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NOTICE OF INHERITANCE TAX ,� �� pennsylvania
BUREAU oF INDIVIDUAL Taxes APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX � DEPARTMENTOFREVENUE
INNERITANCE TAX OIYISION - BEy-154] EX AFP (U343)
HARRI�SBIIRG6PA ���za-o6ofiECORt1€f} OFFIQE OF
�EC�Src� Of 671LLS DATE 07-15-2013
Jm ESTATE OF KREIDER LAURA G
��!l� U��- �� PI � Z 2� DATE OF DEATH 11-13-2012
FILE NUMBER 21 12-1225
CLERpK O{� CDUNTV CUMBERLAND
3901EMARK ToSTf���"I ���Rr ACN 101
APPEAL DATE: 09-13-2013
CAMP HILL �UMBERLp�qN�J�Q�1,-�1$�27 (Seer¢vers¢sideunderObjections)
Amount Remitted
E1AKE CHECK PAYABLE AND REMIT PAYMENT 70:
REGISTER OF WILLS
1 COURTHOUSE SOUARE
CARLISLE Pq 17013
CUT ALON6 THIS LINE ____ � RETAIN LOWER PORTION FOR YOUR RECORDS F
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-1547 EX AFP CO2-13) NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT Of TAX
ESTATE OF: KREIDER LAURA GFILE N0. :21 12-1225 ACN: 101 DATE: 07-15-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED i ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schetlule A) (ll .0� NOTE: To ensure proper
2. Stocks and Bontls (Schetlul¢ B) �z� 196.6$3.21 credif to your account,
3. Clasely Held Stock/Partnership Interest (Schedule C) (3) •DO submit the upper portion
of this form with your
4. Mortgages/NOtes Reeeivable (Schetlule D) �G� .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 319.8(3.61
6. Jointly Ownetl Property (Schetlule F) �6� .00
7. Transfers [Schetlule G) C7J 460�546.45
8. Total assets (a7 977.093. 7
APPROVED DEDUCTIONS ANO EXEMPTIONS:
9. Funerel Expenses/Atlm. Costs/Misc. Expenses CSChetlule N) �q� 46.0�4.88
10. Debts/NOrtgage LiabiliYies/Liens (SChedule I) �lp� 15.583. 15
11. Total Detluetions �11� 61 �658.03
12. Net Value at 7ax Return �1z� 915.435.24
13. Charitable/Governmental BeQUests� Non-electetl 9113 Trusts (Schetlul¢ JJ �lg� 159.211.08
14. N¢t Value of Estafe Subject to Tax �yG� 756.224. 16
NOTE: If an assessment was issued previously, Lines 14. 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amouni of Line 14 at spousal rate C15) •00 X 00 - .OQ
16. Amount oF Line 14 taxable at lin¢al rate (16) nn X 045 = .00
17. Amouni of Line 14 at sibling rate (17) 7R6.994_ ]6 X 12 90.746.90
18. Amount of Line 14 taxable at eollateral rate (18) .00 X 15 = . 00
19. Principal Tax Due �19�° 90.746.90
rax ceenirs:
PAVMENT RECEIPT OISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
02-13-2013 CD017171 3,684.21 70,000.00
05-17-2013 CD017635 .00 16,209.56
�
PAYMENT MUST BE MA➢E BY 08-13-2013� . TOTAL TAX PAYMENT g9,893.77
BALANCE OF TAX DUE 853.13
INTEREST AND PEN. .00
TDTAL DUE 853. 13 �
� IF PqID AFTER OATE INDICATED, SEE REVERSE IF T�TAL DUE IS REFLECTED AS A CREDIT (CR), VOU MAV BE DUE \-
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRULTIONS. V\
�
RESERVATION: Es[ates of decedents dying on or before Dec. 12, 1982-if any future interest in the estate is transferred in possession or
enjoyment to collateral beneficiaries of the decedent after the expira[ion of any estate for life or years;the Commonwealth
hereby expressly reserves the right to appraise and assess transfer inheritance taxes a[the lawful collateral rate on any such
fuNre interest.
PAYMENT: Make check or mon'ey order payableat tl REGISTER OF W ILL AGENT.e Register of Wills Indicated on the front of the notice.
REFUND(CR): A refWnd of a taz credit not requested on the[ax retum may be requested by completing an Application for Refund oi
Pennsylvania lnheritance and Esta[e Tax(REV-1373). Applications are available from the departmenYs web site at
www,re�P�t e oa us,any Register of Wills or Revenue District Office,or from the departmenYs 24-hour forms ordering
service:1-800-362-2050;services tor taupayers with special hearing and/or speaking needs:1-800-4473020(TT only).
Please allow 4-6 weeks irom the date a refund was granted to arrive.
OBJECTIONS: Any party in interest not satisfied with the appraisement,allowance or disallowance of deductions,or assessment of[ax
(including discount or interest)as shown on this notice may object within 60 days of the date of receipt of this notice by:
A) Filing an appeal online at www boardofaoo als. t I4�Pa�on or betore the appeal date identifed on the front of this notice.
Or sending a written protest to:PA Department of Revenue,Board of Appeals,PO BOX 281201,Harrisburg PA 1 7 7 28-1 021;
B) Having the matter determined at audit of the account of the personal representative;or
C) C)Appealing to the Orphans'Court.
ADMINISTRATIVE Errors discovered on this assessment should be addressed in writing to:PA Department of Revenue,Bureau of Individual
CORRECTIONS: Taxes,ATTN:Post Assessment Review Unit,PO BOX 280601,Harrisburg PA,17128-1021,Phone(717)787-6505. See page 4
Instructions for Inheritance Taz Return for a Resident Decedent(REV-1501)for an explanation of administratively correctable
errors.
DISCOUNT: If any tau due is paid within three calendar months aRer the decedenYs death,a five percent discount of the tax paid is allowable.
INTEREST: Interest is charged beginning with first day of delinquency,or nine months and one date from date of death,to the date of
paymeni. Annual interest rates are available on Form REV-1611,available at www revenue state oa us,or upon rquest by
calling i-888-728-2937.
Interest is calculated as follows:
INTEREST=BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Any Notice issued after the taz becomes delinquent will reflect an interest calculation to 15 days beyond the date of the
assessment. If payment is made after the interest calculation dafe show on the Notice,additional interest must be calculated.