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NOTICE OF IHHERITANCE TAX � pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT. ALLOWANCE DR DISALLOWANCE DEPARTMENTOFREVENUE
INNERITANLE TN( UIVISION �F DEDUCTIONS AND ASSESSMENT OF T/�X REV-1547 EX qFP (03-13)
PO 60X 280601
HARRISBURG PA 1]128-0601
!t�t�°;�i�);=:� r:)�� I�'[ OF nnre o�-oi-zoia
I�.�:!�R"�. i .'.,��� �i' �F��hLLS ESTATE OF BAITSELL KENNETH L
DATE OF DEATH 09-03-2012
C���3 ��l_ 1 1 I I 1 5'l FILE NUMBER 21 12-0988
SHERI BAITSELL COUNTY CUMBERLAND
108 GREASON RD �'��F�� �� ACN APPEAL DATE: 08-30-2013
CAR L I S L E ���{�'sG�6.�T (See reverse side under Objections)
GUMBERLAND C4., PA a■o�ot Re�itted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE 1 �'�:RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1547 EX AFP CO2-13)DISALLtl-------"-'-"-----""'-----"'-----"'--------"'--------"
"'-"-
OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR
WANCE OF DEDUCTIONS AND ASSESSMENT OF 7AX
ESTATE OF: BqITSELL KEMNETH LFILE N0. :21 12-0988 ACN: 101 DATE: 07-01-2013
TAX RETURN WAS: ( jO ACCEPTED AS FILED C ) CHANGEO
APPRAISED VALUE OF RETURN BASE➢ ON: ORIGINAL RETURN
1. Raal EsYate (Schedule A) �1) .00 NOTE: To ensure proper
2. Stocks antl Bontls CSChedule H) �Z7 .00 creAit to your aceaunt,
.00 5ubmit tha upper portlon
3. Closely Hald Stock/Partnershio Interest (Sehsdule C) C3) of t�is form wit� your
4. Mort9aBes/Notas Recelvable (Sehatlule D) C4) •�� tax payment.
5. Cash/Bank Deposifs/Misc. P¢rspnal Prooerty (SChedula E) (5) 123,790.27
6. Jointly Owned Property CScMtlule F) (5) •DO
7. Transfers CSChedule G) �7� •�0
e. 7ota1 Assets . (e) 123.790.27
APPROVED DEDUCTIONS AND EXEMP71ONS: �
9. Funeral Expenses/Atlm. Costs/Misc. Expenses CScheOUle H7 �g� 980.08
30. Debts/Morf9ape Liablliti¢s/LLens CS<hedule D (107 3.771.63
11. 7ota1 Ueductions �yl� 4,751.71
12. Nei Value of Taz Return �yZ� 119.038.56
13. CharitaDle/GOVernnenYal Bequasts; Non-alecte0 9113 Trusts CS<hedule J) �lg� .00
14. NaY Value of Estate Subja<F Y�,o Tax �ly� 119.038.56
NOTE: If an assesswent was 7,'�ssuetl previously, Lines 14. 15, 16. 17. 18 and/or 19 will
refleet fSDUres that lnelude the total of all returns assessed to date.
ASSESSMENT OF TAX: ��
15. Amount af Lina 14 at spousal �.rata (157 •00 X oo - .oa
16. Amount af Lina 14 taxabla at lineal rate � (16] 79•;�Q-�� X 045 = 3�571.15
17. Amount of Lina 14 aY sibllnB rate (17) �9•��9-F2 X 12 4,761 .54
18. Amount of Lina 14 taxaDle at collateral rate C18) .00 X 15 .00
19. Principal 7ax Due �19�` 8,332.69
7AX CREDITS:
PAVMENT RECEIPT DISCOUNT C+) qpOUNT PAID
DATE NUMBER INTEREST/PEN PA2D C-)
11-30-2012 CD016854 394.74 7�500.00
05-06-2013 CD017557 .00 437.97
�� TOTAL TAX PAYMENT 8,332.71
BALANCE OF TAX DUE .02CR
INTEREST AND PEN. .00
�. 707AL DUE .02CR
� IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A LREDIT (CR7, YOU MAY BE DUE �(y
FDR CALCULATION OF AODITIONAL INTEkEST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
RESERVATION: Estates of decederns dyirq on or betore Dec. 12,1982-if any Tuture interest in the estate is transferted in posse9sion or
enjoymeM to cdlaferal beneflciaries of the decedeM after ttie expiration of any eatata for life ar years;thg Commonweal[h
heieby expressy reservea tlre right to appraise and assess transfer inheri�nce tajces ffi the lawlul coNeteral ra�on any such
future interest.
PAYMENT: Datach the top pordon of this rrotice and submit vdth your payment to the Register ot�Ils Indicated on the front ot tM1e rrotice.
Make check or money order payable ro:REGISTER OF WILL,AGENT.
REFUND(CR): A refund of a tax credit not requested on the tax reWrn may be�equested by�comple4np an.AppYCation for Refund of
Pennsylvania lnheritance and Estate Tax(REV-1313). AppAcations are available from tlie depertmenCs web site at
� � ,any Replater of Wills or Revenua Diatrict OMke,or hom the deqsarpnaM's 24hour torms ordering
service:1-80D-382-2050;sarvices for taxpayers wkh special hearirg arxNor speakirp neec�:1•800•447-34l20(1T ony).
Please albw 4-6 weeks from the date a refund was graMed to artive.
OBJECTIONS: My party in inte�est not satisfied with the appraieement,albwance or disaUowance of deductions,or asseasment ot tax
(ir�cl�ng 6scount or interesq as sFrown on Mis rwtice may object wfthin BD days of the date of receipt of tFifs rwtice by:
A) Filinp.an.appeal online at on or beforo the appael date identified on the 6orrt of this notice.
Or sending a written protest W:PA Deparpnent of RevenUe,Board of Appeals,PO BOX 281201,Harri�urg PA 1 71 28-7 021;
B) Havinp the matter determined at audit of the accauM oT Me personal�represeMalive;or
C) C)Appealing to the Orphans'Court.
ADMINISTRATIVE Errors discovered on this assessment should be addressed in writinp to:PA Department of Revenue,Bureau ot Individual
CORRECTIONS: Taxes;�ATTtJ:Past A�seaemenCAeview UnB,PO BOX 280601,Nartisbury PA,17128-1627,Phone(777)787•6505. Sae page 4
InsVUCtions for Inheritance Tax Retum for a ResideM Decedent(REV-1501)for an explanaBon of adminishatively corredab�e
errors.
DISCOUNT: If any tax due is paid within three calarWar monMs after the decedarrt's death,a five percent discouM of Me tax paid is allowable. ��
INTEREST: Interest is chargad bepinning with first day ot delinquency,or nine months.and one date from date of death,to the date oi
payment. Annual irrtereat rates are availeble on Form REV-1611,availade�at yp�,�,y5,or upon rquest by
calling 1-888J28-2937. �..
Interest is cabuleted as tollows:
INTEREST=BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Any Nofice issued after the tax becomes delinquent will raNect an iMerest calculadon to 15 days beyond the date of the �
assessmant. If payment is made after Me interest calcula6on date show on the Notice,additanal iMerest must be ca�ulated.