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DATE:
SUBJECT:
TO:
FROM:
COMMONWEALTH OF PENNSYLVANIA
DOCKETING NONRESIDENT DECEDENT
FILE INFORMATION
~S \:'\'Y\~ ~-r'(\'Zlr
<::"'~b~{\()'''I\d COUNTY REGISTER OF WILLS
John Riedman
Specialty TaxlNonresident Unit
Inheritance Tax Division
Bureau of Individual Taxes
Department ofRevcnue
Attached is nonresident decedent file information concerning taxable property located in
your county.
Please docket and file the attached information so it may be available for future
reference.
Thank you.
Attachment
ig
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10-22-2007
KELLER
03-06-2005
99 07-0530
NON-RESIDENT tL
101
APPEAL DATE: 12-21-2007
( See reverse side under Objections)
Amount Remitted I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
PA DEPARTMENT OF REVENUE
P.O. BOX 280601
HARRISBURG, PA 17128-0601
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
------------------------------------------------------------------------------------------
REV-537 EX AFP (03-05) NOTICE OF NONRESIDENT INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ROBERT L FILE NO. 99 07-0530 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL Tfu:S,<..-
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF NONRESIDENT INHERITANCE
TAX APPRAISEMENT, ALLOWANCE OR
. DISALLOWANCE OF DEDUCTIONS,
AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
,--'- (~~'3 \ t :
1
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SUSAN H CONPA'tR
2331 MARKET ST
CAMP HILL
PA 17011
ESTATE OF
KELLER
DATE 10-22-2007
TAX COMPUTATION METHOD ELECTED: (X) FLAT RATE () PROPORTIONATE
TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2.
3.
4.
5.
6.
7.
8.
0)
(2)
(3)
(4)
(5)
(6)
(7)
172,000.00
.00
.00
.00
.00
.00
.00
Stocks and Bonds (Schedule B)
Closely Held Stock/Partnership Interest (Schedule C)
Mortgages/Notes Receivable (Schedule D)
Cash/Bank Deposits/Misc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F)
Transfers (Schedule G)
Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(0)
.00
2,637.44
QI-.
REV-537 EX AFP (06-05)
ROBERT
L
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
(8)
172,000.00
(1)
(2)
(3)
(4)
2,637.44
169,362.56
.00
169,362.56
NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate OS) .00 X DO .00
16. Amount of Line 14 taxable at Lineal/Class A rate (6) 169,362.56 X 045 7,621.32
17. Amount of Line 14 at Sibling rate (7) .00 X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate (8) .00 X 15 .00
19. Principal Tax Due (9) 7,621.32
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-07-2007 CD008262 816.56- 8,437.88
BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-08-2007 TOTAL TAX CREDIT 7,621.32
BALANCE OF TAX DUE .00
INTEREST AND PEN. 7.36
TOTAL DUE 7.36
* IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
\J
RESERVATION: Estates of decedents dying on or before DeceMber 12, 1982 -- If any future interest in the estate is
transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate
for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE.
OBJECTIONS:
ADMIN-
ISTRATIVE
CoRRECTI oNS :
DISCOUNT:
REFUND (CR).
PENALTY:
INTEREST:
TO REM IT
PAYMENT:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You May object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for
an e~ec~ronlC protest to De valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to: PA Department of Revenue, Board of Appeals,
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post AsseSSMent Review Unit, P.O. Box 280601, Harrisburg,PA 17128-0601
Phone (717) 787-6505. See page 4 of the booklet "Instructions for Inheritance Tax Return for a Nonresident
Decedent" (REV-1736) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) months after the decedent's death, a discount of five percent (5%) of
the tax paid is allowed.
A refund of a tax credit, which was not requested on the Tax Return, may be requested by COMPleting an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313)' Applications are available
online at www.revenue.state.Da.us. any Register of Wills or Revenue District Office, or fro. the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency or nine (9) months and one (1) day from the date of
death to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. Rates for years 1982 through 1999 can be found in the Pennsylvania
Resident Instruction Booklet, (REV-1501), the Pennsylvania Non-resident Instruction 800klet (REV-1736) or on the
Pennsylvania Dept. of Revenue web site www.revenue.state.pa.us. The applicable interest rates for years 2000 through
2007 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 8% .000219 2001 9% .000247 2002 6% .000164
2003 5% .000137 2004 4% .000110 2005 5% .000137
2006 7% .000192 2007 8% .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
Detach the top portion of this Notice and submit with your payment to PA Department of Revenue, at the address
shown on the reverse side.
-Make check or money order payable to: PA DEPARTMENT OF REVENUE
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the appropriate
county, or the issuance of an Orphan's Court citation.
REV'1~37-2 EX + ~9-O(I.
'-. COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
NONRESIDENT DECEDENT
ESTATE OF
SCHEDULE A, PART 1
REAL ESTATE
IN PENNSYLVANIA
FILE NUMBER
Keller Robert Luther 21-070342
part' mus1 include aft raaI ~ """"" by tha _ant indMduaUy OJ as a tanantln commoo with anolha' party(Iaa}. ha~ng 'Is
situs in Pennsylvania. Property which is jointty-owned with right of survivorship shoUld be disclosed on Schedule F. All real estate
mus1 be _rtad at lair...... valua "",ell ,. daftnad as tha price at ""ich pr-'Y wcuId be ~ - a wUlIn9 buya' and
a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER DESCRIPTION VALUE AT DATE Of DEATH
1. 513 W. Lisbum Road, Mechanicsburg, Pennsylvania 17055. Upper Allen Township 172,000.00
,
."
PART 1 TOTAL
S 172 000.00
PART 2 TOTAL
proportionate Method OnlY from reverse side S
TOTAL (Also enter on line 1. RecaDitulation) S 172 000.00
(If more s ace is
p needed, Insert additional sheets of the same SIZe)
COMMONWEALTH OF PENNSYLVANIA
DEPA~TMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
--..INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REAGER & ADLER PC
ESCROW ACCOUNT
2331 MARKET STREET
CAMP HILL, PA 17011
.--.---- fold
ESTATE INFORMATION:
205-16-7362
SSN:
FILE NUMBER:
...2-1 ()7 0342... <=1Q-Ol- aS3 0
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE: 06/07/2007
COUNTY: ..- CUMOERU\ND
DATE OF DEATH: 03/06/2005
NO. CD 008262
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $8,437.88
I
I
'1IUg!, I
I
I
I
I
I
TOTAL AMOUNT PAID:
$8,437.88
REMARKS: REAGER & ADLER
CHECK# 6436
INITIALS: WZ
SEAL
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
, U I .~ ., ,. .
. .J JI is,. i:J V~i iJ' ")
DEPARTMENT OF REV'ENUE . ~ j