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BUREAU OF INDIVIDU I., 7AXF.F [] [Q NOTICE OF INHERITANCfi TAX �� DEPAHTMENT OFREVENl7E
INtiERITANCE TAX OIVISi�lryi� ���. 1 I � APpR9LfEMENT, ALLOWANCE qR DI5A4LOWANCE
Ptr !o% 288607 OF DEDUCTIONS. AND ASSESSMENT OP TAX ON REV-25§e Dt AFP a242)
w1HRiSaUR6 PA 27728-obei JOINTLY HEI.➢ �R TRUST ASSETS
��..�i�t�, �.�.�.
�}�;�;i�,�S, C��`��f� DATE 07-02-2D23
ESTATE dF SNEIPE LLOYD Y
GUMBERI.AS�D G�., PA DATE OF DEATH 10-16-2012
PILE NUMBER 21 12-1285
COUNTY CUMBERlAND
SSNtDC 164-20-4394
CNRIS7dPH A SHEIPE ACN 12159559
25 NAILOR LM APPEAL BY DATE:O&-30-2013
NEWVItlE PA 17241-8776 (SeereversesideunderCTbjectfons)
A�aount Reaitted �--^�
MAK£ CNECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE �"> RETAIN LOWER PORTION FOR YOUR RECORDS 'f'�'
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REY-1548 EX AFP C12-12)
NBTICE OF INHERITANCE TA7C APPRAISEMENT. ALLDWANCE OR DISALLdWANCE OF
DEDUCTIONS, AND AS5ESSMENT OF TAX ON JOFN7tY NELD DR TRUST ASSETS
DATE: 07-01-2013
ESipTE OF:SHEIPE LLpYD Y DATE OF BEATN:10-I6-2012 COUN7Y:CUMSERLANQ
FILE NO. : pl 12-1185 S.SrD.C. NO. s 164-2d-9394 ACN: 12159554
TAX RETURN WAS: C%? ACCEPTEQ AS FIIED C 7 CHANGED
' JOIN7 OR TRUST ASSET INFORMATION
PINANCIAL INSTZTU7ION: MEMBERS IyST FCU ACCQUNT NO. : 24353-68
TYPE OF ACCOUNT: { }SAYIN6S { } CHECKING f �7RUST C )TIME CBRTIFICATE
DATE ES7ABLISHED 04-05-2�10
Account Balance 15,013.75 NOTE: T4 ENSURE PROPER CREDI7 TO
Percent Taxable X � 1.000 YOUR ACCOUNT, SUBMIT THE
Amoun[ Subject to Tax , 15,023 J5 UPPER P4RTIQN OP THTS NpTICE
ttebts and Deductions .00 WI7H V6UR TAX PAYMENT TO THE
Taxable Amount 15,023.�5 REGISTER OF WILLS A7 THE
Tax Rate v .U45 ABOYE ADpRESS. MAKE CHECK
Tax Due 675.62 OR MONEY ORDER PAYA$LE 70;
"RE6ISTER OF WILLS, A6ENT."
TAX CREDITS:
PAYMEki RECEIPT DISCOUN7 C+) AMOtINT PAID
DAiE NUXHER INTERESTIPEN PAID (-7
05^17-2013 CD011b21 .00 675.65
70TAL TAX PAYMENT 675.b5
BALANCE OF TAX DUE .Q3CR
INTERE57 ANQ PEN. .00
TOTAL DUE .Q3CR
. IF PAID AF7ER iHIS DATE, SEE RHVERSE POR CALCUtATIbN 8F ADDITIONAL INTEREST. * p�
IP TpTAI DUE IS REFLECTED AS A ^CREDIT^ tCRJ, YpU MAY BE DUE A REFUNA. AY1
SEE REVERSE SIUE OF THIS FoRM FoR INSTRUCTI�NS. ����
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PURf4SE OF
N6TICE: To 4u1fi11 thc te9uireYanYB of SKtion 2140 of the lnheritanCe and Esiate T»x Act, Act 2i of 2900. Q2 P.S.
Sactioo 4349).
PAVNENTv Oetech the toa oortion of tfiis notiea an6 zub�it uith your payMrnt to the RaDistar nf W311s nrintetl on the
ravarse sirte. Make <heek ar �prroy ordar payable tax Reyiste� af Wills: Apant.
Failure to nav the taa� iMarast antl penslty tlue wafr result in thc fillnB of e lioa in tha aCV�opriate
� county ar tfie fsswnce of an Orohan's Court citation.
R�FUNU CCRS: � PBfMnQ Of a tU[ CNdS2� MhSCh M!S not nquestetl on khq Ltll[ PYYU!'O� �AY b@ I'OqYQEf�A by COi010t3Op �6
^AOPlie�tian 4or Rafuntl ut AennsYlv�nia lMeritano� antl EstNa Tez° LREV-7313). Applieatians aro era3lable fro�
tha D4paotrtnYa Wsb sit� at wr:rYV�ow.sY►t��. uw, aw Repisbr of Wills or Rwanua Uistr3ct Otfica or trw tfie
Daparfuntb Z4-hour anaw��iny s�rvf��s•3d2•2050; fervipex for texOaYe�s vith syaoial hesrSnp andlor
sMY[inp pqds. 1•800•64Y3020 CTT onlv3.
�lJEGTIONSs Any oarty in Sntawest not zatisfiatl with th� wOrois�int, allaranco or Cisal3wmcr af datluttSOns or assosse�M of ku�
(inelutling discqunk or intarast) aa shiwrn on this notfp �ay oEtlaCt Mith3n 6D diys of ;M tlats of rr�c�iot of thix nolica
bY�
A> Prot�st t6 th� PA MCarUmt of Rowmee. �oartl af AOYnls by ti13n0 b qroiost onlina at
ww.b M t i . N�� .us o� or bafnn th� 60•d�Y aDP�sl o�Hod �xvir�s.
" In ortl`r fet:rn-� setran3C'oroRnt tp b� r►31d� Yw wwt r�ceiva a confir��t3on nu�bar end proeassatl Eate
� fro� th� lo�rtl of �pDUls Wad ait�. You wN +�lso s�nd a wr3ttan pretszt te PA DepaKnent of Rcvanua�
loyrA ot Anpuls. Pq Omc 2r1021. NarHSburp, PA lli2l4q21. Petitiona av not bs fuc�tl; or
B) El�ct to hsva the �etiar d�ter�inad at ths audlt o£ tM poraaoal ropraxentstSVa account; or
� A➢XIN• C) ppp�al to thc Orohsns• Court.
ISTRATIVE
- , CAftRECTI�NSs factual errors discovered on this assess�ent should bc aedrossed in rritine tor PA DapaMSant ei Rerenue�
6u�aau oF Irtdiritlwl Tmtas. ATTN� PoE! AisYSS�Ynt RavieM Unit� PO 6oX 280d01� Merrisbvrv. PA 3A28-8661
� or caA Q17) 7Ci-65C5. Seo P�ya 4 ef "Inttructions for Inheritanee Tax Rafurn for a R�sYdant Dae�Asnt' tREV-150k3
- tor en utOlanstion of adaialztrntiralv cnrrocke0le errors. �
. . UISCOUN7� if anY 4mc due Ss paitl vithin thraa ealanCer wMhs aftar the dacatlrnt's tlea4h, a fiva parcent tliseount af thf tex vaid
is allowatl.
PENALTY� TM 15 ocrcant tarz pOYSLy Oa0-piFt]C106L10� pena7ty 3s cwDUtad on the tutal of tha tiu and inbtest assassotl and not
peid brforo Jan. 18. 1996, kh� first dav after ths entl of tka tas sliMatY oeriod. T�is RM-Ob�kiCiPltiop
� p@piliy 1s apD�ilibla 10 Zh� 5��� �A�Def COd i0 }hB th0 4GA8 flOY ppHod Ns YtlLL MOUSd 86Dtl1 Yha LdX YpC SOk¢feSY
� ., that hes bean assesaetl es indicetetl on fh3s not3ca.
, IXTEftESTS Interest is charped baginni�p wfth first tlav of tlelinauencv or nina �onths and onc tlay
� -� frow tba tlets of tleath to tha dst� af DaYwont. Texez whic� bace�� d�lfnquant baforo 3an. 3, 1982.
bear SnUrast at tha rsta of s'vc aercant per mnw cslcul�katl at a tl�ily rata of O.UOU164.
� All tmws xfiich bac»a rNiinouent on or afta� Jan. 1, 1982 will baar interast at a rato vhich varias fro�
; vear to yaar rith tht rote anrwunced trv the PA 9roart�ent af Rev�oue. Ratas tor 19E2 throuph 2006 can be
� , fountl in the Pennsvlvania Rasid�nt Instrvction eoaklot [NEY-154U. tha Pannsylvania Non-Rasitlent Instrvetion
� lpoklet (REV-17367 or on Ma 6spaM�ant oF Ravanue W�b s3ts vw.reronw.state.v�.us.
� � The aooliceble intarast rrtaa For 2tl87 throuqh 2qi3 ara:
- Interast DsilY Intarsst oailv Intarast Daily
- Y�ar Rata iaetor Y�ar Rsta Factor Y��r RaSe Fector
. Z007 8X .06d214 2pe8 7Y. ,OCO1B2 2409 5% .00013T
2010 4Y, .pU0110 2911-2913 S% .00008?
Interest is eal<uiated as fallqrra�
IMTEREST = B0.tANCE OF TAX UF6'+AID X qUNBER UF MYS bEIINQUENT X p4ItY INTEREST fAtTOR
Anv npUca issued after tha ;art be<o�es tlaiinouent vi31 raflect an 3rvtarast qslculaHOn to 15 days
. � bpyund t�e tlato of the assess�ent. If pay�ont is �ade attar tho intarest cwrwtatipn date s�arn on ttw
- notice, addiiionel intarest �usk be calculated.