HomeMy WebLinkAbout97-00855
DUNUHAL lNPORMAT10N
1, PAILUftl TO ftllPONa WUL "nULT IN AN O,nClAL TAK AIIIIIHINT _I\h .ppll"bl. Inl.",1 b.nd on Inf....llon
.ub.l\l.d b, Iho IInono"l In,lIlullon, '
I, Inhlrll.... 10_ IIIOOU. dolln.uonl nln. .onlll. .lIor II" d...donl'l d.l. of d..lh,
I. A Joint .""un' 'I '11t...11 .,,." thoUlh thl d'Dld,",t, "....w.. addtd.. . ..thr of GanYlnl'"'I.
I, A..oIIIII. (Inoludln, Iho.. h.ld bol.... hu.blllld ..d .1111 _hl.h Ih. d...d.nl pul In Jolnl n.... _IIIIln 00. ,..r prior I.
dulh .ro filiI>> .....1. .. 1,"""'1,
I. AODDunh ..tlbl till'" JolntlV b.tw..n h\Ilb'"d .nd wlf, lor. thllo un. VI.r prior to d..th II" not tIM.blt.
6, ."ou,," "lId by . dlD'd.", tltn 'rutl '01'" .noth.r or othl" ar. hUbl, '\lllv,
RBPORT1NO lNSTRUCT10NS . PART 1 . TAXPAVER RESPONSE
t I .lotl( A . If Uti In'.r.,Uon Ind oO"PutlUon In thl natlu ar. Clor",ol Ind d.ductlon, ar. not btl", olll.,d, Ptl.t In "K"
In Illu.~ "A" nf Per' I u' the tltllCPlver Rupon,," ..oUon, I.Uh two GOpt" Ind lublU th.. ..Uh your ahlok for thl Ibunt 0'
10' I. "" R.."1or 0' WillI 0' Iho 0011II1, Indlo'l.d, Ih. r^ D.porl..hl ., ",..hU. .111 I..u. .h .f/lol.1 "''''lIhl
,r.ro RlV'IU' roll I/".n 1,...lpl ., Ih. r..urn "00 Ih. A'lhl" 0' Will"
" IIOCk I ' 1/ 1111 ....I .p..l/lld .h Ihll holl.. h.. blln .r will b. reporl.d .nd I" p.ld _lIh In. r.onnlvonl. Ihhorll.h"
fiN ".tu,n fll.d IIV thl ".udlnt', 'r."r...nt.Uv., phOl an "K" In blook "I" of P.,t 1 of thl "Tallplv.r RIIPonll" lIoUon, I.,n on.
"P, IIIId relurn 10 1111 PA DOIllr'..nl 0' A...hll., lur... 0' IndlvliW.1 I"", D.pl 110601, IIlrrllburl, rA 1711'-0601 Ih Ihl"
.n"ln.. ",wYldld,
I. 'taCK C '. l' tht notlt. Infor.IUan II InaorrlOt and/or d.duotlon. Ir. blln, ohl..d, oh,Ok blook lie" and oOlpl,'. Pitt., and I
.,,,.tnt". tu ulIlMUlIaUmUI lI..hll"lIllfll lit'll o"pll" and fub~H th.. \l1th YOllr 1I"..nlc: fnr thl ..ount of tiN PIv.blt to thl AI.ht,r
., Will. II Iho ....,... Ihdlull', Ihl rA D.porl..nl ., R...nu. _Ill I..u. 'h 0//1.1.1 ........nl (Fori IlV-UII tMl upon r,,"lpt
., .nl rolurn 'roo Ihl R,.I.I.. 0' Will.,
TAX RETURN . PART 2 . TAX COMPUTATION
I I HI!
I ~111.r If,. dll. 'hi 1000unt orl,ln,llvN" ..tlbll.h.d,or tltl,d In thl .,n",r 'MI.tlna .t dlt. of d"th.
NOltll fOr. dIDld'"' dvlng .ft,r U/lI/a'l AOGountl which thl dlo.dlnt put' In joint n.... within ont (1) v,.r 0' d..th Ire
',llAttII fUII~ I' trln."r., !lOWIV''', thlre II In IKolullon not to IKolld ..,000 PI" trln'flr" rlglrdl... of tht vIlut of
U\I IUOUh ar thl nUllblr of IOClount' hlld, ,
II' dot." ..ttrl.k (Iu.) IPp.arl b.1or.~our flrlt na.. In thl addrl" portion of thlt noUol, thl ..,000 IMolullon
. r....~ hll b..n d.duotld frol thl IOClOunt b.llnol I' rlported b~ tha finen' II InltltuUon,
., knltr I'" 101.1 b.I.... allh. ....unl In.ludlhl Inl.rlll ...r..d 10 Ill. dll' 0' dlllh,
I, Ihl ,.irOlnt of thl aaoaun th'llt tllllblt for Itoh lury vor II dltlrllnld II folloNII
I Thl p"o.n' t'MHI, for Jo nt II~ih "t,blllhld lor I thin ani v..r prior to thl d.otdlnt'l dllthl
I DIVIDlD IV TOIAL HUHIBR OF DIVIDBD BY TDIAL NUH.BA OF H 100 . PBRClHT IAHAILl Ul
JOINT oWHIR' . SURYIYIND JOINI ORNlRI -.
foll....l.. . Joint ....t r"lIt.rld In tnl na'l of thl dlCldlnt Ind two othlr perlan., C":"
~'J
I DIVIDED IV I (JOINT DWRlRl) DIYIDED IV 2 (IUAVIVOR8) . ,161 H 100 . 16,1N (IAHAlLl FOR BACH IUIYIYORI -I
I, 'jh' PlrOtl'lt ,.Ubll for .,utl or..t.d within ani Vllr of the dUldlnt'. dllth or '.ooounh ownld by tht dlo.denNyt hlld
h Iru.1 'Dr Inalher Indlvl~u.ll'l (tru.1 b.h.".lorl..), t-..'l
I DIVIDtD IV IDIAL NUNltR or "UAVIVilio JDINI H 100 . PERCENI T^HAlLC ,..~
DWNIR' DR TRUll IlNBFICIAII2I --
-
a........ JoJnt IODaunt r.ghtlr'd In thl n'.' of thl deold,nt Ind two athlr p,rloni ind IItlblllhtd within Ontl ;Hr of dl,th bv
Ih' d...dln 1\ ' . U1
I DIVIDtlO IY I 'IUIIVIVDRI' . ,SO H 100 . ION U^HAILl FOO UCH IURYIVOR) W
", 'h. ~t tub/..I 10 tlM ellnl 41 11 drtlrllntd bv IUltlphlrlll the tOGaunt blhnol Cllnl Z) b~ thl plrolnt tllllbll ClJn.I),
, !",..Ih. lOll ~, hT ~.bl. Ind d.iW~1 on. 1I.I.d In Port I,
I. ht "OUttt "."'IT \' nl 'l I' da"rllnld b~ lubtrlotlnll thl dlb" .nd dlduotlonl ellnl I) fra,thl ..ount IUbJIClt to tlM Clln. It).
".. nlor Ihl ItIpropr I 111M ro I (llh. 11 ..'d.loroln.d b.IO., .
A, ror dll" q' dulh ..ourrln, ./lor 6110194, Ih. II. ..III for lreh.lor. t. .po.... .re .. 'all'~'I' "
I' bll" 0' ~..Ih on or I Itr 111/91 Ihd b.,... 111/91 In. rol. " I~,
I D, .. of d..'h on CU' ,ftlr 1/1191 'rlll\lf.r, to .paUIII will b. tlll.d It OW tlM rltl,
HlIII FI' d'I'1 ., dlllh prllr 10 1J\191 Ir.n.'.rl 10 .pau... .r. I...bl. .1 6~,
I. 'r~'f.r' 0 ilne. d.I'lndentl noludlng flth.t, lothlr, Ion, dlUlhtlr, grandohlldrln, lon-In-law,
douthlor'lh-I"'~ I IP.hlld ... Ih.lr h.u. or. I...bllll .IM p.r.lnl 16~I, ' '
C, Itln.f.t. to'l othlt. neludlng bro'hlr, Illt,r, unol., tunt, nl~hlw Ind nllal arl tllllbal .t flft,.n Plroent C1IX),
0, f veu ohM" , . '1M rl Ii pl.... Ip.olf>> ~our rlhUonlhlp to the dlcld.nt In thl ,ria provldld, r '
., tho llounl..' I.. dUI (lln. " I. d.llrolh.d b, oUlIlplYlhl Inl ..011II1 t...bl. Olh. 6) b, Ih. II_ roll (lIh. 1),
CLAIMED DEDUCTIONS . PART S
DEBTS AND DEDUCT10NS CLAIMED
Alloliflbll dlbl. ood d.duoll'h. .r. ..I.rlln.d .. foll.w.,
A. You le'lllv 're rllPonllbll for P'~lInt; or thl ....t..t. 'ubjlot to Idllnl'trltlonbv I p.rlonal r,prllint,tlv, I' Inluffloltnt
I. p,~ Ih. d.iW.llbl. I..., '
Ii VOU IOtUll1V P'ld thl d.bh Iftlr d..th of thl dloldlnt "'d OM furnish proof of PIWltnt, '
CI Dnt. b.lng,,,,, "d ewlt bl U..I"d fulh In Plrt SI If addltlan'l 'plOI II ntldld, UII ph In paper. lit" M 11", Proof of
"'V,..,t ..~ be r.qu..tld bv thl PA D.p"t.lnt Of R,vlnul,
."H"~I~j~JI~~~f_~..t~ld;.~~t:.:~rw
.
CDHHOHWEAllll DF rewwenVIHU
OEPARTHEHT OP REVENUE
eURe^U OF IHDIVIDU^L TIRee
DEPT I 280601
IlIRRlnURD. rl l7l1a.om
*'
IS'dOCj' - ~/
INFORMATION NOTtCE
AND
TAXPAVBR RESPONSE
(....~.~
IINluum 11.111
ACN
DATI
m1NO.21 t:lf7-?SS
97143194
10-09-97
rlllb~HA=ER 1
2\S(1:lCl4lt' ~~
c~fTiJJ; q, riD II
PAUPHJN perpsn bK . TR CC htl .roYI~I~ .\h. D..erl..nl wl\h thl Inlor..llon Ihhd bllow whl.h h" .lOn U"d In
calout_Un; thl potantlal taw dUI, Their ,.,cord, IndJoata thlt lilt thl death of the IIbov. oUldlnt, YOU Wlrt a Jdlnt own,r/b,nlflol"r)' of
thh ICOollnt. If yOI' f,.1 thAI Jnfor..th," II I"carrlelt, pi",,, abtlln wrlUI" carrlottan fro. thl fI"anQlal tnltttuUon, Ithoh . OOpy
to thh fori and return It to th. .be"'. Ilddrtll. Thl.' acoount h taxabl, I~ IlOClordllnol with thl InhlrUa"GI rlK Law. of thl Co..onw..lth
\t"~.nr.,vlvanloj aw~.UoM M.~ b, a"''''.''tJu)' ~.~UIIIl (717~ IIH~6U11
COMPLITI. PART 1 BILOW II II II III RIVIRII SXDI FOR FILINO AND PAVHINT INITRUCTlONI
Aooount No, 02:$95:$0~ c.t. 01-31-75 1. In.u," pro.er .r.dll to vour .ooounl, two
a.t.bU,h.d (2) ClOp I,. of thhnattol auet 'lIllO.Plny VOUI'
p.~..nt to thl RIlIhtl!lr of Wllh, Meke oh.ok
PIYlIblt tlU IIRIlIhtlr of HUI.; Aglnt".
TVPE OF ACCOUNT
EST, OF GEORGE S STRANG~R ~ BAVJNGS
S,S, NO, 206-10-0471 CHeCKING
DATE OF DEATH 0~-15-97 TRUBT
COUNTY CUMBER~AND ceRUF,
ReHJT PAVHINT ANP FPRHS TOI
REGISTER OF WILLS .,
CUMBERLAND CO COURT HCUSE
CARLISLE I PA 170U
[CHECK ]
ONE
B~OCK
ONLY
1,96:$,56
16.667
HOTEl If 'ta~ pav..",. Irl ..d, within thr..
327, f 27 Oil aCtnthe a' thl dllledlnt'. dlte of d.,th,
. 06 VOII .IV dlduot . &Kdhcount of the tiN dUll
Anv Inh'rHanetl tax dUI wlU bloo.. d.Unquent
pot.nthl T.w CU. 19, 64 nlnl (9) ,ol\lh. ./lor Ih. dill 01 d"lh,
PI~r'~ilim:;iI:"'.IQ"([ii'ii\;,::li'rr,:..' " """"l.I:'! r.T:,er ~,~~,~R. .. R'M~S p'~~S B,. --, .. ..' Ai. . "H'H:i .")1" . 'i",,"1
li""!T~;~l'!~l!."'i~l,,".~~ql:!l!:I,~U~"i:~!!I~,lt~~"~J:!"~,q~,!1!~~~~~"i,A~.An."J:!,~J:!r'i:,,,,.~,pq..t,;.,,,.J:!Irr,!.;q.:
. ^, 0 Thi IiboVI lnfor..Uon,lnd hM du. h oorr.ot.
L VbU 'I~ ohao.. to r..1t PI~'lnt to th, A:lll1hhr of WilL. with two oopt.. of thh noUo. tcrobhln
. dhoaunt or Iyqld tnhr..t; or you ..v ohlck bene "A~ and rltut'n,thh notlo. to thl, Rlghte.. of
WUh Ind .ri offl01.1 ........nt wtll bl h'Uld bVtht PA Olplrt.lnt of RIVlnlJl1
81 0 Thl above ....t hat b..n or wUt bt rlPorhd and ta" paid Hlth th. P.nn.vtvanh'I"~arH"'o, hM r.turn
to b, fl1.d by thl dIOldlnt'. r.pr.nnhUvI. ' '
c. 0 Thl IIIboy. InforlaUon l'-lnoot',..ot IIInd/o~lbh and dlduotJbn. HIr' Plld by ~ou.
'r'01~ .ul\ co.plat, PART L!J IIInd/ot' PART W b,low,
If ~ou Indlo. . . dlff.r.nt .w r.t., P .... . . . your
'r.hUon.hlp ~o d.oad.nt I
Aooount B.l.no.
P.rotht T.w.bl.
AMount Bubj.ot to T.w
T.w R.ta
K
K
POOT
TAY. RETURN ,. COMPUTATION. OF TAX ON JOINT/TRUST ACOOUNTS
UNe 1. o.t. ht.bl hh.d 1
2, Aooount B.l.no. 2
.. ".ro.nt T.w.bl. S K
q. AMount 8ubj.ot to T.w q
B. O.bt. .nd O.duotlon. S
6. AMount T.w.bla 6
7. T.w R.t. 7 w
B. T~ O~ 8
,.".. '" ,. ""'Ofi"."'A'.U"
::::ij':'i',:;i;::"::':}::::::::I;r,:i, ".~<~~'.',.,~':';; @,
i::i;'i;~;;;;:'p:iIiD"P: "R.T'HENJ .,.,
",;"""'It"",.",,.,,,,,,~,.,,,,.,,~..,," c,C,'." ,,"
.." .,. ;!i:i:ii'i::;:i:i:!ii::tii:i!:i:(;,:j;i:l::i:jl:i:i:!O!::i;'
'!':':::'ii:i@:;;;, He
,',
PART
I!I
DATE PAID
D aT8 AND DBDUOTION8 CLAIHID
PAVEE
DESCRIPUON
AMOUNT PMD
I
.
GENERAL INFORMATION
I, FAILUU TO ft.-,ONO lULL "IIUL T IN AN OFfICIAL TAM AIIIIIHJNT with 'PPIl.,blo In"...' b...~ on In'"ooll.n
I""olllod bV 1111 flo,,,.lol In.Ill11llon,
'i ",htrltlh" tlle,IIUO.... dlUnqulnt nln. .0nU\I 1ft., thl d.oed,"", dill of dll'hl
'1 . Jetlnt IPODunt " tlMlbll .Vln thoulh the dID'd,ntt, nlflll WII Iddld It " ,."er of aonv,nlanol,
41 Aucumtl f1,,~ludl"1 thOlt "lid b.h~..n hUlblnd .nd wlf.) whloh 'hi dlold.nt put In Joint ".... wUhln on. nlr prior to
d"U, Ir. fullY "..bl, .. trl"".rl,
I, ".IUII" I,t,blhhtd Jolntlv IIlh,..n hUlblnd and wH"or. thin on. VII" prior to dlllh .t. not 'tUbll,
" a.,ou,", 1I,ld IIv .. IInld."t "In Inllt 'or" Inath.r or other. It' tlltlbl, fulh.
REPORTING INSTRUCTIONS . PART 1 . TAXPAYER RESPONSE
I. l'Or:K.. If Uti 1"'ar.,Uo,, and oo,putlUon In thl notlol Ir. carrlot end dlduotlon, .r. nat being Oll,.'d, phol fin "II"
In blotk "A'I of Ilntt 1 of UII "'llCp.Ylr RIIPon.." lIotton, I'," tNO ClOplll end 'IJb..1t th.. NUh vour ahlok for thl ..ount o'
'Ill to 'h. "..httr of Willi of the county Indlolt.d, Thl PA DaPllrtl.nt of R.venu. Nlll hi.... an offlolal ........nt
(,a,o "r.V"II'1 1."1 IInOo r...lrt ., Ih. ,.111'0 "ao Ih. R.ol.I., of Will.,
., .lOCtI. I _ If thl ....t .p.olfl.d on thll noUn hll bltn or will bl r.portad nnd taM plld with thl P.nnlVlvl"l, lnhlrltlnol
'I. Rlturn .lIld IlV thldlo'd,ntl, rIPr..,nt.Uv., pliO' IIn ")(" In tJloCk "I" of P.rt a of thl "TnMPly.r Rllponll" "o,lIon, lIun ani
oupv "nd r'turn to thl PA D'Plrt..nt of Rlv.nul, auruu of lndlvldull TnMII, D.pt 210601, Hlrrhbur" AA 11121"0601 In 'h.
.nv.lop. prQvldld,
I, .LOCK C . If thl notlOl I"'or.,tlon II 'ncorrlGt Md/or d.dtIotlonl ar. blln. alal.ad, oh.ok blOCk "e" and Clo.ph'. Pertl t and I
MllllurdlflV tu tI,. hll~IU,,\lulI' 11.1,,-., Dl"n two CHj~I~.. ;\nd '\.Ibalt thllll'lt... vnllr chlllllt Ir'lr, t.... ununt of' h~ paYabl. to till ntalltlr
of NUll of thl !lounty l"dIClted. 'h. PA D,part'lnt of Ravlnul w111 h.uI In offlol11 1..lIllInt (For. RE!J-lIqa EX) upon reo.lpt
0' thl rlturn fretl thIR.,htlr of Wtllt, .
TAX RETURN . PART 2 . TAX COMPUTATION
~1Nl!
1, tintl' thl d,tl thl 1090unt orloln.Uv Mil ..tllblhhtd or titled In thl '..nner IMhtlng ftt detl of d.Uh,
HOH!I rot' I dlo.d.nt dYlnSl Iltlr le/U/Ie, Aooountl whIGh t~ dloldant put In Jotnt nllllll Nlthln ani (I) Vllr of dllth Ire
,tllllbll 'Ully II t,.,nlflrt, HOMaVlr, thlrl . In IMolu.letn not co IMelld U,OOO PI" tren.flr" rlaardl... of thl IIlluI of
thl ,oooun or the nUlbl,. 0' looount. hlld.
11 , daUb'. ..tlrhk (11M) ,pPllr. blforl your Hr.t nIH tn thl Iddr... portion of thlt noUo., thl n,ooo l)Col8!lon
,lrl'dY h'l bl.n dlduotld frolll thl loaount blllnal I. reporttd by the flnlno II InltltutJOM. -'4
.. Entlr thl totll blllno. of thl 'lOGUMt lncludln, tntlr'~t aooruld to thl dati of d..th.
I. Thl plrolnt of thl 100Qunt thll . tAklbl. for ,Ioh lur~IYor I' dltlrllntd I' follow"
A, lh. p,rotnt tIM.bl' fetr Jo nt ....te. tltlblhhtd lor. thM 0", Vllr prior to tha dloadlnt" dllthl
I DIVIDED IV ToTA~ NUNIER OF DIVIDEO IV TOT^~ WUNIEI OF H 100 . PEICF.WT T^H^I~E
JOINT OWNERI IURVIVINO JOINT OWNERI
I1lllapl_, A Jot"t ....t rl,h"rld In thl na'l of thl d,Cldlnt and tNO other p.r.on..
~)
n
-I
",
'"
:::.:
I DIVIDED IV I (JOINT OWNERI) DIVIDED .IV E 10URVIVORIl . ,161 H 100 . 16,lK (T^HAI~E FOR E^CH IURVIVOR)
I. 'hi plrolnt t..lbl. 'or ....t. orlltld M!thln ani Vllr 0' thl dlOldtnt'. dtlth or looountloMnldby tht dlc.dlnt bu'LhlhJ
In trult ,for anath.r InrtlvldulUI) (tru.t blnlflolerlll)' tll
W
1 DIVIDEO IV TDTA~ WUNIER OF IURVIVIWO JOIHT H 100' PERCEN, T^H^I~E
OWNERI OR TRUIT IENEFICIARIEI
eMllpal' Joint looount ri.l.tlrld tn thl n..a 0' the dla.dlnt and two othlr partonl Ind I.t.blllhld within an. y.,r of d.lth bv
'hi d'etldlnt, ;
1.DIVIDED IV E UURVIVORIl . ,10 H 100 . 10K (fAXAI~E FOl EACII IURVIVDR)
It, Thl t.ount tubJlot to till otnl 4) It dlttr.t,*, by .ulUphlntl thl'iocount blltnol (l1na U by thl parclnt tllelbll (line 11,
I, entlr tha tot.l a' the dtbtl end dlduotianl tl,tld in Part I,
6, Thl 'Hunt hM.bll Ulnl 6) It dlllr.lold by .ubtraotln, thl dlb" and dlduoUonl (I1n' 5) frol thl I.aunt lubJIOt to t.M lllnl Ii),
,. Intlr thl approprlltl tlMtlt, <I nl 7) .. det.ralned b.low. '
A. ror dati' 0' d.ath aocurring aft.r 6/10/9", thl tlW retl' for trnn.f.r. to IPOUII' .rl bl folt'~'l
1, nl'.' of'd'lth on or ,""r 711/9,. I"d bl'o,.. l/t/91 thl rltl 11 n, ' "
,. Dlt.. of d..th on or .ftlr t/1/91 tr,",'.rt to IPOUII' will b, tllCld It OX tnM r.ta.
Hotl' . !'or dlt.. or d..t~,pr'ar to 1/1/94 trlnlfirt to ,pOUI.. Irl tlMlbll It 6",
I, Trlntflr. to In"l d.loendlntl ".OlUdl"' f.thlr, .otherl .an, dlughtar, ,rtndohlldr,n, lon-In-Ilw,
d,ulhl,r-ln,I.Wr .'lpOhlld Ind thalr 1"uI .rl tllClbl. I ,1M ~Irclnt (6""
C, Trln. .ri to II oth.rt Inoludlng brather, .htar, unllll, lunt, n,phlN and nllol I'" t,lClbll It fltt..n :~Illrolnt 01"),
0, If vau ohan," th. tlM rlt., pi.... IPlolfy vour rtllt10nthlp to thl d'CIIdant In thl Uti provldld, .
t -;
'1 Thl I..unt 0' t'Mdul (iln, I) Ildltlr.lnld by 14Itlp\vin, the Ilount tlMlbit (tin' 6) bv thl tftle retl (1Inl'7),
CLAIMED DEDUCTIONS . PART ~
DEBTS AND DEDUCTIONS CLAIMED
AliONtbi. dlbtl Ind d.duotlon, Ira d.tlralnld I. 'oilow'l
AI You 11,.Ih' are rllPonllbl. for pl'I..nt, or thl litl'IIUbJIOt to IOIIlnl.tratloll bv I perlO"nl r.prIIMtlt1vl h Inlufflolent
la ncv Ih. ~.du.Ubl. It..., '
II You .otulah p'ld thl dabU .'hr dllth 0' thl dlcld.nt Ind OIn 'urnllh proof of Plv..nt, '
OJ Dlbh baing 01. .Id IUlt b' "..llId fullY In P.tt I. 11 additional IPIOI 11 n'"dld, Uti pl' in p.plr . 11'" M 11", proa' of
pIV._"t 'IV bl rlqullt.d b~ thl PA alplrtllnt of RIVlnut.
.~ ,. ':'".,....;0 i.' '.
".'
, ',,' ldl Y&U~~1i1lP J'IU~"Hr1~ T~o)~V~I~\~vir~c~, COJl1/;CT;tMY:"': ;'\[:r:;:')\i[:i!,ji
H~'RRIgg:HaltkTT~':'~~UV.g'~2~DIY<<~A1~1'9~E't~1aR~yfnEii~~"&Rr:w~i{E~N ~~~~'~~:I::I::';::;:i,'
, . .,..'....,'..;.....'."....:.,....'.'".,'.,.
PUllPOI! O~
NOTlC!1
rAVN!NI I
1,)(-'
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To 'uUll-' thl r.qulr...ntl of '.otlon 1140 0' thl Jnh.rlhn~. and eitel' '1M Aot, ADt t1 0' 1991. (12 P,..
'loUan 'UO)j
b"loh thl top parHan of thl. HoUeII and 'Ub_" with your pav.,nt to thfl Rlght,r 0' NUll pllnhd on the
r,yer.. lid..
~. Hike ohlOk or 10nlV order PIVlbit tal REGISTER Of' WILLI, AOI!NT,
ReFUND (CRlI A r.Nnd of . t,,, oredit, which WI' not r.qulltld an thl '1M r.turn, '.V bl r.quutld bv ao.pl.Una In flAppllOIUon
'or R'fund of PlnnlVlvlnl, InherltlnOI .Itd htltt 18)(" (REY-UlII, Appl1olUonl ar. IVtUIl:IlI It thl 0"10, of
thl RI,h"r of NUh, anv 0' thl U A'venll' Olltrlot OUlael or bV (lIUlna thl ,pluhl !It-hayr I"I...rln8 IIrylel
nUlber. for 'or.. orderlngl In P,nneVlv,nl, 1-'00-56'-2010, outlld. P,nnlviy,nla and within '00.'
""r..burg ".. t1171. 717.109Q, 1001 ('171 771.2U2 1I1..rlng l,p,lred OnlV)'
OUEOTJONI. Any p.rb In lnt.rut not ..thflld with thl Ippr.hl.."t, Illowlno. or dluUow.nol of dlduotlons ar I......,mt
of tlM (Inoludlng dllaaunt 0" Int.relt) II ehown on thh Hotla. "IV ObJ.ot within .hctv (60) din of rlO.lpt of
Ihl. Noll.. bVI '
~.;,wrlttln pratllt ta thl PA Dlptrt.lnt of Rlv.nu., hard of ApPlla., Dlpt, 211021, Htrrlthurg, PA 17U.~lotl, OR
....I.atln. to hlV' tht 'u,tt,,' deterllnld It thl ludlt of thl looount of thl plr.onl' rlPr..lntl\lvl, OR
-.epPI.' to thi Orphan.. Court
ADN1N.
llllAIIVI
,. CORR!CIIDNIl
OIICDUNI I
raN^L IYi
lNIIRUl1
Flotul' Irror. dllooy.red un thil l"tll"nt Ihould bl .adr....d 'n wrltlnll tOI PA DIPert..nt of RIVlnu't
au'rllu of Indlyldull "lCtI, ATTNI PCllt,A.......nt Rlvl.w Unit, DEPT. 280601, tl.rrhburg, P,A 11U'~060l
Phonl (117) 711.'SU, au P'UII I,af thl baoklet "tnlttuatlanl far tnherlt.nol hie Rlturn for a Rellctlnt
Daoldlnt" (RIY-UOU for In 'Kptanltlon of Id,Inhtratlvelv corrlotlba. errort,
tf In>> tllC dUI I. plld'wlthln thr.1 (I) clalndtr .anthl Iftlr the dlo.dlnt'l dl.th, a flvl pirolnt (&~)
~lloount of thl tllC plld II allowld.
Th. Ill( till ,..n..tv na"~PIrUolpIUon Pln'.Uv It ooeputld on thi tettla af the t.M .nd Intlr..t .......d, In~ not
ptld b.fo,.. Jlnu.,>> II, 11)96, thl flrlt dlV 1ft." the Ind of thl till I.n..tv p.rlod. Thh non.p.rtlolpatlon
plnllht It .ttpul.bl, In thl ..... leM.,. and In the the .... tllIl period.. YOU wo~ld IpPlel thl t.1C end,lntlrllt
that hll b..n .......d at Indla.tld on thll notla.,
tnt.r'lt I. oh''''Id b.glnnlng with flrlt dlY of dlllhqu.nov, or nl~, (9) lonthl Ind on. (1) dlY
fro. th. data of d,.th, to the diU of pay.ent. TIM" which b.o.... dlllnqu.nt blfar, J.n\Jery 1. 1.er
bllr Int.,..,t .t thl rlt. of 11M U~) p.rotnt p.r .nnuI Clloul,tld It . dallv r.t. of .000164,
AU tllC" which bIOI"I dellnqulnt on or .fter Januery I, 19U will bltr Int.r..t It a rlt. whloh will v.tV fro'
olltnder yler to olllndlr v'.r with thlt rat. announcld by thl PA nlPlrt..nt of RlvlnuI, The appllalblt
lnhtut rlt.. fQr 1911 through 1998 1,..1
'!.!f.!: Intlr..t R.t. DIllv tnt.,..., raotcr VII,. Int.rllt Altl D.llv Int.,.l.t F.otar
-
1912 lOX .010141 1917 9X .ooom
I'" 16X ,ooom 1911'1991 \IX ,000101
19" m .000101 1992 9~ ,ooom
1911 m .,000116 1991'lm 7X .000191
1916 lOX ,OQom 1991'1"1 9X ,000m
~ ~ tntlr..t It oaloulltld..a foUawl!
INTIRI.T , BALANCI OF TAK UNPAID K NUHBER OF OAV' DELINQUENT K DAILV INTER.'T FACTOR
"Any Hottol I..u.d .fter thl tllC blcu" d.llnquent will rlfl.ot .n Inter.., olloulaUon to flftlln (11) dlYI
b.vond the dltl of the ........nt, It plY.lnt II IIdl Iftl" thl Intlr..t oa.putltlan dltl thawn on thl
MoUOil ladltlan.l Inter..t IUlt bl c.lcula.t.d.
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