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HCC.33 14-731
COMMONWEALTII OF PENNSYLVANIA
IlEP,\RTMENT OF REVENlIE
1l1l1(l'AlI OF ('OllN'!Y ('OI.I.I'.('lIONS
*
RESIDENT OECEOENT
COPY OF ViilL [/:UST
My:nHn'"'' n_, ,',""\
COUNTY OF_
Cumberland
-... - -.. -"
IMPORTANT,
This rcllllll Il;tlst l-~~ completed in detail ami j'jll~t1 ill dlll'lll~ah'. wilh alllllladll'd. willi Ihl~ Itqdslcr uf Wills nf the
l'ullllly \\hcu' t1ccl'dcnl rcsidl.t1~ I{t'lurll i!<. dill' withillllilil' 1HlIllllls ,Iller tiltH' 01 death, Illlless all cxtclIsion is grnnlcll
hy till' Scnclary of HClJ.l'IlI11', (Sn'tiIl1l7tl,l1lItlll' Inhclilillll'C ilwll':!'.lilll' Ta", Ael of IIJfJl.l
IN TilE MATTI'.!l OF TilE ESTATE 01' } AFFIIlAVIT OF
~~~~~!~. (5~~:~Ui:LNAM'COF nEcTriENi,--------- - KX>rtY;Xllitx
Comber land Allll1JmJlXKXINKX Informant
Late of ___________.__ m._____.__.______...,_~____.__.__ County
Stoia of _~~Y..LV.i!I.l~~----~-,}
York 'is:
County of __ '
Executor
Decedent died
Informant - Mildred G. Wi~termyer -
01 the ostotCl of the ohoveonomod decodent being duly sworn, deposo ond soy
October 23 79 { }
, P,_ ~ostole leaving a 105t will, copy 01 whkh is hOleto ottached.
IMONTHl {Df,Yl (YEAR] mtestate
Harne ond address of attorney or} Hildred G. Wintermyer
other authorized representative to whom
011 correspondence .,>hould be moiled. 630 Davi!=: Dr.iY.p- t New r.tlmhpr1 :mr1, PA 17070
informant
ThaL as sllch deponent is familiar with the affairs Ill' sail! estate and the prnllcrty constituting,
{EXECUTOR-ADMINISTRA TORl
the nsseLS LIll.:reof and their fair market value.
That at the time of death there was no safe depllsit hox registl~red in decedent's individual name, or jointly with, or
as agl~nt or deputy lIr another, or ill deecdent's individualnilllll.:, with right of access by another as agent or deputy, with the
cxceptiun of the following: -
I\dminislralclr
NAME AND ADDRI::SS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A S.~FE DEPOSI_T [lOX.
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
- -
RELAT10f'.lSHIP OF JOINT
HOLDERS TO DECEDENT
That the contents of said safe deposit hox or boxes arc itemized under Schedules__of this return,
with the exeeption.of the following, for the reasons hereinafter set forth:
That Schedule A auached hereto and made parl hereof sets forth fully and in detail all the real property
in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the
mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still doc at
death, name of mortgagee, date, rate of interest, and book and page of rel:ord thereof. It also sets forth in the
columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof
as of da tc of dellth of decedent.
That Schedule B aunched hereto and made part hereof sets forth fully and in detail all persollill property
wheresover situatcd owned by the del:edent at the time of death: illl moncys lert hy the decedellt at the time of
death, whether ill dccedent's immediate possession, standing to decedent's credit in hanks of deposit, savings
hanks, trust companies, or other institutions, whether individually, or in trllst for any other person or persons
giving also sellarately the accrued interest thereon, if any, down to the last interest day prior to decedent's
death in the case of savings hanks, and to the datc (If decedent's death in 1.111 other cases; all bonds, postal
savings, tre.lsury certificates or notes and other evidence of indebtedness of the United States to the de.
c,:dent; all obligations, whether by statute or agreement they are designated as tax free, of the United Stales,
or any state, or political subdivisiun thereof, or of any foreign cnuntry. whkh are owned. at the time of death;
all wearing apparel, jewelry, silverware, pictures, bouks, works of art, household furniture, Iwrses, carriages,
automohiles, hoats, and any and all other personal chattels of whatsocver. kind or nature, Icft hy deccdent,
together with the fairly estimated market valuc thereof; aU hnnds and mortgages held by decedent and of all
claims due ..lI1d owing decedent at the time of death, and. all IHomi:-.:o.IH)' notes or other il1strumel1t~ in writing
fur the paymc:nl of money of whkh dee~del1t died possessed. of whatsoever nature, with interest thereon, if
any, giving. the face \'uluc and estimated fair market value thereof, and if such estimated fair market value be
less than the face value, it sets forth briefly the reasons for such dc.:llfeeiation as tn each item; all moneys
payable to the estate from tife insurance policies carried by decedent; all anlluity and endowment contracts
the proceeds of which were Illlyahlc.: 1I110n the death of the decedent; all and the corporate slocks and dividends
due thereon .1I1d unpaid liS of the (jate of dcath. hnnds ami al'l:fUCd interest thereon to the date of decedent's
death .lIld other investment securitks owned by the decedent at thc linll..' of death. with the market value there-
nf at sllch timc.
111 lhn ,'nsl' Ill' s"e~lI,'It.I('s oj' ,:llllif' or I'llInlly f:orpornl.lollS, t.111' VII\III!S rl'IH'I'lnt! hl'l' liS I'llI' liS
]lossihtt~ Suhstllllllnt.l'c\ \)~' I'lll11IH.:1111 sUtLl'IlWIlls oj' UII! cnrpol'lltloll!-i, ShIlWIIl~ t1\l~ IIssf>l.s /Lllel Ilnlllll!.l"s
tllt'rl'of liS of' till! cJlI!.!' 01' cll'lIt.h. TIH! sf~hl!(lllll' nlso S(,ts forth !.hl' InU'I'I'St. nl' dl!CI!r1f'IlI. III. I Ill! I lUll' 01'
lip-nt.h in IUI~' ('o-pnrtlll'rslllp Of' bllSI'l"SS, nnll In support. 01' t.1l1> VII)llf' 01' slIl'h IIl!.l'rl's1. t.hl!l'l' Is 1111111')(1'11 10
snid schl'dull', 1'I11U1wln) stnt.l'nlf'lIts showln~t1Il!ltsSl'ls Hfld IllIhlllt.lI's of' snlll CO-pUI'lnnrshlp nl' hllSITIf'SS.
A (~np:y 01' tI\f' c~II-l'nrl.lli!l'shlp ll~rf'I'ml'llt., (If nrlll, H sl./Il.fll1lpnt Sl't!.lll~ {'orth thp nllt.lII'f' 01' 1.111' 11~~r'''l'lIIl!nl.)
logl..t1U'r with II stntl'l1ll'l1t SI'l.ltllg forth 1.I1l~ l:lutrllcU'r or till' !luslfu'SS, tt.s toe/tUnn, HUrl Sllf'111111ll'I' l'llI'ls
pc>rlnintnJ!; to till' hllS1lU'ss liS 11I11~' Ill' lH!rtllll'lIt t.O /l f'lItr /lIul ,1I1St. Ilpprlllsll\ of' tile dl'l~nfl~IlI.Is Inlnl'ost.
therell111l1lsl1JPsuhmll.t.l'fl. It should nlsn Sl~t l'ort.h in 1I.emli'.I!d form, l.uJ.,!;'!ulf'r with tllf~ "/dr I11lll'lu" \'lIlu"
thereof, IHI~' Ot.llf'r property oWIll'el Ill' ll~qtlelltlll!c1 h~' t.lln clf!I~I!lll1l1t Ill. tllf! t.1me of' lil!lltlh
The Scl>pdulp C nt.t.Hellecl heret.o IIl1cl "Hule IlIlrt hel'flol' t;ot.s fort.h II t.rue nnsV/er 1.0 flitch lUljllll'Y
cant.1t f flI?d tlll?re J n mill 111 !.Iu' (~Il.'W 0 l' tr/lllS reI's (J I' propert...,., relll or J1\~rs ntlul, wi thin 1. WI) ~'Illlrs of dl'c~ I~fh~n t ' s
rlenth, tn cont\1mpllllioll 01' deef'ellmt's lienth, Ill' Int.eneleli to I.flke 1'f'f'flCt. In possess 1011 or Im.loymf!nt /11. or
after cll'l1th, SRlel schedllll' sets forth the nut.ure HIIII vllllll~ of sHch properly, t.o whom trllllsrerJ'(~d, tlw
relntloTlship of' t.he t.rllnsl'or(~es to the lieceli,ellt, till' propnrtiollnte shnre recl1ivoll hy ench trfllJsf'(~rm' Ilncl
all other fncts of Il pert.hH'nt nutllre reJ?;nrdin~ sntli t.rrlllsf'ers. In t.he cuse nr t..rrlllsfers tntended 1.0
t.llke effect In possnsslon or en.1oyment. III or nf'ter rlent.h, t.lwre is /llso Il\.tllchetl t.o the ~H:Il(!elllle n l~oll.Y
of the rl.eed, trust IIp;reement or other instrument creat.1ng tl1l1 trllst. T1Jerl~ is nlso Sf'lt l'ortll In sllld
schectulc Il list of' Illl property, real nnd personlll, with Its vullle, whlell IHl~;s~s nl c1ec~dl~lltts ell~llt.h hy
virtue of thl' exercise lly decelhmt~ either inctivirlulllly, or.lointly will} nnntlter, or nny IH1Wt~1' 01' npJ1ollll.-
menl vcsterllndecedenl, either lrullviclulllly or Jointly, lJY the will, lieed, or ot.her inst.rument. 01' Hnnt.her,
with a copy of the instrument crenltng such power nltflcherl to the schedule.
Thill St:h~dule D nttnched hereto Itnd made purt her'cof' sets I'orth tile nltmcS null nddresses 01' 1111
persons heneficinlty in teres ted In this estn te Il t. t.he time 0 l' ctecerlen t,t s (lenth, t.he nllt.url~ of' thei I' f'f!S-
pect1\'e interests, their rclllt1onshtp, if any, to the rlececlent, tng;ethcr with tlll'! Ilges nt. the tIme of'
rlecedent's rlenth of' nIl minors, nnnuitnnts llnrl heneficinrtes f'or IIf'e limier rlecedent's Wll). It also
contains Ii stnt-elllent showtnp; which 01' the heneficlllrles n/lmeet 111 t.he Iiecedent's will, if' nny, dieel prior
to decerlent, the clntes of t.helr denth, their issue, /md the relat.tonshlp of' sllch issue to the hencflcinry.
Thnt S.:hedule E nttuched hereto Imd made a part hereol' sets forth flU property, relll Ilncl per-
sonal, owned by the decedent Jointly with nnother or others, inc1wHng intangible, stnncHnJ!; in the nlllne
of the decedent uncI others, plus the d/lte and pInce of' record of instruments effect.ing the \estiture of'
real estate IWcI the date of Ilcflllisition of personnlty, pIllS the name, ndrlress nnli rel/ltionship, if IlIlY,
of co-owners to the decedent.
Thllt Sct>~dule F attached hereto and mnde n part hereof sets forth fu1lr and in Ilptail nIl debts
and deductions cl/ltmed for nnrl on behalf of this decedent1s estllte, inclurting funernl expenses pnlll;
family exemption, where applicahle; costs of Ildministrnt.1on of this estatl'j counsel fees anet rurlicinry's
commissions paid or to be pnitt; cost expended for burial trusts, tomhstones or grnvemarkers, and rt~l i-
gious services, in consequence of t.he denth of the decerlentj rlehts nnrt claims owing /1Il1i nnpalel Ilt time nf'
death; taxes Ilccruec1 chargenble for pedorl prior to decedent.' s death (except those nllowell under Sect.ton
65101' the Inheritance unci Estnte THx Act); together wit.h II stntement of collat.eral pledged for ohllgn-
tions, if (my. It Is ngreefl thnt the I'1ducinry will present proof of suid clnimed oblig;Iltlons uJlon )'e-
quest, tllflt if the nmount nctullllj' p/lid in settlement of IlIlY fee, commission or debt is less thlm the
estimntert nmount clldming nnft /ll1owed, that the same will he report.ed to the Ileglster of' Wills, llud that,
the amount of t,ax Ilss(~sserl enn he renssesseel in accordllllce thf!rf'wi t.h.
That the tol/lls of t.he npprol1rinte columns in Scherlllles "A", "Il", "en, "E", nnd "F" IlS direct.ed therein,
have heen cnrried forward and prollerl~t reg;istered in the Summary.
Subscribed and sworn to before me this
,........."....M"..,;;~.~..1..... t..,\
7\" ('" ,{" r-;-:", , ..
..,~~~~~'~~'f~~-;;r;~
630]),a,yJ~p.:!'!yg>....,., . .."",. ..", ""
(SlTeet Numb...)
NewC.umb"El"l1d,!~~ 17070
(City or Town Q,nd State)
SOTE: Bl'f'ore sl~lltnl!. nfftllnvlt. mnkp surf' /lll hlllnk SIl/l('(~S ill t.he nf'fillllvlt /11111 schpdlltl\!" IUlIlf'XPII /ll'l~
f'ill~d in with detllils ur the word "NOlie", 'lIlt! In cuse tile IlSSf'ts illC~lllllf' rllre 111111 IInllst~el s,~ctlrttil's.
securlttf'!s of' close or I'ltl1ltly curporllt.1ons or UII IlIlt~r(lst in /lny co-pllrtlll'l'ship or lI11SllIl'SS, t1J/lt till!
rllltu IUlII st./tU'mHllts re111lirp!i IIIHil~r the pllrllJ?;rll}lh I\llo\'c relat.lnp; to Scl,,-~rl.ul(' "B" /lr" IItt.lldu'el. ,\Iso IlIllkl!
cert./dn thllt. column 41 ill tile "Sunaulll'Y" hilS hel'n prnllerly (~ompl(>tee' liS 1t1love-dtrf'clPll.
day of
) J
....." {(... . \.~ .t..~.~ ;;.
PUbli,,-,'td '\
,:/'..1..", ,
,) ,
/)(/,k: LJ
19.f,r..!....
Notary
RC t-34 (4-7J1
C.OMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
*'
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece.
dent. Property held by the decedent os tenant in common with another or other, should be identified
os to quantum of interest and the estimated value should be that of the decedent's interest only. (Property
held os joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule "E.")
The real property located In the Commonwealth of Ponnsylvanla should ba (1) (2) (Jl
duerlbed by lot and block numbor, Iltreat and strtlet numbor, together with DEPARTMENT
a gonoral ducrlptlon of the property, with a roference to the ,ecord of tho ASSESSED VALUE VALUA TION
conveyance by which the dtlcedent took III Ie; If 0 farm Itate number of a_ FaR YEAR OF ESTIMA TED CAUTION
ereSj 0110 stotoment of mortgage ent:umbranctll upon each parcel at death DECEDENT'S MARKET VALUE
of deeedtlnt, TalCol, allollmontl, accrued Interolt an mortgage I, etc.,ore (Do not writ.
to bet Illtad on Schedule HF" and mUlt not b. deducted from this Ichedule. DEATH In thl. .pace)
None
Insert this total opposite "reol property", Schedule "A" in the X X X X X
"As Reported" column on the lost poge of this return.
NL{Jl.i..j
.. "
""Jf\
IIESIOENT DECEm\NT
SCIIEIlIJL1~ "H"
PEIISON,II. PIlOPEIlTY
'*'
RCC -as
COMlIONWF.i\L'I'1I OI' PENNSYLVANIA
TIIANSFEfI INHEI\JTi\NCE TAX
INSTIlUCTIONS: This SehedlllH mllst. disclose nIl t,llnglhlt! llnll Int,HII~tlJl(! IIl!I'Hfllllll propert.y owrwd 1rul1vlclunlly
hy the dcccdent.t ul UIC 1,1ml~ 01' his ch~l1t.h. Prnp(!l'ly ClwnecllJY tilt! tII!CI'c1I!tll. .Iulntly with Illlol.her fir othors
must he 11SltHll11J11er Schedule "Ett. Int.nJlJ;thlt! )IHrStllllll prOpl!r!'y, titled III tho nlUIIO of !.1m decedent, hut
pnyuble nt del1th to /lnot,lIer or ot.hers, Including hilt. nnt, limlt.ml 1.0 P.O, I). tr. S. Snvlu,l(H Bonels /llld tentu-
tlve trust uccounts, mllst hI! Ilstl!fl, th!splt.f! the f'llet t,hlll, tlwy Ilrfl lint of till! Ildmtnlstnred est.lltl!.
Tun~iblc pcrsonnl prnl'l!rty shoul!t he llsterl l'lrst. (fI,g. .1f~w('lrYI WHllrtng flpJlllrel, household
goods, Ilnd furnishings, hooks, pnlntln,l!;s, uutomnbJles, hOlltS, l~tC.)
Intllnp;lhle personnl property, such liS honets, trensury cert.Jl'1cntes, cnsh 011 hand and in bnnk,
stocks, mortguges, notes, together with ILccrucd lntcresl or dividends, slllnrJes or wnges, insurance l)ay-
able to the estate or fiduciary in S/lId cnpllc1ty, pllrtnerslllp lntf~rest.s, Interest in any undIstributed
estnte of' or income f'rom Ilny pro)lcrt,y held In trust under the will or agreement or another, even though
located outside of' the StIlle, ul the tlnw of' dPllt.h, should he listed in tills schedule.
I tern ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No, List und describe n.lly VALUE MAllKh'T V AUJE (Do not write in
this space)
None
Insert this totul optloslte "Pl!rson/ll Property", Scheltule "U" In X X N~"U
the "As Hellorl(!d" column on the lust pfl~e of this return. '1$/t'
I
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Ileal Property
Personal Property
Transfers
,Jointly Owned Property
SU~I~IAHY
(Sell, "A")
(Seh, "Jl")
(Seh, "e")
(Sch. E)
Gross Taxable Estate
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OFFICE 0" 1HI1
REGISTER OF' WILLS
,::) I ' r, 'r!:11
STATEMENT OF DEBTS
AND DEDUCTIONS
:,!Ul)CItONS ALLOW[O IN
Form RCC.10
"
_ ~_. . L. <:?
Gracc 1,1. Shoop
.L.,
") I (I :;).
$,:(IJ~', /1/1"
"," , i"',":JvrP ,i{fli!/~ / Yll
f;1'6..A~ .,f!',)~:U/k! ,
"~1I1 hr 01 WillI, /u~"t
I
Ncw Cumberland, f;ennsylvnaia
0' .-C..umhl'lrl :l11rl
COUNTY
AND AGENT 0,. THE COMMONWIiiALTH
'.
ESTATE OF
l.ATE or
OAT[ OF FILING APPAJ,.lSEMENT
tr/(-J"f
o....rs Opr DEAHl
October 23, 1979
DATl!:
NO, 0'
VOUCHIi"
NAMa OF P....VEC
R[MARKliI
AlolOUNT
25 00
95 40
8 118
25 00
10 00
90 00
1829 00
93 00
100 00
500 00
5 00
Dr. Robert Closc
Hinistcr
Giant Foods
Re frcshmen ts
Clean and set 'ill'ir,
Gods I']ord Sunday 5"hool
Plants , etc
Barbara Zimmerman
Jesse Stone
Trinity Church
Pledge
Robert E. Hyers, Esn.
H. Ver Hage
Robert E. Hyers, Esq.
Help at funeral
Norsing care in hospital
Fonera1
Legal fees
Notary
Reimbursement for filing
Total
2786
88
Net
$36,823.51
2,7 6.
$34,036.63
Assets -
Deb ts -
Tax at 6%
$2,042.20
COMMONWEALTH OF PENNSYLVANIA
York
COUNTY OF
~lild red C;. \~ln termyer
I,
NV KNOWLEDGE AND SELIEF, THE FOREQOING 18 A J.,V6T AND TRU.J;. .rATEttENT
ljrncC M. ~11000
....OMIHIBTRAT10N SUBMlnED TO THE ESTATE OF .
}..,
HERtl!lY CER11l"Y. THAT. TO THE: PUT OF
OE' DEOT8, FUNERAL EXPENSE8 AND f;l(PF.NSE.5 01'
CEC,"A":). ". DEOUCi'IONIi ,-OR
'WO,,'N A..~D ,u._CRleID 8EP'ORE ~E THIS I
, ..h" ~', I' ....l!L
( , " "-;, ~ 1<' '~)' . ~ {
, . I I "', .( ". " J ~ ,I.;) .'
"'1 " .---..-
-2;'["-("" ,( ~' /.., " (,' ". 'I " ,
..,-, --mMedli. IHnterl'lyer )
DAY 01'
d.. . I
IN~!RITANC[ .,AX PURPOSES.
Notary I'oblic
H',~'(~, ','r.n I ',\GC
~ary Pu~I:,;~ f .Iir"~ " T"'l,. VDr1o: Co.
f.4yCom .;':,: ....... : i(.lv , e, alt'}.
llif.ORII,!A TIO!,!_
To insure proper credit to your account thp niHn(~ 01 :Iw f!slate and fd(~ numb!!f should ho r,leilrly print-
ed on tho check or money order.
This assessment is made in l'Iccordallce with Section 708 of tile lnh(H11anCC .lnd ESlillU Tax Act 01
1961172 P.S, S 2485.7081,
To Ihe extent that inheritance lax is paid wIthin threo (3) month!;) nfter the death 01 the decedent, a
discount of five (51 percent ;s allowed (72 P.S. ~ 2485.716).
Inheritance Tax. other than tax on a futuro interest, IS duc at the dilte of the docedent's doath and becomes
delinquent at the expiration of nine (9) months after the decedent's dellttl 172 P.S. !l 2485.711). Inheritance
Tax on a future interest is payable within three (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. {j 2485.712). Calculale interesl from lhe delinquent dale shown
or, the face of this form to the date of actual paymenl using lhe following Intcr':!st table:
------------------------------- --- ---- --------- - - --_.- --- --.-------- -- -- --- --
1 month ,005 4 months ,020 7 months ,035 10 months ,050
2 months ,010 5 months ,025 8 months 040 11 months ,055
3 months ,015 6 months ,030 9 months ,045 12 months .060
1 days ,00017 11 days 00186 21 days ,00352
2 days ,00034 12 days ,00203 22 days ,00369
3 days ,00051 13 days ,00220 23 days ,00386
4 days ,00088 14 days ,00237 24 days ,00403
5 days .00085 15 days ,00250 25 days ,00420
6 days .00101 16 days ,00267 26 days ,00437
7 days ,00118 17 days ,00284 27 days ,00454
8 days ,00135 18 days ,00301 28 days ,00471
9 days ,00152 19 days ,00318 29 days .00488
10 days ,00169 20 days ,00335 30 days ,00500
-- - -------- ---------- _.- - -- - - -- - - - --- - - --.- - - - --- - -- - - - - - --------- --- --.
Any party in intereSI, including the Comrnon......eil1th and the personal represenlative, not satisfied with
the assessmenl may objecl thereto within sixly (50) days alter receipt of tl1is Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S S 2485-1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mai! to the address listed below:
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JNFORMATION
To insure propllr credit to your uecount, the name of the estate and file number should bo clearly print-
ed on the chock or money order.
This assessment i5 made 111 ilccordance with SectIOn 70B of tho Inheritance and Estate Tax Act of
1961 (72 p, S s 2485.708),
To the oxtent that inheritance tax is paid within three (3) months aftt:lr the death of the decedenr, a
discount (if fille (5!lJercont is allowed (72 P.S. ~ 2485-716).
Inhorit.Jf"\ce Tax, other than tax on a future interest. is due at tile data of the decedent's death and becomes
delinquent at tho expiration of nino (9l months after tho decedent's death (72 P.S. 9 2485-71 1J. Inheritance
Tax on a future interest is payable within three (3) months aher the transfer takes effect in possession and
enjoyment and is delinquent thereaftor (72 P.S. !l 2485-712). Calculate interest from the delinquent date shown
on the face of thiS form to tho date of actual payment using tho following Interest table:
------------ --------~ ---------- --- -------------- - --- - --- ---------- -- - - - ----
1 month ,005 4 months ,020 7 months ,035 10 months ,050
2 months ,010 5 months ,025 B months ,040 11 months ,055
3 months ,015 6 months ,030 9 months ,045 12 months ,060
1 days ,000 17 11 days ,00186 21 days ,00352
2 days ,00034 1/, days ,00203 22 days ,00369
3 days ,00051 13 days ,00220 23 days ,00386
4 days ,00068 14 days ,00237 24 days ,00403
5 days ,00085 15 days ,00250 25 days ,00420
6 days ,00101 16 days ,00267 26 days ,00437
7 days ,00118 17 days ,00284 27 days ,00454
8 days ,00135 18 days ,00301 28 days ,00471
9 days ,00152 19 days ,00318 29 days ,00488
10days ,00169 20 days ,00335 30 days ,00500
- - --- ------ -- -------- --- - -- - - - --- --- - - -- _. -- - --- ---- - - - - --------- -----.
Any party in interest. including the Commonwealth and thl! personal rcprc~entalive, not satisfied with
the assessment may objecl thereto within sixty (60) nays after receipt 01 ttlis Notice as provided by Soction
, 001 of the Inheritance and Estate TilX Act of 1961 {72 r.s. ~; 2485-1001)
Make check or money order payable to:
"Register of Wills, Agent"
rviiJil to the address listed below: