HomeMy WebLinkAbout03-05-09 COMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES '~" '^~{~OTICF~-. O,F,.INHERITANCE TAX
~
INHERITANCE TAX DIVISION A'Y~P.RAi ENEN[,aLLOWANCE OR DISALLOWANCE
_
PD BDX 280601 ~'. 'O:F ~~DUCTI pNSr AND ASSESSMENT OF TAX ON
~
HARRISBURG PA 1]128-0601 ''°' " ~' UbINTLY- HELD OR TRUST ASSETS REV-1548 IX AFP col-09)
2QD9 MAR -S AM 10~ 44 ESTATE OF BLACK 2009 DE80RAH A
DATE DF DEATH 09-14-2008
FILE NUMBER 21 09-0086
CLERK CF
COUNTY CUMBERLAND
~RPH~~i~J COURT SSN/DC 163-44-0418
BETTY M SIPE (~`(~(~qa^' ;~, n~
PA ACN 08160342
16 W MAIN ST .
~ ~~ AppEAL DATE: 05-01-2009
NEWBURG PA 17240 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP (01-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-02-2009
ESTATE OF BLACK DEBORAH A DATE OF DEATH 09-14-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0086 S.S/D.C. N0. 163-44-0418 ACN 08160342
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 450181
TYPE OF ACCOUNT: 4OSAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 12-D 1-2000
Account Balance 564.00 NOTE: TO INSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Am oilnt Subject #o Tax 282.00 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 282.00 REGISTER OF WILLS AT THE
Tax Rate X .45 ABOVE ADDRESS. MAKE CHECK
Tax Due 12.69 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BV 06-15-2009. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 12.69
INTEREST AND PEN. .00
TOTAL DUE 12.69
~ IF PAID AFTE R THIS DATE, SEE REVERSE FOR CALCULATION OF ADDIT IONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REpUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUC TIONS. )
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2148 of the Inheritance antl Estate Tax Ack, Act 23 of 2880. (]2 P.S.
Section 9148).
PAYMENT: Detach the top portion of this Notice and submit with your pavm ant tp the Register of Wills printed qn the
reverse side.
-- Make check or money ortlar payable to: REGISTER OF WILLS. AGENT.
Failure to pay the tax, interest, antl penalty due may result in the filing of a lien of record in the
appropriate county. or the issuance of an Drph en's Court citation.
REFUND (CR): A refund of a tax cretlit, which was net requested on the Tax Return, may be requested by compleki n9 an
"Application For Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available
online at w venue state pa.us, env Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms ortlers: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking neetls: 1-800-447-3020 (TT only).
OBJECTIONS: Anv party in interest not satisfied with the appraisement, allowance or tlisallowance of detluctions or assessment of tax
(including discount or interest] as shown on this Notice may ob9 ect within 68 tlavs of the tlate of receipt of this notice
by filing one of the fallowing:
A] Protest to the PA Oepa rtment of Revenue. Board of Appeals. Yqu may obi ect by filing a protest online at
www.boardof appeal s.state.pa.us on qr before the expiration of The sixty-day appeal Deriod. In ortler far
an electronic protest to be valitl, you must receive a conf irmakion number antl vrocessed tlake from the
Board of Appeals wabsite. You may also send a written protest to: PA Departmenk of Revenue, Board of Appeals,
P.0. Box 281021, Harrisburg, PA 17128-1021. Petitions may nok ba fax etl.
B) Election to have the matter tleterm inetl at the audit of the account of the personal representative.
ADMIN- C) Appeal to the Orphans' Court.
I STRATIVE
CORRECTIONS: Factual errors discoveretl on this assessment shoultl be atltlressed in writing to: PA Oep arimenk of Revenue,
Bureau of Indivitlual Tazes, ATTN: Post Assessment Review Unik, P.D. Box 288601, Harrisburg, PA 17128-8681
Phone (71]) ]87-6505. See page 4 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501J for an ex0lanaki on of admini st ratively correctable errors.
DISCOUNT: If env taz tlue is paitl within three (3] calendar months after the tlecedent's death, a five percent (5%)
discount of the tax paid is allowed.
PENALTY: The 15% taz amnesty non-parti cipaki on penalkv is computed an the total of the Sax and interest assassetl, and not
paid before January 18, 1996, the first tlav after the entl of the tax amnesty period. This non-participation
penalty is appealable in The same manner antl in the the sane Llme periotl as You wpultl appeal the tax ono tntare st
that has been assessed as intlicaketl on this notice.
INTEREST: Interest is charged beginning with first day of tlelinquency, or nine (9) months and one C1) tlay
f ron the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rake of six (6%) percent per annum calculated aY a daily rate of .000164.
All taxes which became tlalinquent on or after Januaro 1. 1982 will bear interest at a rate which will vary from
calentlar Year to calentlar year with Yhat rata announced by the PA Department of Revenue. Rates for years 1982
Through 1999 can be fountl in the Pennsylvania Resident Instruction Booklet, (REV-1501), The Pennsylvania Non-
resident Instruction Booklet (REV-1]36) or on The Pennsylvania Dept. of Revenue web site www. revenue. state.pa.us.
The applicable interest rates for 2000 through 2009 are:
Interest Daily Intaresk Daily Interest Daily
Year Rate Fackor Year Rate Fackor Year Rate Factor
2000 B% .000219 2001 9Y. .00024] 2002 6% .000164
2003 5% .00013] 2004 4% .000110 2005 5Y. .080137
2006 ]% .000192 2007 0% .000219 2008 ]% .000192
2009 5Y. .000137
--Interest is calculatetl as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv Noki ce issued after the tax bacom es tlalinquent will reflect an interest calculation tq Fifteen (15) tlavs
b ey ontl the tlate of the assessment. If pavm ent is made after the interest computation tlate shown on the
Notice, additional interest must be calculatetl.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~.. .. - _
~ ~.MOT~L FC Ok }I KHE RI TANCE TAX
INHERITANCE TAX DIVISION APPRA'I~S'EMENT, A4LO4JANCE OR DISALLOWANCE
PO BOX 280681 OF ~DETxIC'T I~0 N5, WAND. ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06 81 JOINTLY HELD OR TRUST ASSETS REV-1548 IX AFP (B1-09)
2004 MAR -5 AM 10~ ~~ATE 03-02-2009
STATE OF BLACK DEBORAH A
DATE OF DEATH 09-14-2008
CLERK CF FILE NUMBER 21 09-0086
QRP~-I~~~'S C~~~ COUNTY CUMBERLAND
BETTY M SLPE °C.": ~~7; J;r,,In r. A SSN/DC 163-44-0418
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ACN 08160343
16 W MAIN ST APPEAL DATE: 05-OL-2009
,NEWBURG PA 17240 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1548 EX AFP (01-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-02-2009
ESTATE OF BLACK DEBORAH A DATE OF DEATH 09-14-2008 COUNTY CUMBERLAND
FILE N0. 21 09-0086 S.S/D.C. N0. 163-44-0418 ACN 08160343
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT N0. 531413
TYPE OF ACCOUNT: ( )SAVINGS 6O CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED LO-O1-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
2,611.76
~ 0.500
1.305.88
.00
1,305.88
X .45
58.76
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 T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
GATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 06-15-2009. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 58.76
INTEREST AND PEN. .00
TOTAL DUE 58.76
~ IF PAID AFTE R TH IS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
( IF TOTAL DUE IS LESS THAN bl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAV BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2140 of khe Inheritance antl Esf ate Tax Act, Act 23 of 2000. (]2 P.S.
Section 9140).
PAYMENT: Detach the top portion of this Notice antl submit with your payment to the Register of Wills printetl on the
reverse side.
-- Make check or money order pav able ta: REGISTER OF N'D.LS,AGENT.
Failure to pav the tax, interest, and penalty tlue may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citakion.
REFUND (CR): A refund of a tax cretlit, which was not requested on The Tax Return, may be requested b1 completing an
"Applicakion for Refund of Pennsvly ania Inheritance and Eskate Tax" (REV-1333). Applications are available
online at www.revenue.state.pa.us, any Register of Wills or Revenue District Office, or from the Department's
24-hour answa ring service for forns orders: 1-800-362-2050; services far taxpayers wish special hearing antl/or
speaking neetls: 1-800-447-3820 (TT gnly ).
OBJECTIONS: Anv party in inke rest not satisfied with the appraisenent, allow ante or tlisallowance of deducki ons or assessm enY of taz
(incl utling discount or interest) as shown on this Notice may ob]ect within 60 days of the tlate of receipt of this notice
by filing one of the following:
A) Protesk to the PA Oepa rtment of Revenue, Board of Apveals. Vou may obJ ect by filing a protest online ak
www.boartlaf appeal s.stake.pa.us on or before the ex vi ration of the sixty-tlav appeal verivd. In ortler far
an electronic protest Yo be valitl, you oust receive a conf irmakion number and processed date from the
Boartl of Appeals website. You may also send a written protest ko: PA Department of Revenue, Board of Appeals.
P.U. Box 281021. Harrisburg, PA 17120-1021. Petitions may not be faxed.
B) El ecki on to have khe matter tlete rmined at the autlit of the account of the personal rev resent ativ e.
ADMIN- C) Appeal to the Drphan s' Court.
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be add ressetl in writing to: PA Department of Revenue,
Bureau of Indivitlual tax es, ATTN: Post Assessment Review Unit, P.D. Bpx 200601, Harrisburg, PA 17120-0601
Phone O1]) ]87-6505. Bee page 4 of the booklet "Instructions for Inheritance Tax Return far a Resitlent
Decadent" (REV-1581) for an explanation of administ ratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%)
tli scount of the tax paitl is allowed.
PENALTY: The 15% tax amn esky non-parti civation penalty is computetl on the total of the tax and interest assessed, antl not
paid before January 18, 1996, the first day after the entl of the tax amnesty period. This non-D arti cipatipn
venally is avvealable in the sane manner and in the the same time perigtl as you woultl appeal She tax antl interest
that has been assessed as intlicatetl on this notice.
INTEREST: Interest is cha rgetl beginning with first tlav of tlelinquency, or nine (9) months antl one (ll tlay
from the date of tleat hr to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6%) percent per annum calculatetl at a daily rate pf .000164.
All taz es which became tleli nquent on or after January 1. 1982 will bear interest at a rate which will vary from
cal entlar year to calendar year with that rate announcetl by the PA Oepa Mment of Revenue. Rakes For Years 1982
through 1999 can be found in the Penn svly ania Resitlent Instruction Booklet, (REV-1501), the Pennsylvania Non-
resident Instruction Booklet (REV-1736) or an the Pennsylvania Dept. of Revenue web site www. revenue. slat e.pa.us.
The applicable interest rates for 2000 through 2009 are.
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Vear Rate Factor
2000 B% .000219 2001 9% .00024] 2002 6% .000164
2003 5Y. .000137 2004 4Y. .000110 2005 5% .000137
2006 7Y. .000192 200] 8% .000219 2000 ]% .000192
2009 5Y. .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv Notice issued of ker the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
b ev and the tlate of khe assessm enY. If pavm ent is matle after the interest computation date shown on the
Notice, additional interest must be calculatetl.
COMMONWEALTH OF PENNSYLVANIA
DEPAgTMENT OF REVENUE REV-1162 EX~I 1-861
BUREAU OF INDI VIDUAI TAXEB
DEPT. 200601
HARRISBURG. PA t ]128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 010822
SIPE BETTY M DUPLICATE
16 WEST MAIN STREET
P O BOX 75
NEWBURG, PA 17240
ACN
ASSESSMENT AMOUNT
CONTROL
_----_ olo NUMBER
ESTATE INFORMATION: ssrv: tss-aa-Oats
FILE NUMBER: 2109-0086
DECEDENT NAME: BLACK DEBORAH A
DATE OF PAYMENT: 01/27/2009
POSTMARK DATE: 01/16/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 09/14/2008
REMARKS:
CHECK# 6923
SEAL
08160342 ~ S 12.69
TOTAL AMOUNT PAID:
INITIALS: AJW
RECEIVED BY:
S 12.69
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
COMMONWEALTH OF PENNBVWANIq
DEPARTMENT OF gEVENUE
BUREAU OF INDIVIDUAL TgXES
DEPT. 280601
HARRISBURG, PA 1 ] 128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 010823
SIPE BETTY M
16 WEST MAIN STREET
P O BOX 75
NEWBURG, PA 17240
~oia
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 163-44-0418
2109-0086
BLACK DEBORAH A
01/27/2009
01 /16/2009
CUMBERLAND
09/14/2008
REMARKS:
CHECK# 6922
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
REV-7162 EX~11-96~
558.76
TOTAL AMOUNT PAID:
INITIALS: JN
RECEIVED BY:
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
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