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HUREAU OF SNDIYIDUAL TAXES NO7TCE OF INHERI7ANCE 7AX 4EPAHTMENTOfREVENUE
INNERITat7cE Tax DIVZSSnN APPRAiSENENT, AlLBWANCE 6R DISALI.OWANCE
fa sOx z&a641 UF pEDUCTIONS, AND ASSESSMENT OF TAX �N REV-1548 IX AFP ci2-12�
tuRRI5pUR6 PA 1712E-0601 JOINTLY HELD UR ?Kt/ST ASSETS
DATE 07-22-2013
ESTATE 8F HUriPHREY ESTHER
DATE OF DEATH 01-29-2013
FILE NUNBER 21 13-0184
C4UN7Y CUM9ERlANA
SSN/DC
ELLA J NICH4LS AGN 1310b392
1208 REDW60D HZLLS CIR pPPEAL BY DATE:09-ZD-2013
CARLTSLE PA 1 70 15-9735 (Se�reversesideunderObjections)
A�ount Re�itted r-------l�
MAKE CNECK PAYASLE AND REMIT pAYMENT T0:
RE6ISTER QF WILIS
1 CdURTHOUSE SQllARE
CARLISLE PA 17U13
CUT ALON6 7HI5 IINE � RE7AIN LOWER PORTIDN FdR raua RECdRDS F"
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REY-1548 EX AFP C12-123
NOTICE OF SNHERITANCE TAX APPRAISEMENT, ALLBWANCE OR DiSAILOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JDINTLY HELD OR TRUST ASSETS
DATE: 07-22-2013
ESTATE OF:HUMPHREY ESTHER DATE OF DEATH:O1-29-2013 C6UNTY:CUMBERI.AND i
FILE NO. : pl 13-01$4 S.S/D.C. NO, : p83-42-4834 ACN: 1310b392
TAX RETURN WAS: {X) ACCEPTED AS FILED C ) CHANGEp
J4INT OR TRUST ASSET INFORXATION
PINANCIAL INSTITUTION: MEXBERS 1ST FCU ACCDt1NT Nd. : 124411-GO
TYPE OF ACCOUNT: C 3SAVIN65 t ) CHECKIN6 C )TRUST LX?TIME CERTIFICATE
DATE £STASLZSHEfl 05-22-201�
� �
Account Balance 20 817 39 NOTE: TCl fiNSURE PI{QQER�RBDIT TO
Percent Taxable X 0.500 YOt� A2C0t7NTQ SU�I$ THE
A�ount Su67ect to Tax 10 40& 70 UPP�BR=�ORTIOFF=OFVStpfPS NOTICE
Dehts snd Deductions ' �0� WIT� �U� T/�PAI!�r�rN Tp THE
Taxable Amount 10 408 7U REG T�.RF'bF W�PLLS�-�'A`f� TNE
Tax Rate Y .045 ABO� �D9RES$,� t�►'KEjCHECK
Tax Due 468.39 OR �M�'V<"ORDE� PAYA6"�E Tp:
"REC,�XSc'f£R 'OF r4FI Ll�:,�,�$GENT."
TAX CREDITS: - �'-> -
. �
PAYMENT RECEIPT DISCOUNT t+> ���"'' 7' �' ',7
OATf NUXBER INTEREST/PEN PAtD C-) AMpUNT PA'ED �
06-12-2p13 CD017735 .QO 468.39
T6TAl TAX PAYMENT 469.39
SALANCE OF TAX DUE .d0
INTEREST AHD PEN. .00
TOTAL DUE A 0
� IF PAID AFTER THIS DATE. SEE REYERSE FpR CAICULATI�N Of ADDITIDNAL INTEREST. � (��
IF TOTAL DUE TS REKLECTED AS A "CREDIT^ ICRI. YOU MAY BE DUE A REFUND. ._��rti
SEE REVERSE SIDE OF THSS FOftM fQR ZNSTRUCTIONS. \���
PURPOSE OF
NOTICEi Tq fulf3ll the revuira�ents of 5ackian 214U of the Inheritance a�G Fstatc iu Act. Aet 23 ot 2080. O2 P.S.
SaetiOn 9140).
PAVMENT� Uaieeh the ton oortion of this notica anA :u6�it wfth vour oay�ent to tha Reuiater ef Willa printetl on the
rmyarsa sitle. Muka chbdc or wotuY ortler oavablo to: RaA�stsr of Wills. ppent.
F8]lYf¢ t0 RaY !h8 kAXa ]hYMtlS1, b(Id pYDilty dY� �NY l'qSYlt l0 4hB f313Op Of d 118p ln YYIe epDYODf]Lt4
county or t�q isswnce o£ an Orphan's Caa�t c}tatiqn.
REPUND tCR)� A wafuntl of a taz eraCit, whith ras not raW�sGtl en ttw tmc rKurnr sav ba nw�st�tl by ewol�tirvp an
°Apolicatian for R�funtl o4 P�nnsYlvanSa IMferftenca snd EstsYa Tm�^ CRkl�-i3133. AvPliotions an availsbla frow
th� Mpmt��nt•c W�b aik� at ww.��r�ew�.strte. �'uH atty R�413t�r af�Mi12s ar Ravmw Oistric! Offiu or fiw� tha
Dap6�M�Ot•6 24-hour ansrr�rinp aorv c��9'� Stl; s�rwicas far taxpeyers with :o+cie2 t�earinp and/or
Ep�lK56p N�dit T-60C-447•5020 (TT onlyJ.
0&lECTIINlS. Aey Darty 3n intarast not satisfiad wikh tMO aoDreisunt, allwanct or aisallwartn af MAUations or assass�ant qf tauc
Cineludinp dfscount or intsrost) as shpwn on ihis notica �ay obd�et witMn 60 d�YS of tM.date af recaiat of this mtica
bya
A) Protest ta tbe PA DeoarWnt at Rovarw�. Board of Appuls by fllinp a prbUat online st
www.bwfaOf �a Y. ir. eo pr b`fON tM b8-dd WO�el Pviod �XO1rIS.
In ortlar tor �n ti ➢e tMf1E yt�etiit ta bs va14A, you �utt P�w3va � ernfiMai3on nwboF bnd orocexsVd tlnte
fra� tFa loard of App�als W�b ait�. You �apr also �rtd � xHttan probst to VA Wn�rrRun# of Revanur,
6oartl of Aooaala. PO tox 2t1021, N�miabura, PA 1712l-1&Yt.��P�tiliorts �aY �wE b� faxotl; or
%) Eksct to havs tfir iattar tl�bnin�d at tM eutlit of tha porsonel lvrarvxtntativa account; ar
qp�=M� GJ Apwal to tha Orph�ns' Cou�t.
SST&ATIYE
CqRRECTI0N5: Faekua2 arron disoovered an this assasa�ant sheultl be atldrexsod in rritinp to: AA Uapart�ant of Raranua.
Surdau of Individu�l Tauas, ATTNe Past Assass�ant Reviar Urt1t, PO lw� ?bedeL Herrisburp, PA 177T8-O601
or c�ll (717) 787-65P5. Sn Paqa 4 of "I�structfons for Iohoritanaa Tal[ R�turn for e Rasitlant DentlenM CREV-150ll
far an sxY3an�Yion of adYinisVatively corractatrle o�rorx.
DISCOUNT� If eny tas due is peYd kitfiSe threo calandar �onthz }fYa/' Lh6 dBCede�t'S tlieih. d fivo Oerceni tliseount of the tu oaid
is ellawad.
PENALTY. The 15 Darc:M tsx nresty non-carticinatian oeneltv is co�nuted un the tutal of tha tes anC intersst azscssetl antl not
paid Oatare Jan. 18, 244d, tAa fi�st daY afker tha arW of tN tua a�n�stv osriod. Th}s nm-Gtrtitlpaiton
oana7tY is app�elebl� Sn tha sa�e �annar antl in kha the sau t1�o perSetl as You wou2tl appae2 tba tmc and intaros4
� that hea batn bszassad as 1ndAeatetl on this notioe.
TNTERESi� Intenst 3x char0ad b�pinninp with first dw of MlinqwncY or nio� �onths and ona tlrr ��
fron iha tlata at tlea4h to the tlaY� of Vsy�ont. 7axas vhic� becna d�linwmt bafors Jarv. 1, 1982,
besr interast at tha rata nf sioc pe�cant ocr annw eslwLtatl at a tlailv rota of 0.6pO1d4. -
All tazes Mh1Ch b!<Y! MS]MpWOi CA or sftar Jan. I, 7962 wi37 bosr 3nt�rask ai a rat� rhich�v�r#ax frw .
vaar to vaar vith the rab annount�d Oy the PA Deusri�ent of R�venw. Retos far 1982 throuph 2pU6 can be
found in the Paru�svlvanla Rtsidont Inztruck3qn lookle4 {RfV-150U, the P�nnsylvania Non-Rasident Inskructio� -
Booklat (REV-2T3b) or an tM Dauirt�cnt ofi Rvvanu� Wab s5te vw.r�v�nw.akai�.pa.us.
The applicab2e iMarost rates #e� 2007 throuph 20I3 aro�
Intarast Qailv Intarast paily Intanst OailY
Y�ar Reta Factor Y�er Rn#e Pactor Y�er Reto F�ctor
2007 &C .006?19 260A TX .0q0192 200'1 5% .0801i7
201Q 4% .HG021U 20II•2013 3X .000082
intprest is eqlculated as fo27aes. - �
SNTEREST m &ItANCE OF TAX U11PA20 X NUM�ER OF MYS DELINCUENI X 61ILY INTEREST FACTOR .
Anv ootice issuetl afte� tha tvo beco�es tlalinouervt will reflect an intrrast calcu2ation ta T5 davs � �
EfYOnd MY E!t! of the axsess�ent. If pa»ent 4: �aAe atRer the interest co�0utation Aata sharrn on tha
natSca, additional in{erest �ust be celculeted.