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HomeMy WebLinkAbout03-0556COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN ~,,ENUMeER RESIDENT DECEDENT 2 1 COUNTY CODE YEAR NUMBER I DECEDENT'S NAME (LAST, FIRST, AND MIDDLEINITIAL) SOCIAL SECURITY NUMBER I · i Magm, Rite J. 171 - 16-0854 ~ DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE uJ ,,o, 10/13/2002 01/09/1921 REGISTER OF WILLS IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Magni, Vincent [] 1. Original Return [] 2. Supplemental Return [] 3. Remainder Return (date ordeath pdor to 12-13-82) [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12~82) [] 5. Federal Estate Tax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Boxes of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of deati3 between [] 11. Election to tax under Sec. 9113(A) (Attach Sch O) · 12-31-91 and 1-1-95) TH~C~(~N MUST BE ¢OMP~ETED~ AEE CORRESPONDENCE AND coNFiDENT AL TAX INFORMAT ON sHOULD ag DIREC:I'ED TO: - ,lAME COMPLETE MAILING ADDRESS , ,- Richard E. Connell, Esq. i FIRM NAME (If applicable) Ball, Murren & Connell 2303 Market Street TELEPHONE NUMBER Camp Hill, PA 17011 717/232-8731 O 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) None None None None 9,975.00 None -0- 12,955.60 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) (14) 16.Amount of Line 14 taxable at lineal rate x .045 (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 20. [] : STIONS ON REVER~ Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) (8) ~ 9,975.00 (11) 12,955.60 (12) insolvent (13) x .00 (15) Decedent's Complete Address: JSTREETADDRESS 405 Gale Street CIT~ Mechanicsburg iSTATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT (2) 0.00 0.00 0.00 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .................................................................................. [] [] b. retain the right to designate who shall use the property transferred or its income ............................. ~-~ ~1 c. retain a reversionary interest; or .......................................................................... d. receive the promise for fe of either payments, benefts or care? ............ i. ' ........ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?...: ................................................................................................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has an)' know!edge SIGNATU.~5 OF PEI~'~ RESPONSIBLE FOR FILING RETURN ADDRESS Vi~ej~it~i ~Magni ~ ~ [J ~ ~ 405 Gale Street ~ru~ ~O~ O~ Mechanicsburg, PA 17055 S GNATU~ OF ~R~N ~S~B~ F~ ~l~ RETURN ~ ADDRESS DATE DATE SIGNATURE OF ir OTHER THAN REPRE~ ADDRESS DATE Richar 2303 Market Street Camp Hill, PA 17011 ~:~/~ 7//~ 3 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. {}9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. /he statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, ora stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Magni, Rita J. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Include the proceeds of litigat on and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorsh,p must be disclosed on schedule F. ITEM NUMBER DESCRIPTION Personal Effects Paintings done by decedent. Fair market value TOTAL (Also enter on Line 5, Recapitulation) iVALUE AT DATE OF DEATH 500.00 9,475.00 9,975.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Magni, Rita J. FILE NUMBER ITEM NUMBER This schedule must be completed and filed if the answer to any of questions 1 throuqh 4 on page 2 i~' es DESCRIPTION OF PROPERTY J Include the name of the transferee, their relationship to decedent and the date of transfer. EXCLUSION Attach a copy of the deed for real estate. I (IF APPLICABLE) Non-probate property Vincent Magni, husband 405 Gale Street Mechanicsburg, PA 17055 140,000.00 DATE OF DEATH % OF VALUE OFASSET/ DECD'S / INTEREST Bank Accounts PNC Acct. No. 5070034647 7,898.24 PNC Money Market Acct. No. 5030121703 173,000.00 0.0t 0.0( 0.00 TAXABLE VALUE TOTAL (Also enter on line 7, Recapitulation)  SCHEEXJLE H RESIDENT DECEDENT ~. mm m Magni, Rita J. FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: 1 Malpezzi Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Add ress City State Zip Year(s) Commission paid Attorney's Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Vincent Magni Street Address 405 Gale Street City Mechanicsburg Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs State PA Zip 17055 Husband AMOUNT 9,455.60 3,500.00 TOTAL (Also enter on line 9, Recapitulation) 12,955.60 LAST WILL AND TESTAMENT OF RITA J. MAGNI KNOW ALL MEN BY THIS PRESENTS, that I, RITA J. MAGNI, presently residing at 405 Gale Street, Mechanicsburg, Cumberland County, Pennsylvania, being in good health and of sound and disposing memory, do hereby make, declare, and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me at any time. PAYMENT OF EXPENSES I. Payment of Expenses: I direct that my Executor, hereinafter named, shall have the power, but not the duty, to pay all my just debts, expenses of my last illness and funeral expenses, from my estate as soon after my decease as shall be found convenient. GIFTS II. Personal and Household Effects: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon, to my husband, VINCENT MAGNI, if he survives me by thirty (30) days. Should my husband predecease me or not be living on the thirty-first day after my death, I bequeath such tangible personalty and insurance thereon to my son, REGIS F. MAGNI. I direct that the expense of packing, shipping, insuring and delivering any such property to a beneficiary entitled thereto shall be paid by my Executor as an administrative expense of my Estate. III. Residuary Estate. I give to my husband, VINCENT MAGNI, if he survives me by thirty (30) 'days all the rest, residue and remainder of my property of whatever type and wherever situated. If my husband, VINCENT MAGNI, should predecease me or not be living on the thirty-first day after my death, I give the rest, residue and remainder of my estate, whether real or personal, mixed or wherever situated to my son, Regis, or if he has predeceased me or dies before the thirty-first day after my death, then to his living descendants, per stirpes. ~ of~~ IV. Power of Appointment. No provision this Will shall exercise any power of appointment I may have. V. Adopted Persons: For the purposes of this Will, adopted persons shall be considered children of their adopted parents, and they and their descendants shall be considered descendants of their adopted parents, regardless of the date of the adoption. FIDUCIARIES VI. Executor: I hereby nominate, constitute and appoint my husband, VINCENT MAGNI, as Executor of this, my Last Will and Testament. In the event that my said husband shall predecease me, or be unwilling or unable to act as Executor, then I nominate, constitute and appoint my son, REGIS F. MAGNI, as alternate Executor. VII. Resignation. Any individual Executor may resign at any time without court approval. VIII. Bond: No Executor shall be required to give bond. ADMINISTRATIVE PROVISIONS IX. Beneficiaries Under 21 or Disabled: If any beneficiary hereunder becomes entitled to an outright distribution of income or principal and is under the age of 21 years or in the Executor's opinion, disabled by illness or other cause and unable to properly manage the funds: A. Payments: As much of such income or principal as the Executor may from time to time think desirable for that beneficiary either shall be paid to him or shall be applied for his or her benefit; and B. Balance: The balance of such income and principal -- and the net income from those funds -- shall be kept invested and managed as a separate Trust for that beneficiary, with the Trust funds paid to or for the beneficiary in accordance with the provisions of the preceding paragraph. When the beneficiary reaches the age of 21 or, in the Executor's opinion, becomes free of disability, as the case may be, the balance shall be paid to the beneficiary. If he dies before that time, the balance shall be paid to his personal representative. Any funds to be applied under this article either shall be applied directly by the Executor or shall be paid to a parent or guardian of the beneficiary or to any person or organization taking care of the beneficiary. Funds applied for minors may also include distribution to a custodian selected and appointed - 2 - by my Executor undez the Uniform Gifts or Trans,=rs to Minors Act of any state. The Executor shall have no further responsibility for any funds so paid or applied. X. Protective Provisions: To the extent permitted by law, the interest o% beneficiaries in principal or income shall not be subject to the claims of their creditors and others, nor to legal process, and shall not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his descendants. Further, exceptions may be made if my Executor approves. XI. Management Provisions: My Executor shall have, in addition to the powers and authority conferred upon him by law, the following additional powers and authority: A. Sell/Lease: To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time, and upon such terms and conditions as he shall deem wise. B. Retain/Invest: To retain and to invest in all forms of real and personal property, including comn~on trust funds, mutual funds and money market deposit accounts regardless of any limitations imposed by law on investments by executors or trustees, or any principle of law concerning investment diversification. C. Operate a Business: To operate any business activity in which I have an interest to the extent I would, if alive. D. Title to Property: To cause any security or other property which may constitute a portion of a Trust to be issued, held or registered in his own name, or in the name of a nominee, or in such form that title will pass by delivery. E. Capital Changes: To consent to the reorganization, con- solidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to him as the owner of any securities constituting a portion of my Estate; to accept and hold as a portion of my Estate securities resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. F. Expense of Estate: To pay all costs, taxes, charges and - 3 - expenses in connection with the administration of my Estate. G. Allocate: To determine what is "income" and what is "principal" hereunder, and his decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. H. Borrow: To borrow money from any person, firm or corporation, for the purpose of protecting and preserving or improving my Estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. TAX PROVISIONS XII. Marital Deduction: No property ineligible for the marital deduction shall be used to satisfy that deduction. Property distributed in kind in satisfaction of the marital deduction shall be distributed at the lower of (i) its value at the time of distribution and (ii) its adjusted Federal Income Tax basis. Subject to the foregoing, my Executor shall have absolute discretion in selecting the property to be allocated to the Marital Deduction. In calculating the amount of the marital deduction, (i) all other property which qualifies for the marital deduction and (ii) all other deductions and credits which are allowed in the calculation of the federal estate tax in my estate shall be considered first. However, credits will be used only to the extent that their use will not increase the death taxes on my estate. XIII. Death Taxes: I direct that all transfer and inheritance taxes, state or Federal assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executor deems best. XIV. Tax Options: I authorize my Executor: A. Death Taxes: To exercise any options available in determining and paying death taxes in my estate, and to allocate my generation-skipping tax exemption; B. Income Taxes: To join with my husband in filing a joint income tax return; and C. Gift Taxes: To consent to any gifts made by my husband being treated as having been made one-half by me for the purpose of laws relating to gift tax. IN WITNESS WHEREOF, I, RITA J. MAGNI, the Testatrix of this, my Last Will and Testament, typewritten on five sheets of paper 6 - Which I have identified at the bottom of each pag~ by my signature, hereunto set my hand and seal the ~ day of ~ ~7t~,~,~7~ , 1993. The preceding instrument consisting of this and four other typewritten pages, each identified by the signature of the Testatrix, RITA J. MAGNI, was on this day and date thereof signed, published and declared bY RITA J. MAGNI, the Testatrix therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. - 5 - COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, RITA J. MAGNI, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and volunt~ary act for the purposes therein expressed. ~ITA J/ MAGNI / Sworn or affirmed to and acknowledged before me, by RITA J. MAGNI, the Testatrix, the ,~6 day of.~Z~ , 1993. (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We Teresa R. McCormack and Gloria J. Coppersmith , and Richard E. Connell , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by Teresa R. McCormack and Gloria J. Coppersmith and Richard E. Connell , witnesses, this ?'~ -~, ~J , 1993. (SEAL) · Notary Fublj,~ day of BUREAU OF ZNDZVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA BEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1;¢? EX &FP RICHARD E CONNELL ESQ BALL ETAL 2505 MARKET ST CAMP HILL PA 17011 BATE 08-18-2005 ESTATE OF MAGN! BATE OF BEATH 10-15-2002 FILE NUMBER 21 05-0556 ~¢OUNTY CUMBERLAND ACN 101 Amoun~ Remi'l'~ad RITA J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~.* RETA/N LOWER PORT/ON FOR YOUR RECORDS -~ BZSALLOWANCE OF BEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF MAGN! RITA J FILE NO. 21 05-0556 ACN 101 DATE 08-18-2005 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANOED RESERVATTON CONCERNING FUTURE TNTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN I Real Es~m~e (Schedule A) 2 S~ocks end Bonds (Schedule B) 3 Closely Held S~ock/Par~narship Zn~aras~ (Schedule C) Mortgages/No,es Receivable (Schedule D) 5 Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) 6 Join*ly O~nad Proper*y (Schedule F) 7 Transfers (Schedule G) 8 To,al Asse~s APPROVED DEDUCTIONS ANB EXEMPTZONSc 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule Z) 11. To,al Deductions 12. Ne~ Value of Tax Re~urn 15. (1) (2) (3) (5) (6) (7) (9) (10) Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) Na~ Value of Es~a~e Subjec~ ~o Tax .00 9,,975.00 .00 .00 .00 NOTE: To insure proper .00 cradL~ *o your account, .00 subm1~ ~he upper portion of *hls form wi~h your ~ax payment. (8) 12,955.60 .00 NOTE: 9,975.00 19. PrLnci TAX CREDITS PAYMENT DATE RECEZPT NUMBER OZSCOUNT (+) INTEREST/PEN PAID (-) ASSESSMENT OF TAX: 15. Amoun+ of Line lq a* Spousal re*e (15) 16. Amoun~ of Line lq ~exabla a~ Lineal/Class A ra~e (16) 17. Amoun~ of Line lq a~ Sibling re*e (17) 18. Amoun~ of L~ne lq ~axabla a~ Collateral/Class B ra~e (18) )al Tax Due · 00 x O0 = .00 · 00 x OqS= .00 · 00 x 12 = . O0 · O0 x 15 = . O0 (19)= . O0 AMOUNT PAZD ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. reflect figures that include the total of ALL returns assessed to date. TOTAL TAX CREDIT BALANCE OF TAX BUE ZNTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CA), YOU MAY BE DUE A REFUND· SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Z~ an assessment was issued previously, 11nas 14, 15 and/or 16, 17, 18 and 19 will (11) 12.955.60 (1:') 2,980.60- (15) . O0 (lq) 2,980.60- RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 11, 1981 -- if any futura interest in tho 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. To RJlfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF N/ELS, AGENT 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 ara available at the Office of the Register of #ills, any of the 13 Revenue District Offices, or by calling the special Z4-hour answering service for fores ordering: 1-800-361-1050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3010 (TT only). 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 must object mithin sixty (60) days of receipt of this Notice by: --written protest to tho PA Department of Revenue, Board of Appeals, Dept. 181011, Harrisburg, PA 17118-1011, OR --election to have the matter determined at audit of the account 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 Revise Unit, Dept. Z&0601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-ISOl) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (51) discount of the tax paid is allowed. The 151 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 (l) 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 (6X) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1981 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 1981 through Z003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z gOZ .000548 1987 91 .000Z47 1999 7X .OO019Z 1983 16Z .000438 1988-1991 IlZ .000301 2000 8Z .O00Z19 1984 IIX .000301 199Z 9Z .000Z47 ZOO1 91 .000Z47 1985 132 .000356 1993-1994 7Z .00019Z ZOOZ 62 .000164 1986 IOZ .O0027~ 1995-1998 9Z .OOOZ47 2003 52 .000137 --Interest is calculated as folloas: INTEREST = BALANCE OF TAX UNPA/D X NUNBER OF DAYS DELINgIUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (153 days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be calculated. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 COUNTY CODE DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) --- SOCIAL SECURITY NUMBER Magni, Rita J. l 71 - 16-0854 DATE OF DEATH (MM-DM-YEAR) DATE OF BIRTH (MM-DM-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 0/] 3/2002 0 ]/09/] 92 ! REGISTER OF WILLS IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Magni, Vincent 185-18-2224 [] 1. OriginalReturn [] 2. SupplementalReturn ---- [] 3. Remainder Retum (date of death pdor to12.13.82) YEAR NUMBER [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal Estate Tax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Boxes of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11.Election to tax under Sec. 9113(A) (Attach Sch O) ~ ....... 12-31-91 and 1-1:95~ ITHi$ SECT!ON MUS~ BE coMPEE~D; AE~ CORRES~ONDENC~ AND ~F~D~NTI,~L T~X INFORMATION ~0-ULD BE DiRECTE~ TO:: hAM,E C 0 M p~'~-T~'k~,i L, NG A D 0 R E~S~ ........................ Richard E. Connell, Esq. Ball, Murren & Connell ~ 2303 Market Street tELEPHONE NUMBER Camp Hill, PA 17011 717/232-8731 1. Real Estate (Schedule A) (1) None 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 9,975.00 6. Jointly Owned Property (Schedule F) (6) None [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) -0- (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 1 2,9 5 5.6 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) :D (8) 9,975.00 (11) 12,955.60 (12) insolvent (13) (14) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) o SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 or transfers under Sec. 9116(a)(1.2) 16.Amount of Line 14 taxable at lineal rate x .045 17. Amount of Line 14 taxable at sibling rate x .12 18. Amount of Line 14 taxable at collateral rate x .15 19. Tax Due 20. (15) (16) (17) (18) (19) Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: ISTREETADDRESS 405 Gale Street CITY Mechanicsburg STATE PA ]ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (1) (2) 0.00 (3) 0.00 (4) (5) 0.00 (5A) (5B) 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ................................. [] [] b. retain the right to designate who shall use the property transferred or its income; .................................... [] [] c. retain a reversionary interest; or ...... I--'1 ~ d. receive the promise for Fife of either payments, benef ts or care? .............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?...: ................................................................................................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete, Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge SIGNAT~..~ OF ,Em RE~ONS,,LE FOR ~,L,NG RETUR, AODRESS fin~c~rfitMagni ~x ~ [~ ' SIGNATU~ OF ~R~N ~S~B~ F~ ~ ADDRESS 405 Gale Street Mechanicsburg, PA 17055 DATE DATE SIGNATURE Of__ :ER OTHER THAN REPRE ADDRESS ........ Richar DATE 2303 Market Street Camp Hill, PA 17011 ~p/~,,O 7/0 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased 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% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedenrs lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Magni, Rita J. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION Personal Effects Paintings done by decedent. Fair market value VALUE AT DATE OF DEATH s~O.~o 9,475.00 TOTAL (Also enter on Line 5, Recapitulation) 9,975.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Magni, Rita J. FILE NUMBER ITEM NUMBER This schedule must be completed and filed if the answer to any of questions 1 throuqh 4 on page ~ ~es. DESCRIPTION OF PROPERTY Include the name of the transferee, their relationship to decedent and the date of transfer, Attach a copy of the deed for real estate. Non-probate property Vincent Magni, husband 405 Gale Street Mechanicsburg, PA 17055 140,000.00 , Bank Accounts PNC Acct. No. 5070034647 7,898.24 PNC Money Market Acct. No. 5030121703 173,000.00 DATE OF DEATH I % OF r DECD'S VALUE OF ASSET I EXCLUSION , INTEREST ! (IF APPLICABLE) 0.00 0.0(~ TAXABLE VALUE 0.00{ TOTAL (Aisc enter on line 7, Recapitulation) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Magni, Rita J. j FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION ~ AMOUNT A. FUNERAL~xPEN~Es: , 1 Malpezzi Funeral Home ' 9,455.60 Bo ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EiN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Vincent Magni Street Address 405 Gale Street City Mechanicsburg Relationship of Claimant to Decedent Probate Fees State PA Zip 17055 Husband Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs 3,500.00 TOTAL (Also enter on line 9, Recapitulation) 12,955.60 LAST WILL AND TESTAMENT OF RITA J. MAGNI KNOW ALL MEN BY THIS PRESENTS, that I, RITA J. MAGNI, presently residing at 405 Gale Street, Mechanicsburg, Cumberland County, Pennsylvania, being in good health and of sound and disposing memory, do hereby make, declare, and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me at any time. PAYMENT OF EXPENSES I. ~ayment of Expenses: I direct that my Executor, hereinafter named, shall have the power, but not the duty, to pay all my just debts, expenses of my last illness and funeral expenses, from my estate as soon after my decease as shall be found convenient. GIFTS II. Personal and Household Effects: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon, to my husband, VINCENT MAGNI, if he survives me by thirty (30) days. Should my husband predecease me or not be living on the thirty-first day after my death, I bequeath such tangible personalty and insurance thereon to my son, REGIS F. MAGNI. I direct that the expense of packing, shipping, insuring and delivering any such property to a beneficiary entitled thereto shall be paid by my Executor as an administrative expense of my Estate. III. Residuary Estate. I give to my husband, VINCENT MAGNI, if he survives me by thirty (30) ~days all the rest, residue and remainder of my property of whatever type and wherever situated. If my husband, VINCENT MAGNI, should predecease me or not be living on the thirty-first day after my death, I give the rest, residue and remainder of my estate, whether real or personal, mixed or wherever situated to my son, Regis, or if he has predeceased me or dies before the thirty-first day after my death, then to his living descendants, per stirpes. IV. Power of Appointment. No provision of! this Will shall exercise any power of appointment I may have. V. Adopted Persons: For the purposes of this Will, adopted persons shall be considered children of their adopted parents, and they and their descendants shall be considered descendants of their adopted parents, regardless of the date of the adoption. FIDUCIARIES VI. Executor: I hereby nominate, constitute and appoint my husband, VINCENT MAGNI, as Executor of this, my Last Will and Testament. In the event that my said husband shall predecease me, or be unwilling or unable to act as Executor, then I nominate, constitute and appoint my son, REGIS F. MAGNI, as alternate Executor. VII. Resignation. Any individual Executor may resign at any time without court approval. VIII. Bond: No Executor shall be required to give bond. ADMINISTRATIVE PROVISIONS IX. Beneficiaries Under 21 or Disabled: If any beneficiary hereunder becomes entitled to an outright distribution of income or principal and is under the age of 21 years or in the Executor's opinion, disabled by illness or other cause and unable to properly manage the funds: A. Payments: As much of such income or principal as the Executor may from time to time think desirable for that beneficiary either shall be paid to him or shall be applied for his or her benefit; and B. Balance: The balance of such income and principal -- and the net income from those funds -- shall be kept invested and managed as a separate Trust for that beneficiary, with the Trust funds paid to or for the beneficiary in accordance with the provisions of the preceding paragraph. When the beneficiary reaches the age of 21 or, in the Executor's opinion, becomes free of disability, as the case may be, the balance shall be paid to the beneficiary. If he dies before that time, the balance shall be paid to his personal representative. Any funds to be applied under this article either shall be applied directly by the Executor or shall be paid to a parent or guardian of the beneficiary or to any person or organization taking care of the beneficiary. Funds applied for minors may also include distribution to a custodian selected and appointed - 2 - by my Executor unde~ the Uniform Gifts or Trans'=rs to Minors Act of any state. The Executor shall have no further responsibility for any funds so paid or applied. X. Protective Provisions: To the extent permitted by law, the interest of beneficiaries in principal or income shall not be subject to the claims of their creditors and others, nor to legal process, and shall not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his descendants. Further, exceptions may be made if my Executor approves. XI. Management Provisions: My Executor shall have, in addition to the powers and authority conferred upon him by law, the following additional powers and authority: A. Sell/Lease: To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time, and upon such terms and conditions as he shall deem wise. B. Retain/Invest: To retain and to invest in all forms of real and personal property, including common trust funds, mutual funds and money market deposit accounts regardless of any limitations imposed by law on investments by executors or trustees, or any principle of law concerning investment diversification. C. Operate a Business: To operate any business activity in which I have an interest to the extent I would, if alive. D. Title to Property: To cause any security or other property which may constitute a portion of a Trust to be issued, held or registered in his own name, or in the name of a nominee, or in such form that title will pass by delivery. E. Capital Changes: To consent to the reorganization, con- solidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to him as the owner of any securities constituting a portion of my Estate; to accept and hold as a portion of my Estate securities resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. F. Expense of Estate: To pay all costs, taxes, charges and - 3 - expenses in connection with the administration of my Estate. G. Allocate: To determine what is "income" and what is "principal" hereunder, and his decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. H. Borrow: To borrow money from any person, firm or corporation, for the purpose of protecting and preserving or improving my Estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. TAX PROVISIONS XII. Marital Deduction: No property ineligible for the marital deduction shall be used to satisfy that deduction. Property distributed in kind in satisfaction of the marital deduction shall be distributed at the lower of (i) its value at the time of distribution and (ii) its adjusted Federal Income Tax basis. Subject to the foregoing, my Executor shall have absolute discretion in selecting the property to be allocated to the Marital Deduction. In calculating the amount of the marital deduction, (i) all other property which qualifies for the marital deduction and (ii) all other deductions and credits which are allowed in the calculation of the federal estate tax in my estate shall be considered first. However, credits will be used only to the extent that their use will not increase the death taxes on my estate. XIII. Death Taxes: I direct that all transfer and inheritance taxes, state or Federal assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executor deems best. XIV. Tax Options: I authorize my Executor: A. Death Taxes: To exercise any options available in determining and paying death taxes in my estate, and to allocate my generation-skipping tax exemption; B. Income Taxes: To join with my husband in filing a joint income tax return; and C. Gift Taxes: To consent to any gifts made by my husband being treated as having been made one-half by me for the purpose of laws relating to gift tax. IN WITNESS WHEREOF, I, RITA J. MAGNI, the Testatrix of this, my Last Will and Testament, typewritten on five sheets of paper ~hich I have identified at the bottom of each pag~ by my ~gnature, hereunto set my hand and seal the ~ day of '~/%~,~-~ , 1993. The preceding instrument consisting of this and four other typewritten pages, each identified by the signature of the Testatrix, RITA J. MAGNI, was on this day and date thereof signed, published and declared bY RITA J. MAGNI, the Testatrix therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. - 5 - COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, RITA J. MAGNI, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and volunt.ary act for the purposes therein expressed. ']~ITA J/~ MAGNI J Sworn or affirmed to and acknowledged before me by RITA J. MAGNI, the Testatrix, the ?~6 day of ~.~ , %993. (SEAL) Notary Pub~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We Teresa R. McCormack and Gloria J. Coppersmith ! and Richard E. Connell , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affi~-med to and subscribed to before me by Teresa R. McCormack and Gloria J. Coppersmith and Richard E. Connell , witnesses, this ,-~',.~.~,.~,,,~-,~ , 1993. (SEAL) · Notary t~ubl~ · ~, .Harrisburg, Dauphin day of BUREAU OF ZNDZVTDUAL TAXES ZNHERTTANCE TAX DTVTSION DEPT. 280601 HARR/S;,URG., PA 171;'8-0601 COHNON#EALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF INHERITANCE TAX APPRA.rSENENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCT.rONS AND ASSESSNENT OF TAX RICHARD E CONNELL ESO BALL ETAL 2305 NARKET ST CAHP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUNBER ~¢OUNT¥ ACN REV-i~Ii? EX AFP 08-18-2005 HAGNI RITA J 10-15-2002 21 05-0556 CUHBERLAND 101 Amoun~ Ree/~ed I HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUNBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG TH*rS L*rNE ~ RETA*rN LOWER PORT*rON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOT*rCE OF *rNHER*rTANCE TAX APPRAZSENENT, ALLOWANCE OR D'rSALLOWANCE OF DEDUCT*rONS AND ASSESSHENT OF TAX ESTATE OF HAGNI RITA J FILE NO. 21 03-0556 ACN 101 DATE 08-18-2005 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVAT*rON CONCERNTNG FUTURE 'rNTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks end Bonds (Schedule B) (2) $. Closely Held S~ock/Par~narship .rn~eres~ (Schedule C) ($) q. Mortgages/No,es Receivable (Schedule D) (q) S. Cash/Bank Deposits/Misc. Persona! Proper~y (Schedule E) ($) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Asse~s APPROVED DEDUCT*rONS AND EXEMPT*rONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabili~ies/Liens (Schedule .r) (10) 11. To,al Deductions 12. Ne~ Value of Tax Re~urn 9~975.00 .00 .00 NOTE: To insure proper .00 cradi~ ~o your account, .00 submi~ ~he upper por~ion .00 of ~his form wi~h your ~ax payment. .0O (8) 12,955.60 .00 15. NOTE: 9,975.00 (11) 12.955.60 (1:,) 2,980.60- Cher/~abXe/Governmen~el Bequests; Non-eXacted 9115 Trusts (Schedule J) (15) Ne~ VaXue of Es~a~e Sub~ec~ ~o Tax (1(~) Tf an assessment was issued previously, 11nas 14, 15 and/or 16, 17, ASSESSHENT OF TAX: 15. Amoun~ of L/ne 1~ a~ SpousaX ra~a (15) 16. Amoun~ of Line lq ~axeble a~ LineaX/Class A ra~e (16) 17. Amoun~ of L~ne 1~ e~ Sibling ra~e (17) 18. Amoun~ of Line lq ~axable a~ Collateral/Class B ra~e (18) 19. Print/pal Tax Due reflect figures that lnclude the total of ALL returns assessed to date. .00 2,980.60- ANOUNT PAZD ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADD.rTZONAL INTEREST. TAX CREDITS: PAYMENT DATE · O0 X O0 = . O0 · 00 x 045= .00 · O0 x 12 = . O0 · O0 X 15 = . O0 (19)= . O0 TOTAL TAX CRED*rT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE · °°I .00 .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT IS REQUIRED. 'rF TOTAL DUE 'rs REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TH.rS FORN FOR .rNSTRUCT.rONS.) DISCOUNT (+) INTEREST/PEN PAID (-) KECEx~I NUNBER 18 and 19 w';11 RESERVATION: Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Coamonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class D (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADH/N- [STRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 13 of ZOO0. (71 P.S. Section 91qO). Detach the top portion of this Notice and submit ~ith your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS~ AGENT A refund of a tax credit, ~hich mas not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-i313). Applications are available at the Office of the Rag[star of Hills, any of the Z$ Revenue District Offices, or by calling the special Z4-hour answering service for fores ordering: 1-800-362-Z050~ services for taxpayers aith special hearing and / or speaking needs: 1-800-447-3010 (TT only). Any party in interest not satisfied .ith the appraisement, allowance, ar disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object eithin sixty (60) days of receipt of this Notice by: --written pretest to the PA Department of Revenue, Board of Appeals, Dept. 181011, Harrisburg, PA 17128-1011, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue, Bureau of lndlvidual Taxes, ATTN: Post Assessment Rovis~ Unit, Dept. 180601, Harrisburg, PA 17118-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax duo is paid e[thin three (3) calendar months after the decedent's death, a five percent (51) discount of the tax paid is allowed. The 151 tax amnesty non-participation penalty [s computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and 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 ~hich became delinquent before January 1, 1981 bear interest at the rate of six (61) percent per annum calculated at a daily rata of .000164. A11 taxes ~hich became delinquent on and after January 1, 1981 will bear interest at a rate which mill vary from calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through Z003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Yea__r Rate Factor Year Rate Factor 1982 207. . OO 0S48 1987 97. . 000247 1999 77. . 000192 1983 161 .000438 1988-1991 ZlZ .000301 ZOO0 8Z .000119 1984 111 . 000301 1991 91 . 000147 2001 91 . 000247 1985 137. .0003S6 199~-1994 72 .000191 2002 62 . 000164 1986 101 ,000274 1995-1998 9Z .000147 2005 SZ .000137 --Tnterest is calculated ms follo~s: INTEREST = BALANCE OF TAX UNPAID X NUNBER 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 data of the assessment. Xf payment is made after the interest computation date shown on the Notice, additioneX interest must be calculated.