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� pennsylvania
BUREAU 4F INDIVIDUAL TAXES NOTZCE OF ZNNERITANCE TAX DEpARTMENTOFAEVENUE
INMERSTANCE TAX OSVISZON APPRAISEMENT� ALLOWANCE OR DISALLOWANCE
PO BOX 28P601 OF AEDUCTIONSr ANU ASSESSMENT OF TAX ON REY-1548 IX AFP t12-12)
HARRISEtbt6 PA 17128-6SU1 }g6zIHTLY HEID 68 TRUST ASSETS
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' °'���'"" " `' � ! � ESTATE OF SHEIPE LLOYD Y
P( 'C�;i`.� � ._�t t)C �2iI.._..�
DA7E OF DEATH 10-16-2012
�".J(.S �UL 1 P! i 1 J� C6UNTYUMBER CUM9ERl�AP/D
SSN1➢C 164-2U-9394
CHRISTOPH A SHEIPE��E�� �jlr ACN 12159562
25 NAILOR LN �{e� C. !! T APPEAI BV DATE:08-30-2013
NEwVi�LE ���A;"x7�4i'�7�b (SeereversesideusderDbjectio�c}
�r�h1�E��AND G4., PA A�ount Rerittad ��—^—���
� MAKE CNECK PAYABLE AND �REMIT PAYMENT T0:
RE6ISTER OF WILLS
. 1 C4URTHOUSE SQUARE
CARIISLE PA 17013
CU7 ALON6 THIS LINE �"M' RiETAIN LpWER PORTIDN FOR YOUR RECORD5 �"�
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REV-1548 EX AFP C12-12)
NOTICE OF INHERITANCE TA7¢ APPRAISEMENT. AGLOWAMCE 6R pISALLOWANCE OF
DEDUCTION5, AND ASSESSME��T OF TAX dN JOIHTLY HEtD 4R TRUST ASSETS
DATE: 07-01-20�,3
ESTATE OF:SHEIPE LLDYp V DATE OF pEATH:10-16-2012 C6UNTY:CUMBERLAND
FILE NO. : 21 12-1185 S.Sf6.C. NO. : 164-20-9394 ACN: 12154562
TAX RETURN WAS: (X) � ACGEPTED AS FILED O CHANGED
. JOINT OR TRUST ASSET INFORMATION
PINANCFAI INSTITUTION: MEM&ERS�: IST FCU ACCOUNT NO. : 14353•7b
TYPE 4F ACC4UNT: C )SAYINGS C 7 CHECKING ( p TRUST C )TIME CERTIFICATE
DATE ESTABIISHED 12-14-2006
Account Balance - 14 07d.72 NOTE: TO ENSURE PR4PER CRfDIT TO
Percent Taxahle X � 1.�p0 Y4UR ACCOUNT, SUBMIT THE
Amaunt Subject to Tax 10�476.72 UPPER PORTION OF THIS NOTICE
Da4ts and Deductions ' .00 WITH YqUR TAX PAYMENT TO THE
Taxa618 A�aunt � 10 076.72 REGISTER OF WILLS AT THE
Tax Rete Y � .045 ABOVE AD➢RESS. MAKE CHECK
Tax Due 453.45 OR MONEY ORDER PkYAB�E T0:
"RE6ISTER OF WZLLS, A6ENT,"
TAX CREBITS:
PAYMENT RECESPT DZ5C�UN7 f+J AXnUHT PAIB
DATE NUMB@R INTEREST/PEN PAID (-)
05-17-2013 CD017621 .00 453.45
TOTAI TAX PAYMENT 453.45
' BALANCE 4F TAX DUE .00
INTEREST AND PEN. .00
� TOTAL DUE .00
x IP PAID AFTER THIS DA7E, SEE REWERSE FOR CALCULATION 6F AODITIpNA4, tNTEREST. � `
IF TOTAL DUE IS REF�£CTED AS A *�CREDTT° fCR}. Y�U MAY &E DUE A REFUNA. r,(�.,,i
SEE 2EVERSE SIDE QF THIS FORM FOR INS7RUCTIONS. "J
PU&POSE OF
NOTICE: Tc fu3fi11 the reouiroents ot Section 2740 of khe Inhe�Stanca and Estaka Tax Aci, Act 23 oP 2000. (72 p.5.
Section 914CJ.
PAVMENT+ Uatach tha top oor4ion af khis notico ana subrit rith ynu� peY�ent te tba Registar ef W311s printatl an tha
rovarse sitln Naka ehack or �onev ord�� DavaAla tn� Raoistor at Wills� Apont.
Fa93uro to pay the tv[, inAer�at antl panaltY Eua �ev re&ul# in the fil5np ot a Yian in tha dRproPflikB
eovntv or tha issua+�ca of an 4rphan`s Court citatian.
REfUNII (CR)z A �afuntl nf a ta�c c��tlit. vhich xas not rayuastsd bn tha tN[ Tature, i� tra raousstatl by eo�Ylatinp an
^Fppl3cakion for RefunE qf PMnWlvanis InMOrfkanea antl Est�t� 7an° (REY-1313). App2ications art avaiIaDla ftn
tha Dsp�rtwYnYS Wab tStr �t ww:rwrAwatrG.W1.uF, +rql R�Oistar of WS31; or R}v�nua bistfict Offica or frw tha
Dwsrt��nt`s 24-hour anatrerin9 sirv e����'_T�Sb: sarvicas far te�cPSY�rs r5th s�acSaX haarin0 anA/or
sna#kinp MeASi 3-lUO-447-3020 RT oR3YJ.
tlBJEC7I0M5: Ams varty i� intarest nat satisftad xith th� aporoiswnt, eilwanca orv disi37a+anca of datluctions or assasx��nt of tax
Cincludinp diacount or intsrast> as shoxn on tt�is noHca �ay oh,iect vithirt d@ tlays uf th� date ot tec�iAt of this notica
M�
A} protast to thc PA Mpar#�ent of Raranua. toartl of Anpaals bY filina a orotest online a#
MLy.bNPaOfWCf111Y.it�S�.D.+.US on ar Wicev tM i@-tl�r�avpral psriod �Vir�s.
In ortlar fo���n a3�04twnic Dretsst ko ba rnFitl, vou �ust roeeire a confSrwat9an nwber anG oTOCassad deto
fro� th� Dqertl of Aopwls Wab s3b. You �qy also »ntl a writNn orot�at to PA O+oert��nt qf Rpenue,
Eoard of ACOaa2s. PO Tmc ?8F021, HarrisDurp, PR 77328-1071. Patitiens �alr not ba faK�tl; or
B) Elect to hava tha �sttur datanfned at kAe au�it et ;he wrsonal r�crosantativa acceunt; or
A�tIN- C> Aop�al to tho Ornh�ns' CourL �
ISTRATIVE
CORRECTIOMSs Faetual orrorz Aiscorersd on thi5 axsess�ent should Ea atltlressqd in writinp !a� PA DenarY�ent of kevanuc,
6uraau of IrrdiviEUal 7a�ce5. AT7Ne Past Assass�snt Ravicr UnAt. Ptl IIm[ 28060I, Hatrisburp, PA lil?8•06tl1 ��.
or tall C71?) 7!7•55q5. Sea Pepa A af "Imtructions for Tnhar#tenea Tcc Raturn far a kas5tlent Dacatlent^ (REVQStl17
for an axplab�tio0 Of LMSnistroYiv47y co�NetAblt q�ro�s.
DTSC8UN7: If anv tale du� is aaid witASn threa ealantlar �ankhs sttar tha tlecetla�t'z death, a fixa naresnt tliseount af Yhs taz oaid �
ia allwed. �
PEWIITY: Tha 35 6erc�n# #arz a�aaxty nan-oarticipatian oenaltv is towputetl on tha total of tha tmc antl intorast assessad antl not
aaiG 6afore Jan. 38, 74%� tba first tlay after the ontl of the tax arnastY oariotl. This non-parliaioation
oona3ty is wASalatrle in tM saw �anncr aeM in tha thb sa�o ti�a a0ritld as you woultl aopaal the t� antl inkerast '
that has bno assassotl es indiostatl on this notica. �
INTERES7: InYarest is charoatl batlinninp rith first tlaY of d¢linou�ncy cr nina �onkhs and arte tlay
fron the data of tlsath to thx date of eav�ant. Tveas whieh boew� C�linaua�t before .1an. 1. 19&2.
bmer inta�cs# et tha rota af six uarcant p�r annw c�lculwtotl at a tl�ilY ret� af �.tl00164, �'
A1i tuas xAich baca�a dal3oquant on or aftar Jan. 7, 1962 will btlar in4arest at a rab which varias frow �
venr ta vaar uith tt�s raU mrrounceG Oy tha PA Oapart�ant af R�vanua, Ratas for 1962 thruuph 200b can ba �
found in the P�nnsylrania ResiQant Irvztruttian Badclot LREV-750ll. Lha Paimsylrmda Xon-RCSidoM Snstruct3on
Bouklet (REV•i)36) or on tho UaPartuM nf A�vaaue Watr sita nn.rev�nw.ataU.w.us. �
T�e aoolicable intenst rates fbr 20q7 throuph 2013 are:
Intqraxt Daily Intarast Uai2v Intarezt AaYIv
Y�er Raia Fpetor Y�ar RaYS Factor T�er Rat� Paatow
2U07 eY. .OU0219 2G08 IX .DU@342 2Q09 5Y. .q6P13'7 ..
2030 4X .00011U 2031•2U13 bX .UOCU82 '
Interest is celculatoa es follm+s:
INTEREST = BALANCE OF TAX UNPAID % NUMBER OF 04YS DEIINqUENT 1( MIlY INTERE5T FACT9R " �
Am notice issastl afiter the tsz becoMas delinuuent rill reflect an inknraat ealealation to 15 tlaYs
baYOnd tht Aate of tho assaszEent. It payMent is �ede after thb intarest coMOUtation datd shwn on tho
notice> aetlitional inkerest eust 6a calculetetl.