,ODIn,. 1"5.1997 .~ .001247
"~Jnt'r..t 1. caloulated ,- follOW.1
IMTUElT . IALAMe! OF TAX UNPAID X NUNIER OF DUI DELIMqUEIlT X OAlLY IMTERElT FACTOR
__"", Ho\l.. 1.._ .ft.. 1M I.. ....... "II_' .111 ..11001 .., Inl..... o.l.ul.\I"" '0 IIft_ (Ii) ....
bo.ond lho ..,. of 'M ......oonl. If ,....." I. .... .ftor 1M In,...., ._'.\1'" ..to -- "" .ho
MottOI, Iddltlonll lnte,'" .u.' ~ olloulltld.
." .., '"......-..".,.
~-/q1- /3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
("*,
IU~IAU OF INOIVIOUAL TAM IS
INHEllfAHCE ,ax DIVISION
DEPf, ZlI'CA
KARR..IURO. ,. 17'1"060'
NOTICE OF INHEIITAHCE TAM
APPIAIltHEHT, ALLOHANCE 01 OIIALLOHANCE
OF DEDUCTION '- AND AlIESIHENT OF TAM OH
JOIHTLY nELD OR TIUST AIIETI
tn.It..,.. if' UI.H.
WAYNE E MYERS
1320 INDIAN PEO ND
BOILINO SPRINOS PA 17007
12-15"97
MVERS
05-20-97
21 97-0687
CUMBERLAND
197-40-6812
97131370
~' ~t ~..Itt.d
l
DATI
ESTATE DF
DATI OF DEATH
FILE NUHIER
COUNTY
SSNIDC
ACN
MAR V
A
MAKI CHICK PAYABLE AND REMIT PAYMINT TOI
REOISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TMIS LINI .. RITAIN LOWER PORTION FOR YOUR RICORDS ..
'Riii: iiJli.ii 'Aiiji-rOy:"y".' -----.. ..........-.....-....-------- -.- - -----. - -. - --. - -..,-- - -. - --. --... -. -. -...
NOTICI OF INHIRITANCI TAX APPRAISIMINT, ALLOWANCI OR DISALLOWANCI OF
DIDUCTIONS, AND ASSISSMINT OF TAX ON JOINTLV HILD OR TRUST ASSITS
DATI 12-15-97
ESTATE OF MYERS
MARV
A DATE OF DEATH 05-20-97
COUNTY CUMBERLAND
FILE NO. 21 97-0687
T AX RETURN WAS.
S.S/D.C. NO. 197-40-6812
(X) ACCEPTED AS FILED ( ) CHANOED
JOINT OR TRUST ASSET INFORMATION
ACN
97131370
FINANCIAL INSTITUTION. MELLON PSFS
ACCOUNT NO.
220-084398-C
TVPE OF ACCOUNT I () SAVINOS ( ) CHECKINO ( ) TRUST ()() TIME CERTIFICATE
DATE ESTABLISHED 05-14-93
Account Balance
Percent Texeb1e X
Amount Subject to Tax
Debta end Deduction.
Taxable Amount
Tax Rate X
Tax Due
5,020.02
0.500
2,510.01
,00
2,510,01
.06
150,60
NOTEI TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REOISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MCNEV ORDER PAVABLE TO.
"REOISTER OF WILLS. AOeNT:"
TAX CREDITS I
PAVMENT
DATE
08-14-97
---mEIPT
NUMBER
AA211636
DISCOUNT (+)
INTEREST/PEN PAID (-)
7.53
AMOUNT PAID
143.07
.
TOTAL TAX CREDIT
IALANCI OF TAX DUI
INTIRIST AND PIN.
TOTAL DUI
IF PAID AFTER THIS DATE;. SEE REVEISE FOR CALCULATION OF ADDITIONAL INTEREST. ·
IF TOTAL DUI IS LESS TH N '1, NO PAYHENT IS REquI~ED.
IF TOTAL DUE IS REFLECTED AS A "CIIDIT" I C~~I YOU HAY IE DUE A REFUND.
lEI IIVIRSE SIDI DF THIS FDRH FDI INST~UCTIPN5. I
150.60
.00
.00
.00
i' 1 {~;
PIJRPOIE OF
!<<IlICEI
To fulfill the nqulrl..ntl of Slotlon 2140 of tht Innldtllnol and hht. TIM lilt, AGt Z1 of 1'''~ (12 P.I.
S"Uon .UO).
DttlCh the top portion of thh Notice and I._It with your ply""t to the R.,ht.r of WU1. printed on tM
r.V'"'' I1de.
.~ ..... cheCk or IIOMY order p.vabll tOI REGISTER Of' WILLS, AGENT.
PAV""M',
OIJECTlOHll Anv party In lntlrut not ..thHId with thelPPrlhlHnt, IUowanc. or dt..Uowenel of dlduCtlon. or ......Mnt
of tlM (lnGhtdlne dllllount or Intlrllt) .. .hown on thlll NotlCI alV ubject ",lthln .IMty (60l dayI of recllpt of
this NoUce byl
u",rltt.n prot.lt to thtl PA Depart""t of Alvanua, loard CIf a,pIIls, Dept, flUll, HarrllbUrg, PA 17121-1021, OR
ullacUna to haVI tn- ..tUr dltlralned .t thl audit of thl IClCount of the parlonll f'aprll.nt.UVI, OR
.~""II to the Orphan,' Court
A rlfund of a tlM credit, Nhlch "'" not r......tad on the taM ,..turn, ..v btl requ..tld by cOllPlaUnw 1M "Appllolltion
for Alf~ of pann.vlv....l. InMritlflClI IHld Eltltl TaM" (REYwUU), AppllCIUonl IIrl avaUabl. It thl OfficI of
the R..ht.r of WIU., IlnY of thai U R...,....... Dlltrlot offlc.. or by caUlng the IpMlll Z4-hOUr' an.",.rlng ..rvlol
nuabar. for for.. ordarlnal In Plnn,Ylvanla 1-$OO-J62-20S0, out.lde Plnnlylv.nla and ",Ithln locII
Harrl.burg ar.. Ull) 1I7-a094, TDDI (717) 712-2252 (Haarlng 1.,.lred OnlY).
'llE'UMIl (CR II
AIlIIlM"
IITRATlVE
CORMClIONSI
FlCtual .rror. dl.cov.r.d on thl. ......eent .hOUld be addrl..ad In ..rltlnl tOI PA o.,.rt.ent of RIV~,
lur." oflndlvlMI TIM'" ..llNI POlt ......nant RIVII.. unit, DEPT. 110601, H.rrlour" PAlllZl-0601
Phone (Jill 711"'SOi, S.. Pili S of the bOOkl.t "Inltructlon. 'or Inherltanc. TIM R.turn for' A..ldlnt
Decadent" (REV-ISOI) for an 'Kpllnltlon of edalnlttratlvllY carr.ctabl. arror..
If anw tu due It ,aid ..Uhln thr.. (5) Gal"'r IIOMth. aftlr thl dMadentt, dHth, a flv. peroent (IX)
dlHount of the tllC paid 11 .11owad.
ThI II~ talC ,,",.ty non~p.rtlolpatlon penalty II coaputad on the tot.1 of the teM and Int.r..t ......ad, Ind not
plld ~for' ~ry II, 1"', thl flr,t day aft.r thl and of thl taM ..nI.ty period. Thl, non~p.rtIGlp.tlon
penIIltw it ,"",alllbl. ln thl I" aanner ~ In the the .... U.. p.riod at YOU would eppnl the taM 'WI Int.r..t
thit hll been 1..I..ad .. Indloatad on thlt notlcl.
DllClUIT1
PENAL TV I
INTERES'I
Intar..t I. chlr... ..lnnlnt with flr.t MY of dltllnquanoy, or nine (9) ""thl and one (1) daY
frOll the data of death, to thl det. of PliIlI.."t. T'M.. which .- delinquent be'or. nnuary 1, 1.12
...., Intlr.lt at the nt. of ,he (6i0 peroent par ..,...,. oalculltad .t a dally rat. of ,OOD1~.
..II tlMlt Mhlch btC... delinquent on or ,.tar Jenuary 1, 1,IZ will ~r lntar..t It . rata ~Ich ~lll vary frOl
oll,netar y.,r to callndar y..r with thlt raU announced by tha PA Dapartaant of RIl,fanua. The appUcebla ,
Intar..t rat.. for 1911 thrOUlh 1"1 .,.11
~ Int.rllt Rltl DIUy Intlr..t F"tor ~ Intlrllt Rat. Dally Intarllt ,"tor
"It lOX .000541 1'1" '" .OO02U
I'IS 1':< .00001 19U~I"1 11:< .000501
191" 11;( .000101 ,... ,. .00DZlltl
1915 m .000156 199J~199llt 7Y. .00019Z
"" 10. .000214 1995-199. 91: .000247
--lntarllt h calculatad .. '011_11
INTEREIT . IALAMCE OF TAX UMPAID X MUNIER OF DAYI DELINqUENT X DAILY INTERElT FACTOR
~.AnY Motloa I.~ .fter the tlM boO~' delinquent ..III rlflact an Intara.t oaloulltlon to fifteen (IS) "VI
beVond thl eMtl o. the ........,t. If Plv.lMt I' ... .ftar the In'ar..t cOllfllUtlUon date lIhc*n on thl
Not1ol, ~i'lonal Intara.t lU.t be calculatad.
''}'
"" ..~ .~.'" ~..- ;'-+ '. -"" .'"
.~
, .
.".\
BUREAU OF INDIVIDUAL TAMES
INHERITANCE TA' DIYISIDN
OEPT. 210601
HA~RtS.URQ, PA 17lza-d40l
COMMONWEALTH OF PENNSVLVANIA
DEPARTMINT OF REVINUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
~*
UHHI u m ut.lll
DATE 01-26-98
ESTATE OF MVERS MARV A
DATI OF DEATM 05-20-97
FILE NUMBER 21 97-0687
COUNTY CUMBERLAND
NANCV L LEINWEAVER AON 97136955
1275 CREEK RD L "lftount RI..i H.d
MECHANICS BURG. PA 17055 . ()()
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE I To in lure prop.r oredit to ,your .aaount, lubllU the upp.r portion of this for.. wUh your tll( paYMent.
CUT ALONG THIS LINE . ...,I!l!:;...IllUllt,LllWIR PDRTlON FOR VDUR RECORQS .oIIl!
;~
,I
~i
- ,F'
~t +_ ......-_,.~_.._-
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l :,,' '~i~,t;~ .
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"
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:~'
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14 '~'.,.
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#~ ~1 .-.'" >"\...~ ", .,_ -.-
~
,-:"-,~-\,;,,,-,---,,,,,-,,,
.YrHV^'A.tNH:t.. ~n H~'W~MN(\WWn~ 10' "","'d .4tp4Q IIIUo. .10 ~~.~:) l'lt.. UllOl'J!JO IHldll1t1-HOH fa
. .l.NIDY ""1" ~o .,iJ.SI0JM IOl .tttWAld JIJt.flj "'UO. .10 1t3'~3 '1Il'~ Hll01HO IN10tUtI fI
"p,' "J'~'J '~l uo ptlUfJd
"tJpp, pue ...u '~l 0\ '1QIAld 'p,~ lU'.Atd Jnoll ~"" ll.~"' put IOtloN 'I~l fO UOllJod dOl .~, 431'10
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BUREAU Of INDIUIOII_L T _MEB
l...tfRHlNCE TAM DIYIIIOM
DEP'1 tlDUI
naMRIS'UMO, PA 1112'-0'01
COMMONWIALTH OF FINNIVLVANIA
DEPARTMENT OF RIVINUI
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
c/
In.,.OIIl'" uHfl
NANCV L LEINWEAVER
1275 CREEK RD
MECHANICSBURG PA 17055
DATI 01-26-98
ISTATI OF MYERS MARY A
DATI OF DIATH 05-20-97
FILl NUMIlR 21 97-0687
COUNTY CUMBERLAND
ACN 97136955
E----A,;OU"filOOItt.L ]
~===->="-~ -
---"..----_.~..---------_.---.......-.----~-
"AKI CHICK PAYABLI AND RIMIT pAY MINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE. To Inouro propor crodlt tc ycur IccOunt. oubolt tho "pp.r porUe" of thlo fcro .lth ycur t.. p.yo.ltt,
CUT ALONG THII LINI ~ RETAIN LOWIR PORTION FOR YOUR RICORDS ....
it"iv: lli0'1. lie A;ji - {03:9'7 T - - -- - - ii iiii -i NHili iT ANti' -; reiT A Ti.i1i'tli - OF - AccouNT - - iili ii -- - - - - - - - - - - -. - - -" -.-
IITATI OF MYERS MARY A FILe. NO,21 97-06B7 ACN 97136955 DATI 01-26-98
THla ST_TE"ENT IS PROUIDED TO _DVISE OF THE CURRENT aT_TUS OF THE ST_TEO _CN IN THE N_HED EST~TE. SHOWN BELOW
sa A SU""_RY Of THE fRlNClf-L T_K DUE. _ffl.IC_nON OF _LL p~Y"ENTS, THE CURRENT B_L_NCE. _ND. IF _ffLlC_BLE.
PROJ CT I TERES flOUR ,
DATE OF LAST ASSESSMENT OR RECORIJ ADJUSTMENT I 01-22-98
300,95
PRINCIPAL TAX DUE,
PAYMENTS (TAX CREDITS),
--
--DfSCOUNT (+)
INTEREST /PEN PAlO (-)
~
15,00
AMOUNT PAID
Z85,OO
PAYMENT
DATE
08-15-97
RECEIPT--
NUMBER
--
AA211639
-,.
TOTAL TAX CRIDIT
BALANCe. OF TAX DUI
INTIRIST AND PIN.
TOTAL DUI
300.00
.95
.00
,95
---
-~------.
. If f_ID _fTER THIS D_TE, SEE REVERaE
aIDE fOR C_LCUL_TION Of _DDITION_L INTEREST.
C If TOT_L DUE IS LESS TH_N .1,
NO f_Y"ENT IS REQUIRED.
If TOT_L DUE IS REfLECTED U _ "CREDn" CCU,
YOU "_V BE DUE _ REfUND, aEE REVERSE SIDE OF THIS FOR" fOR INSTRUCTIONS. I
PAV!lENT,
D.I..h Ih. I.P p.rllon .f Ihl. H.lI.. .n. .ub.11 .lIh ~.ur ."..nt .... ..v.bl. I. Ih. n... .n. ...r...
"dn'.d on the ra".r" ,Ide.
If REllneNT DECEDENT ..k. .n..k or .on.~ .r..r ...,bl. tn' REGISTER OF WILLS, RGEIIT,
If N.DN-RESIDENT DECEDEHT ..k. .n..k .r ..n.V .r." p".bl' t.: COHHOIIWERL TN OF PEIIIISYLVRIIIR,
REFUND (C.I, . r.fu"..f . IlK .".It. .nl.h ... n.1 r.,uIII.d.n In. T" ,.Iurn. ... b. r"UIII.. b. ....I.lln..n
....II..II.n f.r R.fun. .f p.nn..l..nl. Inn.rll"'. .n. E...I. T.,. ,.EV'lllll. ...II..II.n. .r. ...II.bl. .1
Ih. D/fl...f Ih. ...I.t" .f Hill" .n. .f tn. U .....u. DI.lrI.1 D/fI.II.r fr.. In. D.."...nt'. 24-n.ur
.....rlnl ..r.I.. nu.b.r. f.r f.r.' .r..rln.' In p.nn..l..nl. 1'.'0"'2'2"" .ut.I.. p.nn..l..nl.
.n. .lInln ,..., H"....bU'" ".. '1l1l 1e1-..... TDO' 11111 11,.,'" 'H."ln. IIp.lr.. .nl.l.
REPLY tal
DISCOUNt I
PEHALTVI
INTEREST I
Qu..II.n. r...rul.' .rr.r. ..n'.ln.. nn Ihl. n.tl.. .n.uld .. .d.r..... .., P' D...rl..n' .f ....nu.. our..u
.f In.I.lo..l T..II. mH' P." ........nl ...1.. unll. D..I. ""'1' H"rI.bur.. P' 111.....01. pn.n.
(117) 181~6S05.
If .n. I.' .u. I. ..1. .Itnln Ihr.. 'SI ..,.n..r ..n.n. .f..r In. ......n... ...In. . fl.. ..,.on' "~I .I...unl
of the 'aM paid it allowed.
Tn. I'~ .., ..n..I' n.n...r".I.,'I.n p...,l. I. ...pu'.. .n .n. ,.'.1 .f Ih. .., .n. Int.r..' ......... .n. n.'
p.l. b.f.r. J.nu.r. I'. I.... In. flr.1 ... .fl.r tho .n. .f .n. ... ....... ..rl...
.Inl.'." 1. .n.,... ...Innln. .lln flr.1 ... .f "llnow.n.., ., nl.. (., ...In' .n. .n. (II ... fr.. .h. ..1. .,
...In, I. In. ..I..f p....n.. "," .hl.n b.'." ","nou.n' b.f.,. J.nu'" 1. ,,12 b..r In..,0I1 .. In. ,... .f
.1. (m p.,..n' p.' .nnu. ..1.nl.I.. .1 . ..IIV ,... .f .'001". .11 ,,," .hl.h b..... ..1In.....t .n on. .1I.r
J.nu.r. 1. 1,'2 .111 b..' In'.'.'' .1 . ,.1. .nl.n .111 ..'V fr.. ..I.nd., ..., .. ..I.n..' y..r .Itn In.' ,.1.
.nn.un... bv In' P' D.."...n' .f Roy.nu.. Tn. ...1101bl. In'.'"' "I" f.' ".2 'hr.u.n I'" ""
y..r
-
Inter..t Rat. nallY lnter..t factor
v..r
Inter..t R.te
DallY Inter..t fBctor
19.Z ZQX ,QOOS48 1981 9l- .000241
..as 161. ,OOO4U 1".-1991 111- ,0.00'501
1984 111- .000501 1..2 ,>:. ,000Z47
\... UI: ,0003S6 199'S~1994 71. .000192
1'16 lOX ,000214 1"5-1'91 'X ,000247
...-tnt.r..' II calculatad It follo\ltlI
INTEREST . BALAIICE OF TAX UNPAIO X NUHBER OF DRYS DELINQUENT X DAILY INTEBEST FACTOB
--.n. N."'. I"u.. .11" ,h. 'IK b...... ..1In....n. .111 ,.f1..1 .. 1.1.,"1 ..I.ul.".n I. /l1I'on (IS) ...,
b...nu 'n. ..1. .f .h. ........nt. If p"..nl I. .... .1I.r In. I...".., ...puu".n ..1. .n.... .n Ih.
Notln. .ddltlonll lntlrl.' .u.t bl ulcule'ld.
;.f//11-1-3
IUREAU OF INDIUIDUAL TAXES
1NH!~ITANCE TAM DIVISION
PEPT, ZI0601
HAAAIIIURQ, PA 17121-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
v
~
*'
NOTICE OF INHERITANCE TAX
APPRAISE"ENT, ALLDHANCE DR DISALLDHANCE
OF DEDUCTIONs, AND A88E8S"ENT OF TAX ON
JOINTLY HELD ON TAUST ASSETS
"Hln"."U""1
MARY .A MURRAY
1375 CREEK RD.
BOILING SPRINGS PA 17007
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-02-98
MYERS
05-20-97
21 97-0687
CUMBERLAND
197-40-6812
97136954
AMount R."ltt.d
~
MARY
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
Ri'v:i5iii~ijf'AFii'roif:97)""""".""""""'."..................-......................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATI! 02-02-98
ESTATE OF MYERS
MARY
A DATE OF DEAT" 05-20-97
COUNTY CUMBERLAND
FILE NO. 21 97-0687
TAX RETURN WAS,
S.S/D,C. NO. 197-40'6812
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT DR TRUST ASSET INFORMATION
ACN
971369~4
FINANCIAL INSTITUTION, PNC BANK
ACCOUNT NO.
21001055915
TYPE OF ACCOUNT I () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
DATE ESTABLISHED 05-24-85
Account Bahnce
Percent Texeble 1---
Amount Subject to Tax
Debt. and Deduction.
hubl. Amount
hx Rete X
Tax Due
10,031.55
0.500
5,015.78
.00
5,015.78
.06
300.95
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT l'HE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
DR MONEY ORDER PAYABLE TO,
"REGISTER OF WILLS, AGENT."
TAX CREDITS I
PAYMENT
DATE
08-14-97
DISCOUNT (+)
INTEREST/PEN PAID (-)
15.05
RECEIPT
NUMBER
AA211635
AMOUNT PAID
286.14
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST AND PIN.
TOTAL DUI
. IF PAlO AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
C IF TOTAL DUE IS LESS TH.N t1, NO PAVMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREOIT" I CAll YOU MAV IE DUE A REFUtlD.
SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTION.. I
"- 30CTi~
-------;-i.~c"~
'..oumo.----,-..:-lio. -
.......-...... --~..~,-------~".."
,UCII
A
PURPOSE OF
NOTICEl
PAV"ENT I
REf'uttD (tR) I
OIJECTlOMSI
ADIUN"
1STAATlVE
CORRECTIONSl
OISCOUHT l
PENALTYI
INtERESTl
To fulfill the r.quir...nt. of S.cUon 2140 of thl> Inh.rlhno. end Eltat. hx Act, Aot tl of 1995" (12 P,S.
SecUon 91itO).
Oetach the tap portion of 1hl. Hotloe and .ubalt with Vo~r ply..nt to the RIgl.t.r of WIll. prlnt.d onth.
rl",.r.. lid.,
__ "eke ohlQk or .oney order payable tOI REGISTER Of WILLS, AGENT.
A refund of I tex credit, whlClh 'I" 'lot raqu..tld on the tlx r.turn, aay bl "qulltld by Clo.pt.Unt In "Applloltion
for R.fund of P.nnlylvani. Inh.rltanc. and Eltatl T.x" (REY-IS1]). AppllQetlonl Ir' .v.ll.bl. .t the OfficI of
thl A.,llt.r of Willi, any of the 2] A.vlnul Dlltrlct DffICl" or by Cllllin, the 'Plclal 24-hour In.wering ..rvICl'
n~b.r' for for.' ord.rlngl In Pennlylvanl. l'IOO~5'2-2050, nut.lde P.~n.yl~anla end within 10ell
Harrl.burg ar'l (111) 711-1094, TOOt (117) 172-2252 (H..rlng Iapalr.d Onlyl.
Any partv In Int.re.t not .atl.fled with th. .ppr.l....nt, .110w.nCl' or dl..llowanc. of d.du~tlon' or ........nt
of t.x (Inoludlng dl,count or Inter..t) " .hown on this Notiol ~IY objlct within .Ixty (60) d.y. of r.celpt of
this Hotic. bYI
--written prot..t to the PA O.pert..nt of Rft~.noe, Bo.rd of App.al.,
--.llctln, to havI the ..tt.r d.teralnld It the eudlt of the .ceount
-~app.al toth. Drphtn,' Court
,
D.pt. Z81021, Harrl.burD, PA 17Ill~10ll,
of the perton.l rapr...ntaU"'I, OR
OR
Factu.l error. dl.cover.d on this all...a.nt .hould b. add,.",.d In ..rltlng tOI IIA D.part..nt of R.v.nue,
Ih..r.au of Individu.l Ta;ICII, ATTNl POlt Au.....nt R.vi.w Unit, DEPT. Z80601. Herrlsburg, PA 11.\21-0601
Phon. (711) 711~6505. S.. Pili' 5 of the bookl.t "In.truotlon. for Inh.rltlne. hl( R.turl' for e "..Ident
Dacld.nt.. (REV-lS01) for In .;lCplanetlon of Idalnl.tratlvalY corr.ctftbl. arror..
If eny tax dua I. paid within three (]) etlandar ~th~ aft.r the d.Cl.d.nt'. d..th, a fl",. p.re.nt (5X)
dlsoount of the t.x paid I. allowed.
The 15X tll( ..na.ty non-plrtlelp.tlon p~nlltv is co.put.d on the tot.l of the tax and Int.r.st .......d, end not
paid b.for. J.nu.ry II, 1996, the flr.t dlY .ft.r the .nd of the t.x aan..ty p.rlod. Thl. non-partlclp.tlon
pen.lty I. tpp.elable In thl .... .ann.r Ind 1n thl the .... tl.. p.rlod I' you would appaal the tax .nd Int.r."
that hat b.en .......d a. Indle.t.d on thl. notlo..
lntlre.t I. cherlld b.,lnnln' with flr.t d.~ of delinquency, or nlnl (9) lonth. end on, (1) d.y
fro. thl dlt. of death, to the data o~ ply..nt. l.x.. which b.ce.. d.llnqu.n' before January I, 1.ll
be.r lnter..t .t the r.t. of .Ix (6X) par,.nt p.r .n~u. c.lculat.d at . dally rat. of .000164.
All tIX" which blca.' dlllnqu.nt on or .ft.r Janu.ry 1, 1'12 will b..r Int.r..t at I rat. which will vary frol
callnd.r y.ar to cal.ndar y.ar with that rat. announc.d by the PA D.part..nt of R.v.nu.. Th. applloable
Int.r..t rat.. for 191Z through 1991 arll
Vear Interttt R.t. Dallv lnt.,...t Faotor V.ar Interttt Rat. D.ily 'ntero.t F.etor
1912 20:1. .000541 1987 " .000241
1913 16:1. ,OOO4J1 1911-1''91 \1% ,000301
191" 11:1. .000501 199Z ,:I. .000241
1915 13X ,0003S' 1993~1994 n .000192
19ft' 10:1. .000274 1995~1991 9% .000241
~~l"ter..t It caloulat.d .. fo\1ow"
INTEREST . SALANCE OF TAX UNPAID X NUNSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
-.'"V Notlo. I..ued .ft.r thl t.x b.co,., dlllnquent will r.fllct en Int.r..t celcul.tlon to flft..n (15) d.y.
blyond the d.t. of the .......~t. If Ply..nt I_ .ade .ft.r the Int.r..t Cloaputatlon datI 'hown on thl
Notlc., additional Int.r..t ~.t b. caloulat.d.
IU~EAU OF INOIVIDUAL TAXES
IHHERI14NC. 14M DI'IIION
DIP!. 210601
HARR1SIURO, PA lf1ZI-b601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*
(
_.VoI.., U'" U""I
MARY A MURRAY
1375 CREEK RD
BOILING SPRINGS PA 17007
DATE 02"02"98
ESTATE OF MYERS MARY A
DATE OF DEATH 05"20-97
FILE NUMBER 21 97-0687
COUNTY CUMBERLAND
ACN 97136954
E:::t ~.=d -~J
MAKE CHECK PAYABLE AND REMIT PAYMINT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLlSI.E, PA 17013
NOTE I To in lure praper credit to your account, .ub~it the upper portion of this for~ with wour t.~ ,.y~.n~f
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
it IV: iiiiWEX" Aj:ji" i o3':i'iyum-iiiiii "iiiii'iiii: fiNcrf Aic"STAY ii/INf" oF' - Ac:cciiJiif - - iili" - -- - --- - - -. - - -. - ... - ,.
ESTATE OF MYERS MARY A FILE NO.21 97-0687 ACN 97136954 DATI 02-02-9_
THIS STATEMENT IS P~OVIOED TD ADUISE DF THE CURRENT STATUS OF THE STATEO ACN IN THE NAMED ESTATE, SHOWN I..LUW
IS A S~ARY DF THE P~INCIPAL TAX DUE. APPLICATION DF ALL PAYMENTS, THE CURRENT BALANCE. AND. IF APPL~CAllE.
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 01-26-98
PRINCIPAL TAX DUE, 300,95
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
08-14-97
RECEIPT
NUMBER
AA211635
DISCOUNT (+)
INTEREST/PEN PAID (.)
15.05
AMOUNT PAID
286 , 14
r,j().
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTERIIT AND PIN,
TOTAL DUI
501.19
.24CR
.00
,24CR
. IF PAID AFTE~ THIS DATE. SEE REVERSE.
SIDE FO~ CALCULATION OF ADDITIONAL INTEREBT.
e IF TOTAL DUE IS LESS THAN .1.
NO PAY"ENT IS REQUI~ED.
IF TOTAL DUE IS ~EFlECTED AS A "CREOn" IC~I.
YOU "AY IE DUE A REFUND. SEE ~EVERSE SlOE OF THIS FOR" FO~ INST~UCTION..
,......_._-~~ .-...-.. -
PAVlCNT,
htlGh thl t. portion 0' thlt ~ttCl. lWMI lubIIlt ...... )tour PIWMtnt ... Ply.tlll to the n... I!f1d IlIefr...
printed on the rev.r.. .Ide.
II RlStOlNT DECEDENT ..... chick or 'one~ or.r PIYlbl, tOI REGISTER OF WILLS.. AOeNT.
If HO'NtESIDfNT DECEDENT lak. chtlck or loneyor., p,vabi, tOI COHttONWEAL TH OF rtENNSVLVANIA.
REFUND (CR), A r.fund of w '1M oredlt, whloh WI' not rlqut.tld on the TIM Rltyrn, ..y b. r.qu..t~ by cOMpl.tlng ~
"Applloltlon for A.fund of Pennlylvlnla Inherlt~ I!f1d E""t. Tlx" (REV~lJl'). Applications .r. IVIIleblt It
tM,Qfflcl of the Rlltlht.r 0' NUh, InY 0' the U RIy.nul Oiltrlct Office. or frol the n,p'rb.lnt', Z4~hour
'nlwerlnl ..rvlel nu.b,r. for for.. orderlngl In Penn.ylvanl, 1-800-362-2050. out,lde Plnnevlvantt
end wUhl" loclt lI.rr!lbur. .r.. (ll7) 7'7-'O~, TDDt (111) nz-ZZSZ (H..rlng lep,lrld only).
ItIPLV TDI
Qu..tion. r"lrding error. contlined on this not Ie. .hould bl .ddr....d tOI PA O.part-.nt of A.v.nue, lur.~
of IncUvldu.1 'IICU, ATTNI Po.t A........nt Rtvi_ Unit, O.pt. 280601, H.rrhburg, PA 17128-0601, ph~
(717) 7'7-6501.
DZICDLlfTI
If any tllC due I. p.ld within thr.. (]) cII.nder IOnth. .ft.r thl decld.nt.. d..th, I flvl p.rclnt (5~) di.count
of the tllC p.ld I. Illow.d.
PENAL TVI
T~ 15~ tllC -.na.tv non-PlrtlciPltlon Plnlltv I. coaput.d on the totll of the t.1C and Intlra.t .......d, and not
p.ld b.forl Januarv II, 1996. thl flr.t dl~ .ft., the Ind of thl tllC eana.ty p'rlod,
INTEMIT I
Int.r..t I. ch.rgad baglnnlng with flr.t dly of dall~y, ar nine (9) aonth. and ani (1) dlY fro. the data of
d.ath, to the d.ta of pay.."t. TIIC.. which bee... dellnqulnt b.for. Janu.ry I, 1'12 b..r lnt.r..t .t the rlt. of
.IIC (6~) per cant par annul c.lculatld .t a dall~ rat. of .000164, All tllC.. which blc", delinquent on and .ft'r
Jlnuary I, 1'12 will bI.r Int.r..t .t I r.tl Nhlch will v.ry frol c.l.nd.r y.ar to clllndlr y..r with that tat.
announced by the PA Dlplrt.lnt of Rlvlnue. ThI Ippllclbl. Int.r..t r.t.. for 1'82 throuth 1'98 Ir.1
Velr Intlr..t A.t, Dilly Int.rl.t Flctor V.., Int.rl.t Rlt. Dilly Int.r..t Factor
1912 ZU .ODDSU 1..1 ,~ .000241
.91' 16~ .000458 I'M-I991 ll~ .000501
I'" Il~ .000501 ."Z ,~ .000%47
un U~ .000516 IM5-1994 1~ .000192
UK 10" .000274 IM.I". ox .000247
".Interllt II ~.Icul.t.d .. follow'l
INTERElT . 'ALANCE OF TAX UNPAID X N~'ER OF DAVS DELINqUENT X DAILV INTEREST FACTOR
-.Anw Notloe I..ued .ftlr the tllC b.c~. delinquent will rlfllct In tnt.r..t cllculltlon to fifteen (II) dlY'
bll'DN the dat. of the .......ant. If P'Yllnt .. ... Iftlt thl Int.r..t COllpUtation dl" .hown onthl
Hotlo., additional Int.rl.t RU.t be cllcultt...