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BUREAU OF INDIYIDU AXE$y_. .. NOTICE OF TNHERITANCE 7AX OEPARTMEN70FREVENUE
INHERRANCE LtX DZYISZ��(J(';{,;,f r��j 1'�P�ICISEMENT, AI�OWAkCE OR DISAtI.pWANCE ����
PO BOX 2H0601 OF�EDUCTfONS: AND ASSESSMENT OP TAX 6N REY-1548 IX AFP t72-I2)
INRRISlURG PA 17128-060��Q��,Cj ; :;;,;� l}i �,jii�„�,_J JOINTLY HELD OR TRUST ASSETS
1Rt 1 O DATE 07-01-2013
.'!Ji� ���i_ i F� y 1 �U ESTATE 8F PET£RS PATRICZA B
DATE 4F DEATN 10-04-2012 ,
n ��}y FILE NUMBER 21 12-1139 '
��'�""'� �!n COUNTY CUMBERLAND
{���}'i�l�`��' �`�)�I�i7 SSNlDC 201-18-6473
TER£'SA ��j�a(}t�EAPe✓ ��.. Fs�. ACN 13124118
55 OLD PIp E 9ffi APPEAL BY DATE:OS-3tl-2013
CAMP HILL PA 17�11-2050 (SeereversesideunderObjections)
A�ount Rs�ittsd C
MAKE CHECK PAYABIE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 CQURTH4USE SQUARE
CARLISLE PA 17p13
CUT ALONS TN2S LINE �'�' kETAZN �OWER PORTIBN FOR YOUR RECOROS '�"�
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REV-154E EX AFP C12-12) �
NUTICE OP INNERITANCE 7A� APPRAISEMENT, ALLOWANCE OR nISAILOWANCE QF
nEDUCTIONS, AND ASSESSME. T OF TAX ON JOINTIY HEID OR TRUST ASSETS
DATE: 07-01-2013
ESTATE 4P:PETERS FATRxCZA B DATE �F DEA7H:10-09-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-L139 S.S/D.C. NO. : 201-18-6473 ACN: 13124118
TAX RETURN WAS: fX} . ACCEPTED AS FSIED C ) CHANGED
J6INT 8R TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PSECU ACCQUNT NO. : 02Q1186473-54
TYPE dF ACC4UNS; t ?SAYINGS ' f70 CHECKZNG C )TRUST t )TIME CERTIPZCATE
DATE ESTABLISHED 04-16-1985 �
Account Balance � 682.23 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X ; � 0.5�0 Y4UR ACCdUNT, SUBMIT THE
Amount Subject ta Tax ; 341 .22 UPPER PQRTTON OP THFS NOTICE
Debts and Oeductions ' � •�0 WITH YOUR TAX PAYMENT TO THE
Taxable Aa�ount 341.12 REGISTER dF WILLS AT THE
Tax Rata Y ,_„ .15 ABdVE ADBRESS. MAKE CHECK
Tax Due �, . ..51..17 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT RECEIPT PISCOUNT C+) AMOUNT PAIb
DATE NUMBER INTERE5T/PEN PAID C-7
05-15-2013 CD�17520 .Oa 51.17
� T4TAL TAX PAYMEHT 51.17
BALANCE 6F TA7t DUE .00
. INTEREST AND PEN. .00
T07AL DUE .00
� SF PAID AFTER 7HIS DA7E, S£E REY&RSE PaR GALCUlA7IpN tlF ADDTTIONAL INTEREST. k ��
SF 70TA� DUE ZS REFIECTED AS A TM REBIS•' CCR}, Y4U MAY SE DUE A BEFUND.
SEE REVERSE SIDE OF 7NIS FORM i0 IHSTNllCTI0N5.
i . _ ___. ...—
PURPUSE OF
NOTICE: To fu1Pi11 the raquire�anls of Section 2140 of tb¢ Inheritanca and Estate Taz Act, Act 23 of 2499. (72 P.S.
Soction 9740>. �
PRYXENT: Detaeh the top oorkion of this not3ee anE sub�it with yaur pay�ant te the Bepist¢� of Wills orinteA on tha
rererse sitlo. Maica chack or �oewy ortlsr eevaElc ta: Ravixtrr of Wills, A9ent.
Failura ko pay the tax� in4eraat and oanaltY due way rosult in the filinp oP a lien in tha aooropriate
county or iba issuanu of an Orohen's Caurt citstion.
REFUNO (CRJ� A rafund of a ta: cradit, whdcR ras nnt rcpuastatl on tho taic nturn, aay ba reu��xted fy eu�pleting an
^Apoilcation far Rsfund o{ p�myryyy�3y ZoherStance artd Estata 7ax° {�y-1313). dOplicxtions are araiYebie fro.
tha Mp�rt�arvt's W�b aita �t w��w�w.��q�m�n. rt�t�.o�.us, aw R�pisbr of Willa ar Ravanua Oistrflet Offiee or fru� tha
Ospa�t�anYs 24-bour an3oeeMn4 u`i�+ito�� 1-l0�62-'�OSOt services for tm�orYers wit� soeeiel �earirtp antltor
npsakinp rttotls: 7-A88-447-382d tTT onlv).
UlJE¢TZONSt AOy Oil'Ly 11Y 3ni01"GSt �Ok sitlsfibd wikh thY GOD�a15�YlIt� allwanco ar disallaranca of dadUCYla05 O� A85asS�Y�4 pf iLY
(inclutlinp tliscount or interasU ax shown on t�is noHC� �sY obj�ct vithin b0 tlays ot the tlat� of �acsiat of this notica
EY:
A) ProUs4 to tha PR dsVert�ant of Ravanua, Boartl of �poealx bv filing a prct�st online at
ww.6ea� ef r�a.: rte. .us. on or b�4o» th� 60-d�r ePVwl p�riaA a[pir�s.
Zn ortl�� fo�m�� ♦ � �- tl e prot�st to 6a vsFid, veu �us2 raeaive a confi��at3on nu�bar pnd Oroeassad tlato
fro� tha Coartl of Appoals W�b siie. Yov �ay elso san0 a writtWn oratast to PA D�oaM�m} of Rwenua,
�o�rd ot Anoaals, PQ.lwc 2�1021. MarrisburY. PA 7T1284023. Pelitinns Wt not �� farsa; ar
6} Elt<t ta hava thi �atter tlater�ined�at the audit of tha p�rsanal rY6�vstlYtatiY� accountj or
Ad�IN- C7 Aon�al ta kne prohans• Cpurt.
ISTIiATZVE
CORRECTION$� Feetual errors discove�ad on this essess�ant s�ould be stlErassed in writinp tov PA Ooparban4 of Revanue,
Dureau qf Indivitlual 7arzos, ATTN: Post Assess�ent Raview Un3t. PO Rm[ 280697. Harrisdurp. PA IT12b-ef01
or call 077> 7!7•6585. Sea Aepe 4 of ^Instruetians 4pr Inh�ritanca Ter[ Raturn for a ResiEOnt Dacraant^ [REV-150ll .
for an a:olanation af sth5nistretirely GOReGSib1Y arron. .
pISC01,INT: If anv tmc tlue is paitl within three eaY¢ntlar �onths after tho tlat�dent'a deeth, a fivp qercank discounk af the talC naid
is allaraG.
PENALTYz ThQ 15 PBi'cBT�' k8X YMStY tiOIF-Pdt'i]C3V8tlOh pBl5813]! 14 cCWUteG OM1 th4 tOtl1 6f Yhi ti% dnt} i[ktBt"t3f 8Y5e55td 811Q itOt
eaid bofore Jan. 18� 199b� the Hrst Eapr aHar tha enA of tM1a tuc e�naskY oapiod. Th3s bon•pq�iiclpeiiop
oenalty is eppoalable in Yha aua �annat anC in th� t�p sua ti�e p�rSeA as you vou2tl apocal tpe tax entl interest -
tRat has bom essassaC as intlica;ed on th3s noHca.
ZNTEREST: Intersst is cFarpatl baqinninp xith first tlmr af tlolSnowncv ot nim �oMhs and ane da�t
fraM the date of dgath tp ihe tlatc of pay�ent. Tucrs rM3ch bace�e tlelinqaent befora Jan. 1. 3982r
bear intorost at the rate ot sj�[ wrreeM c¢r aneup� caiculated at � tlai2Y rate ofi 4.U661S4. .
Al7 tazax which boce�a dalin+�ueM un o� aft�� Jan. 1. 1982 v911 bae� iM�resk at a roie Mh1GM vaH�a f�a� �
vear ko yaer rith tha rote announced bfr the PA U�partw»t o4 Ravenw. Rates tor 348? threuph 2096 ean ka
fOUnG in tha PannsylvenfA R�sftlant tnztruction Eookiet CREV•150;), kha Psnnsylvanie Non•R�sitlant Irvstrucc9on �
looklet CREV-%]36) or on tha Oaoart�ent of Ravenu� Wab sita ww.rov�nu�stata.pa.ux. �
Tkw aoo23caEb Snter^azt rates for 2PdT throu9M1 2633 are: �
Interest �aily Interast DniFV Interosi Daib �
Y�ar Rate Faetor Y�ar Rata Fncter Y�ar Raio Fec#o� ,
2007 8% .000219 20pA 7X .�0019Y 2009 5% .000137
2Q1Q ax .�eaiia 2011-2913 SY. .�60@82 �.
intarest is calculatetl as {ollawz� .�
ZNTEREST = BAtANCE QF TAX W6'AID X NUNbER OF tMYS 6ElIt�iUENT X 6lItV IHTEREST FACTOR �
Am.� notica issucd after tM tue baca�as tle2incoent aill reflect an interest calculation to 15 CaYs
bavond tbe Gate of tha asseszlient. If par�ent is Mede after the in4erask coMputakion tle4a shwn dn tha �
notice, adaitianal interqst �4st EB calcUlefad.