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COHHONHUI TIl OF PtNNlVlVANIA
Otf'AR1HUn Ot IlEYEHUf:!
aURUU 01' INDIVIDUAl lAMtl
DEPI, UOOO I
IlARRISIURO, PA 11\21-0601
*
/,.';' ,')1,';' (,
INFORMATION NOTICE
AND
TAXPAYER RESPONSB
FILl
AON
DATI
NO. 21 -Cf 'I.'~ &tt
97146213
10-30-97
"y.UH II m ,lot..
TYPE OF ACCOUNT
&8T, OF EDNA R KREBS ~ SAVINGI
8,8, NO, 494-14-1341 CHECKING
OAT& OF D&ATH 07-2B-97 TRUIT
COUNTY CUMBERLAND CERm,
RBHIT PAVHBNT ANO fORHI TOI
REGISTER OF WILLS
CUMBERLAND CO COUR~ HOUSE
CARLISLE, PA 17013
KAREN A ~IMAS
1682 CEDAR CLIFF DR l.
CAMP HILL '. PA 17011 (:\
P8BCU h.. Rr.vlU.d tho Dlp.rh.nt Hlth tho Inl.r..\I.n lI.t,d b.I.. .hl.h h.. b..n ",.d In
a.loul.tlne thl pct,nU.I tile d~', their rloard. Jndlollttl thlt .t thl dnth of thl "bav. d.ndlnt, vou w.ri I Joint owner/btnl'lol,rv of
lhh 'OOOU"\. If YOU f,'l thl. II'1'orllllthtn h l"cOrrlol, ptt.1I atH.ln wrlthn oorrto'Uem frol thl ,lninalll Inltl'uUan, .thoh II ooPY
to thl, for. and r.turn It to thl .boY' .ddr.... lhlt looount a. tlwlblt In IODordanOI'wtth,tho Inhlrlt.nol ll~ LIIlWI of thl co..onw..lth
of ;JlrmlV!YItt11.; WUtlth'fl' 'hit at Inlw,tta PO; olulng ll1lJ "''''U/I
OOHPLITI PART 1 ,BILOW II II II III RaVIR8I 11DI paR PILING AND PAYHINT lNSTRUOTlONI
Aooount No. 0494141341 oat. 1l~27~84 I. In."," pr.p,r .r.dll I. ,."r ....unt, tHO
e.tabUlh_d (t) C1l1'pltI tlf thlt naU." 1III~.t "aao.plnv woYr
Plv..nt to thl Rlul.t.r of Will.. MIMI ohlok
p.Vabll tal "R,gleur of Willi, Allint",
Aooount 8al.nu 2,287,97
poro.nt T..lbl. X 50,000
NOlEll f taM p.v.,t'ltl art .,d, within thr..
A~o\lnt lub.1.ot to T.. 1,143, 99 (5) ..nlh' .1 tho d...d.nl'. d.t. .1 duth,
T.. Rat. X ,06 ,ou ... d.d".1 a &~ dl,.."nl .1 th. I,M du.,
pohrthl T.. ou... .. 6B, 64 ~1~.I~~r~l~I~: ~i:'~~~h=I~~t:.:~.:,:~~~nqu.nl
PffiT PAlI.U"1 TO "IIIPO"D~lLL RlIIUI.~A::~~~:~~:::L~.~::A'S"~H'H"M"Il9"'T"l.H\)T~Cl'
[CHECK ]
ONE
BLOCK
ONLY
AI [] The ,boy, l"for..\Ion and tlM dUI t. oorrlot.
,; You ..v chao.. to ,..It ,~.v..nt to thl,RlOltt,r of Will, with two Gopl,' of thlt notlol to obt.ln
. dltoQ\,Int or avold lnter'ft, or you .'V ohlOk bqlC"." ."~ return this natlol to thl R'thhr of
Will_ and In of'lol,1 ........nt will b, I.,u'~ b~ thl PA,Q.part.,nt of R.v.nu~.
a. '[J Thl abOVI ...~t hi. bl,n or will ba r,ported .nd,t.~ plldwlth thl ~.nn.vlyftnt. lnh.rltanol TftM -rtturn
'0 b, Hltd by th. d.C1ldlnt'. rtprl"nhtlvI, "
c. 0 Thl neWt Infor.,Uon IWnoorrlot ."d/o~.bt. and dlductlon.wlrl p,Id b~ you.
YOU ou.1 ..",,!I,t. RARI l!J .M/,r PART I!.J b.I.H.' '
If ~ou indioa . a Ifar.n I' ra a, P .a.. . a . ~aur
r.l.tionahlp to d.o.d.nt,
", ,OFFIQtA~ U~E ONLY' AAP"
,PA DEPARTHENTOP RiVEN a,
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AND DIDUOT10NI'OLA1H~D
PART
[!]
TAX RITURN ., OOHPUTATION 01' TAX ON JOiNT/TRUST AOCOUNTS
LINE 1, Dati Blt.blhh.d 1
a, Aaoaunt lal.no. a
$, p.ro.nt Ta..bl. S X
q. Aftount 8ub.1.ot to T'. q
I, D.bt. and D.duotion. 8
6, A.aunt T..-bi. 6
7, T.ll R.t. 7 X
8, T.. Duo a
PART
~
DATE PAID
DIlTS
[ ",I, ,..", .; ,I.. . ,f ,.. ~\,.,'"> I;-
Und.r p.n.lti., 01 p.r.1ur~1 I daalar. that th. f.ot. I h.vo r.part.d abov. Ir. trua, oorr.at end
oo....l.h to th. bnt 01 .~ knoHladat .nd b.BIf, HOME ( )
WORK ( )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATe
PAYEE
DESCRIPTION
AMOUNT PAID
GENERAL INFORMATION
I, FAILU!I TO RBBPONO WILL RBBULT IN AN OFFICIAL TAX ABlBBSHENT with .ppllo.bl. loto,..t b...~ 00 10'o,"UOO
,w".flltij bV Ihl 110""0101 10,lIlulloo.
I. Inhlrlt."DI ~'JC blOO1l1l d,Unqu,nt "In. lonth. Ifter thl IIlndent'. dl" of duth,
I, .'!J.ln'lDoO\lf1t It "tlltbl. IV'" thQUlh thl dn,dlnt'. n... w.. ,dd,d .. . ..ttlr of oonvl,dtnoe.
., A..OIlllll ll.,.llIdlol IhOlI hll~ bl\WIIO hu'blh~ .o~ .1'11 ohloh Ihl ....~.ol PUI I" Jolot 0.... .lIhl" .'" VII' p,l.r I.
IIIllh ... ,ullV 1..""1. .. \r'o,',,,, ,
I, AD..",," ..11II1I.hl. J.lollv blt."o tw.b""d .nd will lOre IhOll .", VOIr p,l.r 10 ~lIlh orl 001 I...bll,
I, ~OOOllllll ~ld. bV 0 ~lOldl,,1 "''', t'U.1 '0'" "".Ihor .r Olh". or. 1..""10 fulIV, '
, REPORTING INSTRUQTIONS ~ PART 1 - TAXPAVER RESPONllE
I, I\OCK'~' I'.lh' 1"'.'.0110" on~ O,,,,,ull\lOIlI".thl 0011.. 0" ..,rool ""d dldUolI.". ore "01111", o,.lo.d, pl.o. "" "'"
I" ijll'k "A" .f pori I .f Ih. "r"POv.r R...o""" ...110"'01'010. oopl.. oncl 1\1II111 I~. w.l\h your .hOOk '0' I~ IlIO\!IlI of
". 10 I~ RI,I.I" of Will, o"lhI .""",IVI"cUolI", Ihl P~ P.",lol,,1 ., AIYIMIlI .1I11"ul "'0111.1.1 ...1.._1
IPor. RIV'II,I IN) lIP,,, ....Ipl 0' Ihl ,"ur" ".. Ih. All 10 I" ., Will.,
I, IIOCK I' II. Ihll""IP..IIII~ 00 Ihll 0.1101 h.. """ or .111 bl..porlld ""~ I.. plld ol\h Ih. PIM,vIY,"I. 1''''''1111001
!IN RII"" filed PY Ih. ~"ldl"I'. "p,..."lllIvl. plo.. .n. "N" I" bl'Ok"," 0' Pori I ., \hl "IIK..O" R..pon.." ...U.n, 01111_
OOPT IIICI rolurn 10"lh' FA D.porl..nl 0' R",MIlI. 'uroll\l of 1,,~lvldull TI.... PIPI 110601, Horrhilu", PA 17111'0001 In Ihl
tnv.I." proYld.d,
I. IIQl:K 0 ' II Ih' noil" lo'orolllo" 'It ln~",roo\ oncl/o, dlduoll'hI I" IIlng ol.I"d, oho.k bl,ok "C" .nd .....1.1. p,'I! I ond I
IOOO,.lh. 10 Ihl 1",1'.011"" bilow, 1110 Iwo OOPII","d .UblII Ihlo ollh o.U' ohlok '0' Ihl~..unl of I.. p.v,bl, I. Ih' A,gllll'
.f Wllh 0' Ihl o.unlV Inolollld, rhl P. UIPorl.,ol 0' w'v"'"" oHI 1....10 .ftl,I'1 ..........1 (P.,o RIV,I"O IK) ....11 10.01.1
a' Ih. 'olurn 'ro. Ih. ..gl.lor 0' Wlllo,
TAX,RETURN . PART 2 'TAX COMPUTATION
11Nt!', . . '
I. loll, I'" dll"lhllO,o",,1 orl,lnlllV w.. ..llIIllthl.'", IItlld \p Ih. """or ..IIt1ng'l d.I. 0' d"lh,"
HQIEI '0' 0 .iOldlnl .vlhl ,,"r 11/11(011 ....unl. whl.h Ih. ....cllnl pul I" jolnl n.... w\ ihlo on. lI) Vllr 0' dl'lh 0"
I'K~i' fU'lV." trtn'ftr. "H~.y.r, thlr. J. In IMolu,Ionnot to.~o.td .,,000 per tr8~'f.r" r...rdl..~of ht y.l~. of
h. acaaunt or th. nuabtr of laGountt htld.
'II, dou4llo,o"orllk (..) "pII"..bl'O" V"U, "rol n."1 Ip Ih. .dd,", P.,tlon" Ihloool\Ol, Ih. ,I,DOO..olutlon
lireadv h.~ btln dlduoted fr,O.,th'_IM~uunt bllIM'," r.port,~d b~ thl fln~nol.1 'nIUtuthm. "
I. EMlo' ,hi 10\.1 b.lIIOOo '1 IhI '''00",,1 lnqludlo, Inl'rlll 10or~.~ I. 'Ihl .111 of dlllh'
I, Ih1 PIIollnl of ,\hI iOOOIll1 Iholl. 1'.""10 'or"oh 'VtvlYo, I'.ollr.lo.d .. f"""""
, t",Po..,nll"'PI. ,or Jo nl....lo 1I1..llohld"" Ih," .... Uir prl"r 10 IhI dloldlnl'. 'dlllhl
I'DIYIQlO RV TPTA( HUI1I1. OPillYllltD RV TOm NUKIIR 01' K 100 ' PlACtH!. TAKAaII ",
.,IClIHT (lHHlIR' . .. IURYIYIHO JOIHT PIfHIA.
1~..I.i A,l.lnl i"il r..I.I.,.d I" Ihl nil. .1 IhI d"ldinl Ihd I.. .Ih.r Plr.on.,
I OIVIDlD IY 'IJOIH! DIIHl!RIl DIYIDIO IY I I.URYIYOR" ',167 K 100 . 16,7k ltIKtlLE PORaAClIlURYIYOfll
,"', - -.' I j,
I. Ih.,p.rOlnl 1I..bll 'o.r .."II O"'I'd.wlthln ""' Vllr '" Iht d,OO~i"I'1 ...Ih or .0.011I1\0 .""'d IV IhI dlolcllnl IIul htld
n \rull ,.r IIl\Ilhor lndlvldU.Il.1 Wu.1 IlnIHol"I,,)1 , ,
I PIVIPIP IV TOTAl HUIl,a. 01' IURVIYINO JOIH! N 100 . PIRCIHTTlKAlLE
OWHIA' DR I.U8T IIHI'ICIAAIEI
1~..llt JolnllOo"""1 "11.11'" Ih IhI n... 0' Iht diOldln1 ~ I.. .Ihlr Plrlonl Ihd o.lobll.hId wllhl" 0Mi V'" o"dI.lh'IV
Ihi ....doni,
, OlVIQlD IY I IIURYIYOR'1 . ,10 K 100,' IOK ITANAILI POR IACH MYIYOR) "
.. ThI_. \.../.,1 I" IIN \11", ,) It dlllt"I",.f>V.II\IIIlPIVlnl Ih'O"".Oun\ 11111001 ~I,I'" II bV Iht porO,"1 '1,'Oblilll'" II,
" 1,,11, I'" loli "I. ho dill . oncldldUOllon. hied In Pori I, . ..
6, ThO ",""I I'N..I..ClI", 0111 ..lorol...Ov .uIllr..llhG IhI,dIlllI oncl dtd\HItlon. Ill... II froo IhI ooI>\Inl'IuIlJ..I 10 ION (11M .01.
T, Inl.nht """.prl.l. I" roll ~1I'" 1,) II "llIoIMld'bolo.. '
A, Por dild,,' d..lh...urrlnl oit" 1(10190, Ih. I.. rol",or l'OII""il. .pqu. "' I" .. hUOllII
I' 0.1.' 01 .lIlh on ,r .ft" 711(001 '"" bill" III'" IhI ..10 h .I~,
'0'1,10' ..ilh on or .'I.r 11110' l,on'l,r. 10 .POU,II .111.. I.... .1 OK I.. ,'Ii,
HOI" Per dilu.o' "ilh orl.r .1" 711/001 Ir,". I" 10 Ipqull' or. 1..11I11 II oX, . " ,. "
" Tr......or..I. Ilnoll.III'Olh<lonl.' ,In..lucll..... f.lhlr" 100hort ".n. dlllll1. I.r, Ir_hlld'.,". . lon'I"'I..,
d~llr.ln'I"1 .ltoOhlld.ond Ih'lr I.... I" 1....11 ., il. pir"""1 I'~),'
C, 1'..lIor. .1.0"1 ""Ihir. Inqllldl", brolno. " .,.lor.,,_II, ."",1, "'Phlll ond nllO.. .re lI.lllli II flfl"" "r","IUIle),
D" f TOU .h.... lno .. ral.. pl.... ,...lIvv.ur til.tloo'hlp 1" IhI dlOldonl 10 IhI."" provldid,
..., ThtlllOlinlo' Ill. dUi lll... II 1'IIII"olnod bV II\IlIlplvl", IhI.....,\ 1"11I1' Ill", 6) IV ,Ihl I.k rail 111",7),
CLAIMED DEDUCTtONS . PAR~ S . DEBTS AND DEDUCTIONS OLAIMED
AUlIilill11l ....11 oncl dtd\HIlI"" Ire ditor.lnid .. ',UOll"
A., 1011""'. .ilv'" r'''!lnllbll,l.r plvuill, or thl ..IIIO,llullllOl 10 idil"lolrollon.bV . pO,,_1 'IOro,,"llIlv.1 10 InilUlflllOhI
10 plV IhI d'dUillll. 11"0' " .,
I,. VOII ..lu'IIV pll. Ihf dllllo Illor ..IIh of thl dlO","t oncl t," f~'nloh proo' ,of p._I.
e, Dlbll ..,n, 010 .... 11I.1 .. I ..la" f~lIv n Pori I. I,. Odd II 101111 "101. II "'..... UII 0111" p.,., '. III" " 1I",'P'oOl of
'IOlinl IIV ...r.....II. IV IhPPA Doplrloonl "f A.VIMUl,
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'OR .CAIoL TI& BUR A OF INDtV~D~A1~ AXESTA~\"AVER 1~~IRY UNIT 'IN " ',I
HARRISBURG AT (717) 8 -eU7, TDDI (7 7) 7h-iiliJz (HEARiNG IMPAIRrlD, ONLY) :':'"
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RUIOINI OICIOINI
SCHIDUU f
JOINTLY.OWNID PROPSRTY
R,cs;p-S
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I (., I)' 2. d ,:l.t-flle/, rr 'r. dc:w..$~
{!.ftinP iJ: II fA, /70 II
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Joln,ly.own.d proptltyl
DBCD" DOLLM VALue o.
% INT, DeceDeNT" INTeRIST
TOTAL VALue
o. AmT
ITlM LU'rlIR
NUMBeR J~~AT
TIN ANT
1.
OUCRIPTloNO. PROpeRTY
1f.~'1U; . f 6. II:.k ~co'~/\ ~IAA"-
165 Z. a~,,"C/.H /),'
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TOT AL IAho on,or on IIno O. Rotopltulollonl
(II moro IPC"o I, nooded In.." oddlllono,.h.eh of IOml ,1181 -
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CITY
Tax Payments and Oredlts:
1. TaN Due (Page nine 18)
2, Oredlts/Payments
A, Spousal Pove~y Oredll
e, Prior Paymenls
0, Dlscounl
(1)
Z 2~,~
Tolal Cr$<llls ( A . e . C ) (2)
L3
c)
3, InleresVPanelly If applloable
0, Inleresl
E, PenallY
, ,
TotallntereWPenalty ( 0 . e) (3)
4, If line 21a grealer than line 1 t line 3, enler the difference, ThiS la Ihe QVlIAPA VMENT.
Cheek box on Page 1 Line 19 to requeala relund (4)
~, If line 1 . line 31s greater Ihan line 2, enler the difference, Thlalalhe TAX OUlI, (5)
A. enler Ihe Inleresl 0,11he I~N due, ~M)
e,Enler Ihelolal of Line 5 t eA, Thlslalhe BALANCe DUi!. (58) Z Z. ~ If
~li~~~'t\t.\!!l~__~~Ii\Io~r)~
PLeASB'ANSWBA THe FOLLOWING QueSTIONS
SV PLAOING AN "X" IN THB APPAOPAIATB SLOCKS
1, Old decedent meke e traneter and: Yee I, 0
a, reteln Ihe uae or Inoome ollhe properlY trenelerred: ....,.."",,,..",,,,,,,,,,,,,,,,,,,,,,,, """" " '" ",,' ~
' ~: ;::::~ ~h~e~~~~I~~~~e:~~e~:e~I~~, ~~~I,I, ,~,~,~, ~~~, ,~~,~,~,~,~~, ,t,~~,~~,~~,~~~~, ~~, ~~~: ,I,~,~~,~~:,: :::::::::::::::
d, receive the promlee lor life of either paymente, benefite or care? "''''''''''''''',''''''''''',,''''''''''
2, If death occurred on or before December 12, 1982, did decedent wllhln two yeare
precadlng daath transler properly without receiving adequate conelderatlon? If death occurred
after December 12, 1982". did deoedent trensfer properly within one year 01 death without
receiving adequate consideratIon? ",,,....,, I".... ";""""',',"I!'" '''''' ".."", I "".,.." """ ,,,,, ,It""" I' ....,,,, D
3, Old decedent own an "In trust lor" or payable upon deatl1 bank account or eepurlty ,
4, , ~tl~l~e~e~~n~~~~:'~' 'l~dl~id'~'~I' ';~il';~;;;~'~'i '~'~~~~~t:' ~~~~ii~: '~;' ~;;;~;' ~~~~'P';~b~'i~ '~;~~~;;~?',::: 8 '
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IF THE ANSweA TO ANV OF THE ABOVe QUESTIONS IS VElS,
, . YOU MUST COMPLI!TE SCHEDULe G AND PILe IT AS PAAT 01' THE! RBTUAN '
72.f',S, 19116 ~1~sl!!'~fJre~:~==~~;~~~'~?;f!mJiF;'
lurvlvlng Ipollee from 6%. to 3'10 lor delee 01 dealh on or aftet July 1, 1994 and be,lore January 1, 1996,
72 P,S, D9116 (a) (1,1) (II) provided lor the redyctlon 01 Ihe ratelmpoeed on th.e net velue 01 translere to or lor the use 01 theaurvlvlng
spouee Irom 3'10 10 0'10 for dates 01 dealh on or after January 111996, The statute does,not eNemDt a translar to a surviving Ipouse
from t.ax, and Ihe stetutory requlremenls for dlsolosure 01 aeeetl qnd flllng a tax return are sllll applicable even If the surviving spoUle
II the only beneficlery, '
FO" DATES OF DEATH ON OA AFTIlA JANUARY 1, 1998. Pleale answer the lollowlng queltlonby placing an "x" In the
epproprlate space, ~ '
Old the decedent orelte a trult or I. liar arrangement which II lolely lor the eurvlvlng IPOllS,'1 benefll for his or her entire
IIletlme? Ves 0 No
If you answered yee to lhe above queltlon, the tax on the ttullot similar arrangement la postponad until the dealh 01 the eeoond
Ipouee, at which lime II will be lully.taxeble at the rate(s) eppllcable to the remelnder beneflolary(lea), Enter the value 01 the trual on
SchedUle J, Parlll, In otder to remove II Irom the calculation 01 tlld tax due In thll estate, Ycu mey wish to file Schadule 0 In ordsr to
make the elaotlon avellable under Section 9113, .If the elactlon ISlT1ade, the trUlt or Ilmller arrengementls taxed In the eltate of the
flret decedent spouse, the porllon of Ihe truII or similar arrangement which benefitelhe surviving Ipoule Is texed at the zero lax rate,
and the remalnderlslaNed at the rate(s) applicable to the remainder beneficlary(les), II you ohoose to make the election, you muet
altacl1 Schedule 0 to a tlmaly.flIed tax return, along with Schedule(s) K and/or M In order 10 show the apportionment 01 the trust or
similar arrangement between the IllNlylng Ipouse and the remainder benaficlary(les) ,
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MAKI CHIOK PAYAILI AND RIHXT PAYMINT TOI
REBISTER OF WILLS
CUMBERLAND CO COURT HDUBE
CARLISLE, PA 17015
CUT ALONG J]ll LZNI .. RITAZN LOWIRriORTZON pOR YOUR RICORDI ~
~W:liW.l'lf.A>>..rtlV:"".AbVf6r.cl'".wRllfif~ I.Y'\l!.A'lSI~A"fi.WI1,...~trcSQ~lli. O'I.W.................
, DzsALLOWANCI"op DID cTzoNs AND AS81sSHINTOP TAX
ISTATI 01' KREBS EONA R I'ILI NO, 21 97.0954 AON 101 DATI 01.18.1999
,
TAX RBTURN HAl' I X I ACCBPTeD AI FILBD C lCHAHOBD
RllaRVATION OONOIRNXHO pUTURI ZNTlnllT . SII RIVIRSI
APPRAISID VALUI 01' RITURN IABID ONI ORIBINAL RETURN
1. R.al Eltata 180hldul. A)
a. Itookl IIncI landl 180hadul. II
I. Clolol~ Hlld'ltook/Partnarthlp Intar'lt Cloh.dul. C)
~. Hortlllll./Notal R.o.lylbla 180hldul. Dl
I. C.thlltnk Depollt./Hl.o, Por.onal Proport~ Iloh.dUl. Bl
6. Jolntl~ Owned Propert~ 180hodul. P)
7. Tranlf.rl C80hadul. 01
10 Total A..atl
APPROVID DaDUOTZONI AND aXINPTZON8,
9. Funaral EMPOnla./AdM. COltI/Hl.o. BNP.n... C8ohodula N) 191
10. Debh/Hort_ LlablUtl.I/Uen. C80hldula Xl 1101 18.980.00
11. Total Dlduotlonl Ill)
la. Hat Valuo of TaM R.turn Ilel
11. Chlrltlbl./Qoy.rnMental aoqua.tll Non-.l.ot.d 9111 Tru.tl laoh.dula Jl 1111
l~. Hit Valuo of utata 8ub~.ot to TaM Ilql 57,BOO.00
NOTI, If.n ~""...nt "'~ t.'U.d pr.v:l.~u.1Y, l:1.n.. 14, 15 .nd/or 16, 17 .nd 18 11:1.11
rlf1.ot f:LIIUr.. tnat :I.no1udl th.,totl1 of MJ.. r.'l:urn. .......d to dlt..
AISISSNINT 01' TAXI
lB. AIoUnt of Line lq at 8poul.l rata (111
16. Aaaunt of LAna lq taMabl. at Llnt.I/Cla.. A r.ta C161
17. AIoUnt of Lint lq ta.abl. at C.ll.t.r.l/Cl... I rat. C171
II, Prlnolpal Till Due
TA ORIDlTI'
PAVHBHT
OATS
r "
1.),.:2//;..'
IURBAU OF INDIVIDUAL TAXEI
IHItI!RIlAHCe TAN PIYIIIDIt
PEPl. flUO 1
ItARRllIURD, PA 171f1'0601
OOMHONWIALTH 01' PINNBYLVAN1A
DIPARTMINT 01' RIVINUI
NOTICE OF INNBRITANCB TAX
APPRAIGBHBNT, ALLOWANCE OR DIIALLOWANCe
OF DIDUCTIONI AND AIIBISHBNT OF TAX '
(\ ,
"
DATI
ISTAn 01'
DATI 01' DIATH
PILI NV",IR
I 'OOUNTY ,
AON
01-18-1999
KREBS
07 -2B-1997
21 97.0954
CUMBERLAND
101
AllloUlli R..a tt.d
KAREN LIMAS
1682 CEDAR CLIFp DR
CAMP HILL PA 17011-1102
i;l
CUI
I
ell
CI)
U)
,Iql
(II
(6)
171
.00
.00
.00
.00
.00
86,7BO.00
.00
III
.00
,00 X .00.
37,800,09 x.06.
, ,00 X ,18.
liS)
RBCIIPT
HUlISBR
DI8COUNT I +l
IHTBHBIT/PBN PAID 1-)
AHClUHT PAID
TOTAL TAX oRIDn
IALANOI 01' TAX DUI
lNTIRIST AND PIN.
TOTAL DUI
M %P PAID AFTBR DATI INOICATED, 8BE REVBRIE
FOR CALCULATION OF ADDITIONAL IHTBREIT,
*'
In.n41,.", I".'"
EDNA
R
NOTe, To in.uro proper
oredlt to ~our eooount,
Iubllit tho upper porUon
of thi. fore Mlth ~.ur
tall pa~...,t.
86,780,00
lR.O~
57,8 0,00
,00
,00
~,268,00
,00
2,268,00
"
2,268,00
.00
.00
.00
I IF TOTAL DUB 18 LBI8 THAN 81, NO PAVHeNT 18 REqijIRBD,
IF TOTAL DUB 18 RBFLECTED A8 A "CRBDIT" ICRl, YOU HAV II OUE
A RBFUND. '8IE REVeR8E BIDE OF THIS FDRN FOR IHlTRUCTIOHI, I
PEJPRYATIOH' a.t.t.. 01 dI.tdlnt. d~IPl eo .r ~Ior' o,.....r iI, 1911 ,- If ..v lutur. Int.r..t In tho ..t.t. I. tron'I.rrld
In po.....lon .r onj,v,,"t to 01.,. I (..II.t.r.ll ~nollol.rl.. 01 tno dlOodlnt .ft.r tho .,plr,tlon .1 onv ..t.t. for
11.1 or fl'r v'lr.. thl C..9mtfillth h4trebV Iwpr..,llJ r...rv.. ,t.. right to ",pral...INld. ...... 'r.,lftr lnhtrlt~. TII<I.
.t tho 1.,Iul CI... I Cooll.t.r.11 r.t. on onv .UGh futuro Int.r..t,
I'
RllFUllP (CIllo A "I\/IId 01 . t... or'dlttlllll'h ,.. not. r. .quo.t.d on tho T.. A.lurn, ..v ~ r'llU..t.d ~v .....I.llne on, ,"N>I'llo.Uon,
lor RfllOld 01 Pono'Vlyon . Inhor,lton" .nd I.t.t. T". CAEV'ISIS1, Appllo.II\'h'." .y.UIIII. .t tho DffI..
, 01 tl~ A..l.t.r .1 WIll" anv 01 tho 15 P.y."", bl.trl.t DIll..., or ~v o.llln. tho .p.ol.1 14-hour .
In'~r'n. .ervloe nulblr. far far" otdlr3nOl In P,nnlvlvlnlo 1-800-562-20&0, aut,lde PennlvlVlnl, .nd
"lthlp 10..III"rllllu'l ,,10 (7171 717'10'4, TOO. 17171 711-UBI (HlOrln. 1"".lr.d OnIV),
oaJECTI0H8. Anv partv..n.,,,t.,..., not .,tl.flld with the epprt....tnt, .110",.nol ar dlsallowanae nf dtctuotICKl" ar.....lMOt
oft'M ClnolUdlntdl.ouunt or Int.r~.t) I' .h9~n on thl.Hotlae IUlt obJeat within .lMtv (60) d.~. of rec.lpt of
thl. Hall.. ~v, ' , '
..wrltten prot..t to thl PA Dlpart.,nt of RlvtnUl; laird of ApPIII., Dipt, 2&1021, H.rrl.bUrg, PA 171te-lOll, OR'
--.l.otlon to h.V. the ..tt.r dll'r.lned .t audit 01 the ..oount 01 tho por.on.1 r.pr.,oot.tIY.. OR
--IfIPO.l to tho Prphon.' Court,
To fulfill tho .....'1",,"10 01 ..otlon e140 01 tho Innorll..... ond E.tot. T.. Aot, Aot II 01 1991. (11 P.',
...lIon .1,0), '
IIII.h tho tOf! portion 01 thlo Hall.. .ond ,ubolt ,lth vour pov..nt to tho A..lotor of WIlIo prlnt.d on tho ..vor.. oId1',
..H.... on.... or .....v ordor p.vllll. to, RBGIBTBR OF MILLS, AGBNT
pUIIflMll Of
IIlITlCfit
PAvtlIlHTI
AOHIH
IITR4T1Yf:
CORREOTlONS' flotu.l "rrar. dhoovlrld on' thll ........n~ .houldbl Iddr....d In wrlUng tOI PA Dtplrt.."t ofR,YlnYII,
lur.au 01 Indlyldu.1 T...., ATTH' po.t A.......nt A.vl.. Unit, o.pt, IB0601, lI'rrl.~ur., PA 17111'0601
Phono 11111 111'6101, ..t p... I 01 tho ~o"'l.t "In.trU.tI\'h' for Inn.rUIn.' T" A.turn ,lor. R..ldlnt
PlOodont" (AaY-IBOII for on ..pl.n.tlon 01 .dolpl.tr.tlv.1Y oorr..tobl. .rror.,
PIICOUHT, If onv t.N duo I. p.ld ,I thIn thr.. (Sl o.l.nd.r oonth' .ft.r th.,do.ed.nt,.'dotth, . Ilv. poroont CI~I dl.oaunt 01
tho t.N ptld I. .lloold,
PIH4~TV, Th. I~ t.. .....tv non'p.rtlolp.tlon p...lt. I. oooput.d on thetot.1 01 the t.. ond Int.r"1 .......d, and not
p.ld ~Ior. Janu.rv II, 1"6, tho Ilr.t d.~,.It'r tho and 01 the t.. ..n..tv porlod, Thl. non.p.rtl.1P.tlon.
Ptnlltv I. IPP..1Mbl, n thl .... .anntr and in thl the .... tl.. p,rlod .. VOU Mould IPPlll the t.~ and interl.t
that h" boOn ......Id.. Indlo.tod on thl. notl...
Int.r..t I. .h.rood ~..lnnlna ,Ith flr.t d'V 01 dollnqutnov, or nino (91 .onlh, and ono (II d.v fr" tho.d.t. of
dI.th, to th, dOt. 01 p.mnt. T.... IIllloh ~o_ dlllnq\lllll ~Ior' J.nu.rv I, 1911 ~.r IntorlOt .t tho r.t. of
.1" (6Xl poroontpor ..... o.loulOt.d .\ . dol.IY rot. .1 ,0001", All t.... "'11.n ~.o_ dllIpq\llllt on ond .ft.r
JlnUlrv 1, 1,a, will bill' lntlr..t at ar."'Whlah will y,rv fr~ oll.~d.r Vllr tG oal~.r Vlar with thet rltl
annoUhOld ~vtho PA OOP.rtaont of A.y.nut, The "pplloObI' Inttr..t r.t.. for 1911 throuGh 1999 .r.,
IWTIAB8T1
- 11'1\'1"'" Alt, D,llv I~tlr..t f.ot~r xur tntlrllt RltI DlllV Int.....t ~.otor
1912 lOX t 000&4. 1988-1991 IIX .UOIOI
I9IS 16X ,0004118 1991 9X .OOU47
19" llX ,000101 19,a-I994 1X .000191
loal UX .OOOSH 199&-I99B 9X .000141
1914 UX ,000114 1999 IX .000191
I9B7 9X .000147
.-tnt.r..t I, olloulltld '1 fOlba..,.
INTBRBBT . IALANCB OF TAM NP 10 X NUHIBR OF DAYI DBLINqUBNT X DAILY INTBRBBT FACTOR
"-Anv HOUo. luUld.Ulr,tht tlK beeOH. delinquent w111 r.fllet In intlr..t ollOUI,t1on tofUt""_ Us,l,dIVI
b.~ond the dati of ,he ......aenti If P.~t 1. ,ade .,t't th', lntetl.t co,putatlon dlt, .hoWn on tht
Hot!<lI"HcUUOnll lntlr'lt MUtt bI alhulet.d, '