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NOTICE 6F IEVHERITANCE TAX � pennsylvania
BUREAU OF INDXYSDOAI TAXES APPRAI$ENENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOPREVENUB
=a��rttuNCe T� orvtszoN dF DEDUCTION5..AND. ASSESSMENT� OF TAX
REY-]547 IX APP (U343)
PO BOX 280601
HARRISHURG PA 17728-�bUl �`^��,�,, ` ,,, e., V r
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t2CCl'.5��,..:, t,, ,�;,'`.a_�srnre oF niC�eftzoia pAO� n
�E�[� J�I<< � ��j j 2 ��LE NUMBERTN 21 12-1306
COUNTY CUMBERLANp
ANDREW C SNEEIY ESq L`i-`=+2'�'i Cic� ACN 101
127 SOUTH MARKET ST �}h�^-F{���;�' ��tW�p�� APPEAL DATEz 08-2b-2�13
Po Box 95 CU'MB�RLAND i;�`3., �'a (Seereversesideunder06�'ections)
MECHANICSBURG PA 17055•0095 ��ount Re�itted�---�-�- �
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
RE6ISTER OF WILLS
, 1 COURTHOUSE SQUARE
� CARLISLE PA 17013
CUT ALONB THIS LINE -�► R �7AIN �OWER PORTION FOR YDUR RECORDS �
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REY-1547 EX AFP CO2^13) NOTICE F•INNERITANCEYTAX APPRAISEMENT. ALLOWANCE 4R
DISALIOW NCE OF DEDUCTIQNS AND ASSESSMEN7 4F TAX
ESTATE OP: MIL�ER PqUC��. DFILE N8. :21 12-13p6 ACN: l�l DATE: 06-24-2013
TAX RE7YJRN� MAS: C }(> ACCEPTEA AS FILED L ) CHAMGED
APPRA2SED VALUE OF RETURN BAS!ED'�� ON: ORIGZNAI R£TURN �
� i. Real Estate <SMedule A) �� (i} •�0 NOTE: To onsure proper
2. Stocks and Bonas {SChedule H) �. �y� .00 crs4lt ta your account:
.00 submtt tha uppar po�tiOn
3. C3osely Hnld StockJPartnershiRlTntarest CStfiedula C) {3> of this torm with your
4. Mortgages/NOtes Racetvahle tSC�reEUla D7 {4} •�� taX paYment.
5. Cash/Bank Depasits/Misc. Parsohsl Property tSchedule E} �5} 12:464.34
6. �otntiv ovnaa Proparty cscneau!xa F� t6� 32:701.90
7. Tronsfers tSchedule G) � ��� 7$�U89.4b
a. 7otai asssts (e� 723.255.70
APPROVED DEDUCTIONS AND EXENP7I8NSt
9. Funeral Expenses/Adm. Costs/Mie�. Exponaes tSCfiedula HJ t93 23.871=31
1�. Oebts/MOrtga9a liabilitias/I.ians (Schedale I) t10) 2.028.33
11. Tota1 Dadu<tians cll> �5�$49.64
12. Na# Value of Tax Raturn �1z� 47r35b.Ob
15. Charitable/Governmental Saqueists; Non-slaMetl 4173 7wsta CSCl�edule .l> <ly� .00
14. Net Valua of Estate Sub�ject �'o TaX (14} 9�.356.06
N4TE: If s� assesssent was �ssued praviouslY, Lines 14, 35� 16, 17, 18 andJor 14 wili
refiect fipures tha# iflclude tbs tatal of a11 re#urns assessed to date.
ASSESSMENT OF TAX: ��..
15. Amount of 4ine 14 at svoussl�-rste t15) .�0 X 00 = .00
16. AmounY nr �.ine ia taxanie at� itnaaz r�t� cis� Q��-;����� x 045 = 4,361 .02
17. Amount ot Line 1c at siblin9 �ate ctza .on X 12 = .00
18. Amount ot I.ine 14 taxpb]e aG collate�al rate C181 .00 x 15 = .00
14, PrSACipal Tax Due f14�' k�381.02
TAX CR£DI7S: '
PAYMENT REGEZPT DISCOUN7 (+) AMOUN7 PAID
pATE NUMHER INTEREST/PEN PAID C-7
4-26-2013 U 7502 .00 4,381 .0
� TOTAL TAX PAYMENT ti,381,02
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
� IF PAID AFTER DATE INDICATEDv SE� REYERSE IP TO7AL DUE IS REFLELTED AS A CREDIT (CR), YDU MAY BE OOE .{
FOR CAICULATION 4F ADDITZOMAt-IN ERES7. A REFUND. SEE REVERSE 5IDE FOR INS7RUC7IONS. t C
�t7
RESERVATION: Estai�of deceda�ts dyinp on w before�ec. 12, 1982-N any 4ulure irrtere&t in the estate is tra�sferred in ppssession or
enjoyment�to vollateral be�ptfciaries ot the decedent af�r the eacpha�of aery es�te lar iHe or years;the Commomvea�th
hereby expressy reservds the right te appraisa and�sess tran�far iMteritarice t�es at the iawtui cotlaterai rate on any such
tuture interest
PAVMENT: Detach ths top porpon of Uas noiioe at�d subngt with your paymaM to the Register of�IIs Indicated on the front of the notice.
Make check or money ortler payAbte�:REGlS7ER OF W ill,AGENT.
REFUND(CRa: A rafurid of a tax credii rwa requested on tt�e kvc reNm may be r9queated by cpmpieMng an AppNCation ior Retwid af
Pennsytva�ia lnheritar�ce and Estate Tau(i?EV-t913). Applic�ans ara av�iaDb�from the departrnanPs web sita at
,any Fiep�ter qf�iis or Revgnu6.fN81ek��t3t�,or from�Che EBpertrnMCB 24-hour fama brdering
service:1-$00-362-2E}a0;servic�s for ta�cpayers wiM special hoacbp a�a Speskin8 needs:1-8f10•447-3Q20(TT ony}.
Please allav 4-6 weeks hom�the date a refund was granted ro arrive.
OBJECTIONS: My party in iMerest rrot saUsfied with Me appraisement,.aibwence or disalbwa�e of deductions,or assessmenY of taz
(ir�ciutArip t�ouM a imerest)as shawn on tMS noiice may objxt within 60 days of the date of receipt of�this notice by:
A} Filing an.appeai oniice at on or before the appae4 dete identlfisd an the froM ot this ratice.
Or serdinpa written proi�t to;PA Deperlmant of�Revenue�,Board at Appea4s,P4 90X 29f 2Q1,Harrisburp PA i 712&-1021;
8} Na�ng MB mattar determined at au�R of ihe axouM of�tlie pe�n�l re�eseMeMe;or �
C} C)AppeaBng to fie drphans Court.
ADMiNIS7fiATiVE Errors�scpvered on this assessmeM shou�be addressed in writdrq to:PR Department of Revenue,8ureau of irrc%vicNsai
CORREGT70NS: Taxes,ATTN:Post Asseasment Review UnR,PO BOX?bO6Q1,Harrisburq PA,171�1021,Pf�(7t7)7$7-65G5. See pape 4
instructions ibr inheritaM;e 7aac ReNrn for a Residgrrt Decedent{REV•i6�f}ttu ar�explan�an of administra8vely mrrectabie �
errors.
DISCOiJNT: ii any ta�c due is paid within three celendar months after ihe decsdem's sieath,a five percent c#�ouM of the tax paid is aibwaisie. �
INTEREST: interest is charged beginninp with first day of delirx�uency,or�ae months and one date hom date of death,ta the date of �
payment. Amwa!interbst rates ere ava#Iable w�Form REV-Y611,availabie at www.re�emus. e = ��,or upon rqtiestby �.
oan���-asea2a•asa7.
interest is cabuk'�ied as foAaws:
INTEREST=HALANGE OF TAX IINPAID X NUM8ER OP DAYS DELIF1at1ENT X DAILV iNTEREST FACTOR �
Any No6ce issued aker the taz hecomes deli�M wiH raflect an interest cak;uiatlon to 1 b days beyond the dete of tt�e ,
assessment. If payment is made after the interest ealculalion date show on ths Notioe,ad�tionai intarest must be ca�ulated � �