HomeMy WebLinkAbout01-1171
J R STAUFFER
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
CLOSING LETTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
REY-75' EX AFP (12-00>
06-25-2001
SPONSLER
12-04-1999
21 00-0533
CUMBERLAND
202
CHARLOTTE S
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
RE-V=736--EX--AFP--(i2~-OO)-----iEi-Nicificif-oF--DETifRMlifATIClN-AN-D-ASfsEsSfMENT-----------------------------
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER ..
ESTATE OF SPONSLER
CHARLOTTE S FILE NO.21 00-0533
ESTATE TAX DETERMINATION
ACN 202
DATE 06-25-2001
1. Credit For State Death Taxes as Verified
.00
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
.00
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
.00
4. Total Inheritance Tax Assessed
.00
5. Pennsylvania Estate Tax Due
.00
6. Amount of Pennsylvania Estate Tax Previously Assessed
Based on Federal Estate Tax Return
.00
7. Additional Pennsylvania Estate Tax Due
.00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
*IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
PURPOSE OF
NOTICE:
PAYMENT:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion
reverse side.
-- Make check or money
of this Notice and submit with your payment to the Register of Wills printed on the
order payable to:
REGISTER OF KILLS, AGENT.
REFUND (CR): A refund of a tax credit may be requested by completing an "Application for Refund of Pennsylvania
Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills,
any of the 23 Revenue District Offices or from the Department.s 24-hour answering service for forms ordering:
1-800-362-2050; services for taxpayers with special hearing and/or speaking needs: 1-800-447-3020 (TT only).
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
PENALTY:
INTEREST:
Any party in interest not satisfied with the assessment of tax as shown on this notice may object within
sixty (60) days of receipt of this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--electing to have the matter determined at audit of the personal representative, OR
--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, Dept. 280601, Harrisburg, PA 17128-0601,
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-150l) for an explanation of administratively correctable errors.
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.
Additional Pennsylvania Estate Tax assessed as a result of a change on the Federal Estate Tax closing
letter becomes delinquent at the expiration of one (1) month from the date the final notice of the increase
in Federal Estate Tax is received.
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 or 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. The applicable interest rates for 1982 through 2001 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor
1982 20% .000548 1992 97- .000247
1983 167- .000438 1993-1994 7% .000192
1984 11% .000301 1995-1998 9% .000247
1985 13% .000356 1999 77- .000192
1986 10% .000274 2000 87- .000219
1987 9% .000247 2001 9% .000247
1988-1991 11% .000301
--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.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z8060l
HARRISBURG, PA l71Z8-060l
I
*'
\~-d1- !O
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
C:/
FILE
ACN
DATE
NO" 21 - 0 \ - b h., \
01155532
11-21-2001
REY-1545 EX AFP lO9-001
"01 Ole 26
, ,,~tST. OF THEODORE B HAZZARD
,'l,I!;;'S. S. NO. 569-16-5992
DATE OF DEATH 10-04-2001
P 3 ~~NTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[XJ CHECKING
o TRUST
o CERTIF .
RecorcG
RefJi'stc~'
AVE ClBrk
PA 17043 Clltnbeii~c
~ ,
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REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
:IOE
PATRICI
APT 2
1104 COLUMBUS
LEMOYNE
A MARTZ
j<, PA
ALL FIRST FINANCIAL SERVICES has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
ut jj:tlnnsyivClllict.. .,.LJes,-.i.Lllls lIIay be t1111;:;,,,,,e,.eu U3 ea.i....':'..y \:'(17) 7u7-D~~7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0950266347 Date 11-03-2000
Established
Account Balance
Percent Taxable
Anount Subject to
Tax Rate
Potential Tax Due
x
3.745.90
100.00
3.745.90
.15
561.89
TAXPAYER RESPONSE
To insure proper credit to your account, two
(Zl copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(3) months of the decedent.s date of death,
you may deduct a 570 discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assesSllent will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
[] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART.5 '/ t hil..>.A~ UY--<~
[!l
DATE PAID
OF TAX ON JOINT/TRUST ACCOUNTS
1 ;/_OCl
2 .31'fs.7u
3 X , ......., . ~
4 ." 7 '1..5-,,/ 6
5 -/7/1.'/"}
6 ~-;J., tD-8 "'-f I
7 X /5~
8 B (1 .-1.;;" ~
~ .>.{q ;::S1)EBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate. please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Anount Subject to Tax
5. Debts and Deductions
6. Anount Taxable
7. Tax Rate
8. Tax Due
PAYEE DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax ConputationJ
$
j 7 17 .<f I
Under penalties of perjury. I declare that the facts I
conplete to the best of ny knowledge and belief.
have reported above are true. correct
HOME (717) 7&1/~S-.:?w
WORK ( )
TELEPH NE NUMBER
and
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the decedent's date of death.
3. A joint account is taxable even though the decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to
death are fully taxable as transfers.
5. Accounts established jointlY between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a decedent "in trust for" another or others are taxable fully.
REPORTING INSTRUCTIONS - PART
1
- TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "K"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of
tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment
(Form REV-1548 EK) upon receipt of the return from the Register of Wills.
Z. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the decedent's representative, place an "K" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one
COpy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept Z8060l, Herrisburg, PA l7lZ8-060l in the
envelope provided.
3. BLOCK C - If the notice information is incorrect andlor deductions are being claimed, check block "C" and complete Parts Z and 3
according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register
of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EK) upon receipt
of the return from the Register of Wills.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1. Enter
NOTE:
the date the account originally was established or titled in the manner existing at date of death.
For a decedent dying after lZ/lZ/8Z: Accounts which the decedent put in joint names within one (1) year of death are
taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of
the account or the number of accounts held.
If a double asterisk (MM) appears before your first name in the address portion of this notice, the $3,000 exclusion
already has been deducted from the account balance as reported by the financial institution.
Z. Enter the total balance of the account including interest accrued to the date of death.
3. The percent of the account that is taxable for each survivor is determined as follows:
A. The percent taxable for joint assets established more than one year prior to the decedent's death:
DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF K 100 PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Example: A joint asset registered in the name of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) = .167 K 100
16.7% (TAKABLE FOR EACH SURVIVOR)
B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by
the decedent.
1 DIVIDED BY Z (SURVIVORS) = .50 X 100 50% (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (line 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4).
7. Enter the appropriate tax rate (line 7) as determined below.
I)-to of Oea"'''
<::po..ee
I oneal
<<:......1.;n"
ro'ls.....ral
MThe tax rate Imposed on the net value of transfers from a deceesed ChIld twenty-one years of age or younger at
death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0%.
The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children
whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants
and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
co .- ... - -- -- -..- -. ~ - ~ -
07/01/94 to 12/31/94 3X 6X 15X 15X
01/01/95 to 06/30/00 OX 6X 15X 15X
07/01/00 to present OX 4.5X. 12X 15X
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined as follows:
A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient
to pay the deductible items.
B. You actually paid the debts after death of the decedent and can furnish proof of payment.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 l/Z" x 11". Proof of
payment may be requested by the PA Department of Revenue.
~
CERTIFCATION OF NOTICE UNDER RULE 5.6(A)
Name of Decedent: THEODORE B HAZZARD
Date of Death: OCTOBER 4,2001
Will No.: 21 - 01 - 01171
Admin No.:
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5 .6( a) of the Orphans' Court Rules
was served on or mailed to the following beneficiaries of the above-captioned estate on
Name
Address
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C/*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z8D6Dl
HARRISBURG, PA 171Z8-D6Dl
NOTICE OF INHERITANCE TAX
APPRAISENENTL ALLOMANCE OR DISALLOMANCE
OF DEDUCTION~. AND ASSESSNENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1541 EX AFP 112-001
Rf3C'._~
.02 FED 13 i\10:4 7
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
02-11-2002
HAZZARD
10-04-2001
21 01-1171
CUMBERLAND
569-16-5992
01155532
Allount Rellitted
THEODORE
B
PATRICI
APT 2
1104 COLUMBUS
LEMOYNE
A MARTZ
AVE
PA 1 'Ms1415lJL
C;-::'{j
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv:i5~8-E)f-iFFi-(i1f:oO)------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-11-2002
ESTATE OF HAZZARD
THEODORE B DATE OF DEATH 10-04-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1171
TAX RETURN WAS:
S.S/D.C. NO. 569-16-5992
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01155532
FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICES
ACCOUNT NO.
0950266347
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 11-03-2000
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
3.745.90
1. 000
3.745.90
1.717 .49
2.028.41
.15
304.26
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-19-2001 CDOO0687 15.21 289.05
TOTAL TAX CREDIT 304.26
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1. NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" ( CR). YOU KlY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS. )
PURPOSE OF
NOTICE:
PAVMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENAL TV:
INTEREST:
TD fulfill the require.ents Df SectiDn Zl40 Df the Inheritance and Estate Tax Act, Act Z3 Df ZOOO. (7Z P.S.
SectiDn 9140),
Detach the tDP pDrtiDn Df this NDtice and sub.it with YDUr pay.ent tD the Register Df Wills printed Dn the
reverse side.
-- Make check Dr BDney Drder payable tD: REGISTER OF WILLS, AGENT.
A refund Df a tax credit, which was nDt requested Dn the tax return, .ay be requested by cD.pleting an "ApplicatiDn
fDr Refund Df Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office Df
the Register Df Wills, any Df the Z3 Revenue District Offices Dr by calling the special Z4-hDur answering service
fDr fDr.s Drdering: 1-8oo-36Z-Zo5oi services fDr taxpayers with special hearing and Dr speaking needs:
1-800-447-30ZO (TT Dnly).
Any party in interest nDt satisfied with the appraise.ent, allDwance, Dr disallDwance Df deductiDns Dr assess.ent
Df tax (including discDunt Dr interest) as shDwn Dn this NDtice aay Dbject within sixty (60) days Df receipt Df
this NDtice by:
--written prDtest tD the PA Depart.ent Df Revenue, BDard Df Appeals, Dept. Z810Z1, HarriSburg, PA 171Z8-10Z1, OR
--electing tD have the .atter deter.ined at the audit Df the accDunt Df the persDnal representative, OR
--appeal tD the Orphans. CDurt
Factual errDrs discDvered Dn this assess.ent shDUld be addressed in writing tD: PA Departaent Df Revenue,
Bureau Df Individual Taxes, ATTN: PDst Assess.ent Review Unit, DEPT. Z80601, Harrisburg, PA 171Z8-0601
PhDne (717) 787-6505. See page 5 Df the bDDklet "InstructiDns for Inheritance Tax Return fDr a Resident
Decedent" (REV-1501) fDr an explanatiDn Df adBinistratively cDrrectable errDrs.
If any tax due is paid within three (3) calendar aDnths after the decedent.s death, a five percent (57-)
discDunt Df the tax paid is allDwed.
The 157- tax aBnesty nDn-participatiDn penalty is cD.puted Dn the tDtal Df the tax and interest assessed, and nDt
paid before January 18, 1996, the first day after the ~nd Df the tax aanesty periDd. This nDn-participatiDn
penalty is appealable in the sa.e .anner and in the the sa.e tiae periDd as YDU wDuld appeal the tax and interest
that has been assessed as indicated Dn this nDtice.
Interest is charged beginning with first day Df delinquency, Dr nine (9) .Dnths and Dne (1) day
frD. the date Df death, tD the date Df pay.ent. Taxes which beca.e delinquent befDre January 1, 198Z
bear interest at the rate Df six (67-) percent per annUB calculated at a daily rate Df .000164.
All taxes which beca.e delinquent Dn Dr after January 1, 198Z will bear interest at a rate which will vary frD.
calendar year tD calendar year with that rate annDunced by the PA DepartBent Df Revenue. The applicable
interest rates fDr 198Z thrDugh ZOOZ are:
Vear Interest Rate Daily Interest FactDr Vear Interest Rate Daily Interest FactDr
198Z Z07- .000548 199Z 97- .000Z47
1983 167- .000438 1993-1994 77- .00019Z
1984 117- .000301 1995-1998 97- .000Z47
1985 137- .000356 1999 77- .00019Z
1986 107- .000Z74 ZOOO 87- .000Z19
1987 97- .000Z47 Zool 97- .000Z47
1988-1991 117- .000301 ZOOZ 67- .000164
--Interest is calculated as fDIIDws:
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NDtice issued after the tax becD.es delinquent will reflect an interest calculatiDn tD fifteen (15) days
beYDnd the date Df the assess.ent. If pay.ent is .ade after the interest cD.putatiDn date shDwn Dn the
NDtice, additiDnal interest .ust be calculated.