HomeMy WebLinkAbout04-01-13 INHERITANCE TAX � enns�/lvania
RECORD ADJUSTMENT � p ,7
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES
REY-1604 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 260601
HARRISBURG PA 17128-0601
�������� �i�'�� ��,. DATE 03-26-2013
ESTATE OF LUDES MARY W
���y)v��i� �� �":t���S DATE OF DEATH 04-08-2011
FILE NUMBER 21 11-0466
'i'�3 APR 1 f � 12 �� SSNNDC
JACKIE GRZYWACZ ACN 12003112
120 ASTOR DR (�`���{}( Qi Amount Remitted
HARLEYSVILLE PA 1������8 C���.�.
�W�B�R���� �C�'' �� MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS �
---------------------------------------------------------------°----------°-------°---------------------------------------------------------------------
REV-1604 EX AFP (12-12�
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE• 03-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003112
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : SECURITY BENEFIT LIFE ADVISORSACCOUNT NO . : ANNUITY
TYPE OF ACCOUNT: O SAVINGS O CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance •�� NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1.000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductior�s •�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 TD: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
"CREDIT" (CR7, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
✓
PAYMENT: Detach the top portion of this notice and submit with your payment made oayable to the name and address
printed on the reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
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.
REFUND (CR): A refund of a tax credit, which was not requested on the ta�c return, may be requested by completing an
"Application for Refund of Pennsylvania lnheritance and Estate Tax" CREV-1313). Applications are available from
the Department's web site, wwu.revenue.state.oa.us, any Register of Wills or Revenue District Office, or from
the Department's 24-hour answering service: 1-800-362-2050; services for taxpayers with special hearing and/or
sDeaking needs: 1-800-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, PO Box 280601. Harrisburg, PA 17128-0601, or call
(717) 787-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tau paid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is computed on the total of the ta�c and interest assessed,
and not paid before Jan. 18. 1996, <the first day after the end of the tax amnesty period.)
INTEREST: Interest is charged beginning with first day of delinquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1, 1982 bear, interest at the rate of
six percent per annum calculated at a dailv rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1982 will bear interest at a rate which will vary from year to year with the rete announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
Booklet, CREV-1501) the Pennsylvania Non-resident Instruction Booklet (REV-1736) or on the Pennsylvania
�eptartment of Revenue Web site www.revenue.state.pa.us. The applicable interest rates for 2000 through
2013 are:
Interest Daily Interest Da31y Interest Da31y
Year Rate Factor Year Rate Factor Year Rate Factor
2000 8% .000219 2001 9% .000247 2002 6% .000164
2003 5% .000137 2004 4°i. .0OO11D 2005 5% .00013�
2006 7% .000192 2007 8% .000219 2008 7% .000192
20�9 5% .000137 2010 4% .000110 2011-2013 3� .D00082
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 15 days
beyond the date of the assessment. If payment is made after the interest comvutation date shown on the
notice, additional interest must be calculated.
INHERITANCE TAX enns lvania
RECORD ADJUSTMENT e � p y
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAX:ES
REY-1604 EX AFP (12-12)
INHERITANCE TAX DIYISION
Po BoX Zao6o1 RECOR�ED 0��l=1C� OF
HARRISBURG PA 17128-0601
���'�� � �� �F +;'°���-�-5 DATE 03-26-2013
ppp ESTATE OF LUDES MARY W
;�U1� ;!( I{ � �� 12 11, FILE NUMBERTH 21_08-0466
COUNTY CUMBERLAND
C�-E�� �i' SSN/DC
ELIZABETH BERDEL ���.�A��� ����-j ACN 12003111
20 KOHLER LN ����p���D �,,�•I p�, Amount Remitted
ETTERS PA 1 4l�
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECURDS �
REV-1604 EX AFP C12-12�
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 03-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003111
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORSACCOUNT NO . : ANNUITY
TYPE OF ACCOUNT: O SAVINGS C � CHECKIN6 C ) TRUST C � TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance •�� NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 . 000 ACCOUNT, SUBMIT THE UPPER PDRTION
Amount Subject to Tax •00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TU THE REGISTER DF WILLS
Taxable Amount •�� AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 T0: "REGISTER OF WILLS, A6ENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
� IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF ToraL DuE IS REFLECTED AS A
"CREDIT" CCR�, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �
`J
__ _ -
PAYMENT: Detach the top portion of this notice and submit with your payment made payable to the nawe and address
printed on the reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
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 OrDhan's Court citation.
REFUND (CR): A refund of a tax credit, which was not requested on the tax return, may be requested by cowpleting an
"Apolication for Refund of Pennsylvania lnheritance and Estate Tax" (REV-1313). Applications are available from
the Department's web site, www.revenue.state.pa.us, any Register of Wills or Revenue Uistrict Office, or from
the Department's 24-hour answering service: 1-BDD-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Departwent of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, PO Box 280601, Harrisburg, PA 17128-0601, or call
(717) 787-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tax vaid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18, 1996, (the first day after the end of the tax amnesty period J
INTEREST: Interest is charged beginning with first day of delinquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1, 1962 bear, interest at the rate of
six percent per annum calculated at a dailv rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1982 will bear interest at a rate which will vary from year to year with the rate announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
Booklet, (REV-1501) the Pennsylvania Non-resident Instruction Booklet (REV-1736) or on the Pennsvlvania
Deptartment of Revenue Web site www.revenue.state.pa.us. The applicable interest rates for 2000 through
2013 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 8% .000219 2001 9% .OD0247 2002 6i .00D164
2003 5% .000137 2004 4i .000110 2005 5% .000137
2006 7% .000192 2007 8% .000219 20D8 7% .000192
2009 5% .000137 2010 4% .000110 2011-2013 3i .000082
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 15 days
beyond the date of the assessment. If payment is nade after the 3nterest computation date shown on the
notice, additional interest must be calculated.
INHERITANCE TAX
RECORD ADJUSTMENT � f pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1604 EX AFP (12-12)
PO BOX 260601
HARRISBURG PA 17128-0601 �������� ����^� d�
EI
R��I�-��� O� ji�e���.�^r� DATE 03-26-2013
ESTATE OF LUDES MARY W
� DATE OF DEATH 04-08-2011
:��1i3 �PR 1 �i 1 1� �� FILE NUMBER 21 11-0466
COUNTY CUMBERLAND
ROBERT WALDRON CL��K li`;� SSN/DC
ACN 12003116
i�io HowE LN ORPHANS' ��11R�
Amount Remitted �
MAPLE GLEN P�n������, �Q � PA
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE � RETAIN LOWER PdRTION FOR YOUR RECORDS �
-------------------------------------------------------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP C12-12�
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: Q3-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003116
ADJUSTMENT BASED ON : ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION : SECURITY BENEFIT LIFE ADVISORSACCOUNT N0. : ANNUITY
TYPE OF ACCOUNT: (: ) SAVINGS C ) CHECKING ( � TRUST C � TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance •00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax • 00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •00 PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •00 AT THE ADDRESS SHDWN ABOVE.
Tax Rate X • 12 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •�� T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
+ IF PAID AFTER THIS DA,TE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAI DUE IS REFLECTED AS A
"CREDIT^ (CR), YOU MA,Y BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �
�
PAYMENT: Detach the top portion of this notice and submit with your payment made payable to the name and address
printed on the reverse side.
Make check or money order pavable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and venalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
REFUND (CR): 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 lnheritance and Estate Tax" (REV-1313). Applications are available from
the Department's web site, www.revenue.state.oa.us, any Register of Wills or Revenue District Office, or from
the Department's 24-hour answering service: 1-500-362-2050; services for taupayers with special hearing and/or
speaking needs: 1-500-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit. PO Box 280601, Harrisburg, PA 17126-0601, or call
(717) 787-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tax paid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18, 1996, (the first day after the end of the tax amnesty period.)
INTEREST: Interest is charged beginning with first day of del3nquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1. 1982 bear, interest at the rate of
six percent per annum calculated at a daily rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1982 will bear interest at a rate which will vary from year to year with the rate announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
Booklet, (REV-1501) the Pennsylvania Non-resident Instruction Booklet (REV-1736) or on the Pennsylvania
Deptartment of Revenue Web site wwa.revenue.state.pa.us. The applicable interest rates for 2000 through
2013 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% .OD0219 2008 7% .000192
20D9 5% .000137 2010 4% .000110 2011-2013 3� .000082
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELIN4UENT X DAILY INTEREST FACTOR
Any notice issued after the tax becomes delinquent will reflect an interest calculation to 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.
INHERITANCE TAX
RECORD ADJUSTMENT � pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION REY-1604 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RE�ro���� {��"���iG �� DATE 03-26-2013
REGlST��Z 0� �'.��a_.%..�v` ESTATE OF LUDES MARY W
DATE OF DEATH 04-08-2011
1013 �PR � i I l i� �l COUNTYUMBER CUMBERLAND
SSN/DC
JOAN STROUSE C(����( G;: ACN 12003115
1048 W MOUNT VERNON � , ���}�•�.
�_�� Amount Remitted
LANSDALE P
� M RLAra� r�., P�
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE: � RETAIN LOWER PORTION FOR YOUR RECORDS E--
�__���-------°---------------------------------------------------------
REV-1604 EX AFP C12-12�
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS **
DATE: 03-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003115
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORSACCOUNT NO . : ANNUITY
TYPE OF ACCOUNT: O SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance • �� NOTE: TD ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax •00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •�� PAYMENT TO THE RE6ISTER OF WILLS
Taxable Amount •�� AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due •00 T0: "REGISTER OF WILLS, A6ENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT (+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE ,00
INTEREST AND PEN. .00
TOTAL DUE
� IF PAID AFTER THIS DA7E, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF ToTAL DUE IS REFLECTED AS A
"CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
u
PAYMENT: Detach the top portion of this notice and submit with your oayment made oayable to the name and address
printed on the reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
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.
REFUND CCR): 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 lnheritance and Estate Tax" (REV-1313). Applications are available from
the Department's web site, www.revenue.state.pa.us, any Register of Wills or Revenue District Office, or from
the Department's 24-hour answering service: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit. PO Box 260601. Harrisburg, PA 17128-0601, or call
(717) 787-6505.
DISCOUNT: If any ta�c due is paid within three calendar months after the decedent's death, a five percent discount
of the tax paid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is comvuted on the total of the tax and interest assessed,
and not paid before Jan. 18, 1996, (the first day after the end of the tau amnesty period.)
INTEREST: Interest is charged beginning with first day of delinquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1, 1982 bear, interest at the rate of
six percent per annum calculated at a daily rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1982 will bear interest at a rate which will vary from year to year with the rate announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
Booklet, (REV-1501) the Pennsylvania Non-resident Instruction Booklet (REV-1736) or on the Pennsylvania
Deptartment of Revenue Web site www.revenue.state.va.us. The applicable interest rates for 2000 through
2013 are:
Interest Daily Interest Dailv Interest �aily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 8% .000219 2D01 9% .000247 2002 6% .D00164
2003 5% .OD0137 2004 4% .000110 2005 5% .000137
2006 7% .000192 2007 S% .000219 2008 7% .00U192
2009 5% .000137 2010 4% .000110 2011-2013 3i .000082
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINpUENT X DAILY INTEREST FACTOR
Any notice issued after the tax becomes delinquent will reflect an interest calculation to 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.
INHERITANCE TAX �
RECORD ADJUSTMENT �� 1 =i pennsylvania
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES -- -
INHERITANCE TAX DIYISION REV-1604 EX AFP (12-12)
PO BOX 280601 �
HARRISBURG PA 17128-0601
��C����[� Q����,� �}� DATE 03-26-2013
REGISI'�� �3� ta;�F..�_� ESTATE OF LUDES MARY W
DATE OF DEATH 04-08-2011
p�p -I FILE NUMBER 21 11-0466
IG13 flPR 1 1 � I 1� �i�, COUNTY CUMBERLAND
SSN/DC
MICHAEL SARIANO ACN 12003114
20 KOHLER LN CL�RK G"
Amount Remitted
ETTERS PA (���{.��I�S�;C��?�'
CUMBERLA�'� ��.. C'�'.
MAKE CHECK PAYABLE AND REMIT PAYMENT Td:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 1.7013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS (--
°------------°---°-------°-------------------------------------------------------------------------------------------------°-----------------------------
REV-1604 EX AFP C12-12)
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS *�
DATE• 03-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003114
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORSACCOUNT NO . : ANNUITY
TYPE OF ACCOUNT: O SAVINGS t ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance •�� NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1.000 ACCOUNT, SUBMIT THE UPPER PORTION
Amount Subject to Tax • 00 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount •�� AT THE ADDRESS SHOWN ABOVE.
Tax Rate X • 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 T0: "REGISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-31-2012 CD016991 . 00 6,500. 00
TOTAL TAX PAYMENT 6,500.00
BALANCE OF TAX DUE 6 500.00CR
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A
^CREDIT^ CCR�, YOU MAY' BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. � j
�
_J
PAYMENT: Detach the top oortion of this notice and submit with your payment made payable to the name and address
printed on the reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
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.
REFUND (CR): A refund of a tax credit, which was not requested on the tax return, may be requested by completing an
"ApDlication for Refund of Pennsylvania lnheritance and Estate Tax" (REV-1313). Applications are available from
the Department's web site, www.revenue.state.oa.us. any Register of Wills or Revenue District Office, or from
the Department's 24-hour answering service: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-SDO-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit. PO Box 280601. Harrisburg, PA 17128-0601, or call
(717) 787-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tax paid is allowed.
PENALTY: The 15 percent tax amnesty non-oarticipation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18. 1996, (the first day after the end of the tax amnesty period.)
INTEREST: Interest is charged be9inning with first day of delinquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1. 1982 bear, interest at the rate of
six percent per annum calculated at a daily rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1962 will bear interest at a rate which will vary from year to year with the rate announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
Booklet, CREV-1501) the Pennsylvania Non-resident Instruction Booklet CREV-1736) or on the Pennsylvania
Deptartment of Revenue Web site www.revenue.state.pa.us. The applicable interest rates for 2000 through
2013 are:
Interest Dailv 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 2008 7% .000192
2009 5% .OD0137 2010 4i .000110 2011-2013 3% .000082
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 calculat3on to 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.
INHERITANCE TAX
RECORD ADJUSTMENT � pEI1I1SyLVaI1�a
JOINTLY HELD OR TRUST ASSETS DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES _ '
INHERITANCE TAX DIVISION
REV-1604 EX AFP (12-12)
HARR�ISBURG6PA 17128-0601 R E C 0�D E� 0�F!C E 0 F
il�bE 7 0 �� Vf VYl�6�J
DATE 03-26-2013
,li3 �PR 1 p" l� �� DATETOFODEATH 04D08-2011 MARY W
FILE NUMBER 21 11-0466
���RK (�Y' CDUNTY CUMBERLAND
VALERIE KLINE , SSN/DC
GF;i'H�NS' C�Uf�T acN 12003113
DARBYTHROP RD ��A��pL��� �(�•, PA Amount Remitted
� �� � �
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA �7013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS E--
------------------------------------°°--------------------------------------------------------------------------------------------------------------°---°-----
REV-1604 EX AFP C12-12�
** INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS �*
DATE• 03-26-2013
ESTATE OF: LUDES MARY W DATE OF DEATH: 04-08-2011 COUNTY: CUMBERLAND
FILE NO. : 21 11-0466 S.S/D.C. N0. : ACN: 12003113
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JDINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SECURITY BENEFIT LIFE ADVISORSACCOUNT NO. : ANNUITY
TYPE OF ACCOUNT: C J SAVINGS O CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 04-08-2011
Account Balance . 00 NOTE: TO ENSURE PROPER CREDIT TO YOUR
Percent Taxable X 1 .000 ACCOUNT, SUBMIT TNE UPPER PURTION
Amount Subject to Tax •�� OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - •�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount .00 AT THE ADDRESS SHOWN ABOVE.
Tax Rate X . 15 MAKE CHECK OR MONEY ORDER PAYABLE
Tax Due .00 T0: "RE6ISTER OF WILLS, AGENT."
TAX CREDITS :
PAYMENT RECEIPT DISCOUNT C+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-�
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS 2EFLECTED AS A
"CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
PAYMENT: Detach the tov oortion of this notice and submit with your payment made payable to the name and address
printed on the reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
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.
REFUND (CR): A refund of a tax credit, which was not requested on the tau return, may be requested by completing an
"Application for Refund of Pennsylvania lnheritance and Estate Tax" (REV-1313). Applications are available from
the Department's web site, www.revenue.state.oa.us, any Register of Wills or Revenue District Office, or from
the Department's 24-hour answering service: 1-500-362-205D; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, PO Box 280601, Harrisburg, PA 17128-0601, or call
(717) 767-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tax paid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18. 1996, (the first day after the end of the tax amnesty period.)
INTEREST: Interest is charged beginning with first day of delinquency or nine months and one day from the date of
death to the date of payment. Taxes which became delinquent before Jan. 1, 1982 bear, interest aY the rate of
six percent per annum calculated at a daily rate of 0.000164. All taxes which became delinquent on and after
Jan, 1, 1982 will bear interest at a rate which will vary from year to year with the rate announced by the
PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsvlvania Resident Instruction
Booklet, (REV-1501) the Pennsylvania Non-resident Instruction Booklet (REV-1736) or on the Pennsylvan3a
Deptartment of Revenue Web site www.revenue.state.pa.us. The applicable interest rates for 2000 through
2013 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2U00 8% .000219 2001 9% .000247 2002 6� .000164
2003 5% .000137 2004 4i .000110 2005 5% .000137
2006 7% .000192 2007 B% .000219 2008 7% .000192
2009 5% .00D137 201D 4% .000110 2011-2013 3i .000082
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINOUENT X DAILY INTEREST FACTOR
Any notice issued after the tax becomes delinquent will reflect an interest calculation to 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.