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� pennsylvania
BUREAU OF INDTYTDUAL TAXES NOTTCE OP INHER27ANCE TAX ��t DEPARTMEN7 OFREVENlIE
INNERITANCE TAX UIVISION ApPkAISEMENT, ALLOWAMCE OR DZSAILOWANCE
Pq pOX 280d01 OF DEDUCTIONS. AND ASSESSMEN7 OF TAX pN REV-1548 EX APP t12-12)
MUiRI3EURG pA 2T72a-86��(�t�S;i}��'r ^.r'�."i:,'!.' ��C,�OINTLY HELD OR TRUST ASSETS
�iFli��'�-�; �.fi U� �i.�;;...'..�.i DATE 07-01-2013
ESTATE OF MILLER GERTUDE M
i�4{:� Jiil. L �'�'E 1 j� DATf OF DEATH 01-15-2012
FIIE NUMBER 21 12-0877
COUkTY CUMBER�AND
'v�.�t��\ l�r' SSNtDC 2I0-46-7381
THOMAS '0 ��j�j���J• �Ui�i�f ACM 22143123
6209 WHTTEHI c���a� APPEAL HY DATE:08-30-2013
MECHAN I CSB��B E���0��-2�4� (S�e reverse sZde under pbfections)
A�aun# Re�itted �----'—�
MAKE CHECK PAYABlE AND REMIT PAYMEMT T0:
REGISTEA OF WII�S
1 COURTNOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE '�"1 RETAIN LOWER PORTION FOR Y�UR RECORDS '4"�
'-`-_'-'--'-'-" -'--"'-'-""""""""-^"'-.-"-`-"-"'-'--'-`--`-"""""'-""-
REV-154E EX AFP �C12-12)
NdTICE 4F I�NkERITANCE TAX APPRAISEMENT. ALLBWANCE OR DISALLOWANCE OF
AEDUCTIONS,'�� ANQ ASSESSMEt�T OF TAX ON JOINTIY HELD OR TRUST ASSETS
� . DpTE: 07-01-2013
ES7ATE BF:MItLER 6ERTII�DE M DATE OF DEATH:O1-15-2012 CpllNTY:CUM&ERLAND
- FItE NO. : 21 12-p877 S.SYD.C. NO. : 22D-4b-7381 ACNs 12143123
TAX RETUi�N WAS: tX) pCCEPTED AS FILED O CHANGED
. JOINT OR TRUST ASSE7 INF4RMATIOH
FINANCIAL INSTITUTT4N: M & T &At�,K ACCOUNT Np. : 98384G3308
TVVE OF ACCOUNT: OSAVINGS hc0 CHECKING f )TRUST L }TIME CERTIFICATE
DATE ESTABLISHED 11-13-2044
Account Balance , 3,5q3.24 N47E: TO ENSllRE PROPER CREDIT TO
Percenk Taxable X � Q.50D VOUR ACCOUNT, SUBMIT THE
Amou�t Sub�ect to Tax ' 1 751 b5 UPPER PORTION qF THIS NOTICE
D�trts and Deductions ' '� .00 WITH Y�UR TAX PAYMENT TO THE
Taxable Amo�nt � 1 751 65 REGISTER OF WILLS AT TNE
Tax Rate v .U45 ABQYE ADDRESS. MAKE CHECK
Tax Due 78.62 OR M6NEY ORDER PAYABLE T0:
, 'BEGISTER OF WILLS, AGENT.^
TAX CREDITS:
PAYMENT R�CEIPT D2SCOUNT C+) AMOUH7 PA2D
DA7E NUMBER L�MTEREST/PEN PbIU C->
D8-D9-2Q12 CDOib372 � .00 78.82 �
- TBTAI TAX .PAYMENT 78.82
�� BAtANCE OF TAX DUE .00
��, INTEREST AND PEN. .00
�. TOTAL DUE .00
� IF PATD AFTER TNZS bpTE. SEE REVERSE POR CALCULATTON Oi ADTiI7I0NAL iNTERE37. � ��
IK TOTAL DUE IS REFL&CTED AS A ^CRfD2T^ {�R). YOU MAV BE DUE A REFUND.
5EE REVERSE SIAE OF iHIS FORM POR INST�tUCTItlNS.
PURPOSE OF -
NOTICEa To fu1f171 tho roquiroants of Sact3an 2149 of the Inharitanca and EstpU 7vc Act, Act 23 af 2000. (72 P.S.
Sattion 974BJ.
PAYMENTv Dctath !he too Oortion of th35 net3e� antl sud�it with vour pav�ant to tha Hagirt�r of Wills prinLtl on the
� revarse sida. Maka chack or �onay prtlNr pnvabla to: Repisttr ot wills, Ap+nt.
iailur� to aav ffi� t�, intarast i6G pYnl7#Y CYV �aY t�sult An the filiap nf a lian Sn tha npnrooriate
county or the issuanca of en Orphan's Gourt c3Sation.
REFUND (LR)� A refund of a tnc <r�ditr whieh was not roquastad an tha tn[ raturn. �m bo rwuastad by carolttiny nn
^Application fpr R�funtl of PsrsnsYlrania i�harit�nt� awE Eztata Tu^ <REY-1313). Apolicakions erc bvailable fro�
RM D�eartwnk's W�b si4a at w�yw.rrw u�.at�l�.D�.us. nqr R+piat�r of Milla or Rer�nu� Districi Offin or trenf th+
Depwrh�nt's ?4-hour enaFtsr3nY srti!ie��i-�-3�-�1A50; sarviees for tuoavtrx wlth svocial haarinB antl/or
sp�akinY n�atls� 1•800•447•3tlt0 CTT on1Y).
0lJECTSONS: Am nerty in interast not satizfiad rit� the aperai»mt. s3Twsncs or disallwmca of dotluctions or assasaiant e# tnc
� CinClvdin9 Giseount bt� iMa�est) as shaen on this naHea iaY ob]oct wikhin 60 Aays of th� daLa of r�c�iok of thAS notica
bv�
A) Protaxt to tb� PA Opart�cnk of Bwenu�. �oawtl ef ApV�dls bv lilinp a nrotast onlina ak
ww.b r0 f� s. tat . •.us on er b�fqra tN 60•A�Y aY0w7 pariud a[virss.
in orMr of.�rt� aC"trodie'prataSt }e b� valid, yw �uxt nuir� a eonHr�ation nuYbar and protesSBd datQ
� frq� tha Coa�tl of �pp��ls W�b ait�. Vpu wev also santl � rr¢ttm ct`oUxY to PA 7Mpa�ka�nt pf Rwanue.
ioarG of Apwala. PO hx 2#1821. Mar�is0utp. PA 1732l-1QZ1. Pt4�tlons �W �oi bM fmntl: or
. B) Elact to heve tha .atkar datarwinetl at eho eudit of t�e oarsonal �evrfssnketive acwurvt; or
� ApFIiN- �� Aop�a2 ta ;h� 4roAans' Cowt.
ZSTRATIVE
� CGRRECTI9HS: Factual errors diseovaretl an thfs assosseant shoula be aatlroszatl in writirve tov PA Deoprt�ant of Rwenus,
. 6ursau oE Ind3rSdual Tuu, ATTH: Fast Assassse�t Rsviaw Unit, PO Boz 2btl691, Narrisbury. FA 17128-06q1
or eail CT17) 787•6Stl5. Sea PeO�4 ot "7nstrvuctlons Fo� Inh�rliane� Tax Raturn tor a Reaidant UacaAant^ CREV-150ll
�- for sn �xPlanarion of ad�inisirotivaly earrectabla arrors.
� DISCOUNTS lf am� t� Euo is aaitl wiihin t�raa calandar �onths efter th� dacetlent•s deakh. a t3w parcaM diseount of tFO tax paid
is allqw�d.
PENALiY� Tha 15 nercmt Yn[ aYnestv non-Darticioation penpltY is eo�putad on the #atal of tha tpx anE interast asxessea and not
oaia betore Jen. Ie, 1496, kht first dav aftar tha antl nt t�e taz airwztY nariod. This non-oarticipatien
- oanaltv is aoDailabk0 in t�a sa�e �enmr aad 3n tha tfia saw tla� pariod as you vould apoaal the iss and intorest
that hes bean asxeaseA as inAicatatl on this notice.
IN7ERESTs ZnLarast is charpeA bapinainp vith first tlm� of Gelinqwney or nino �onths and ona dav
fro� khe tlatr of dasth to tha tlate of oaYrwL. Taxas which.bac��a tl�linauant befora Jan. L 19l2,
� bear interest at Me ratv of siz p�rcant por antwa ca7cuLbC at a Asilv raie of 8 A901S4.
- All tmcas xhieh Wc»� del3nVwat on or efta� Jen. L 3962 will bear iMa�aat at a rata whlch varios froY
voer ko ypar with tho r»te annauncad by tha PR Oonart�an4 of Rwaaua. R�tas for 1482 throuph 2996 cen Ea
. faunC in tha Pmnsvlvanii Residant Instruetion IIoaiclat fREY-15Q1}, tfit Psnnsylvania Non-Resitlant Instruction
� booklet BtV-3T36) or on the DavarR�ent of Rewnu� Wsb sita wr.rcvfnue.st�ta.pa.us.
. The applicable inbrast nt�s fior 20D7 throuph T013 ara:
�� Intervst Oailv Interost Dailv Itttarest DailY
� Year Rate Faetor Y�»r Raka factor Yper Rate Factor
2401 !k .tlUU219 Zaoe 7% .000192 2009 5X .000137
2U10 4X .PO011o 2011-2013 3x .U06082
� � interest is ca7culatad as follara:
� IN7EREST � ML�NCE qF TAX UNPAIO X NUM6ER OF MYS bELSNOUENT X ➢4ILV INiEREST FACTOft
. Am aotice issuetl after tbp 4En qaco�as tlalinQUOnt rill r¢flcct en dnUrazt calculat3on ko 15 tleys
� ' beYOntl the date ef t�v esa�zs��nt. If nav��nt is �ade aftar tha interost co�Wtatinn date sfiarn en the
� notiea, atltlitional interast �ust bc caiculated.