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BUREAU 4F INDIYIDUAL TAXES H4TZCE OF INHERITANCE TAX OEPARTT9ENTOFRfYENUE
INHERITRNCE TAX DIVISION APPRAYSEMEN7, ALLOWANCE OR UISALLOWANCE
P9 60X 2D�S07 OF DEDUCTIONS� AND ASSESSMENT OF TAX ON REV-154B IX RPP C12-12)
NnRRI5lURG PA 17128-6601 JOINTLY NELD OR TRUST A$SETS
DAFE U7-22-2013
ESTATE OF HUMPHREY ESTHER
DATE OF DEATH U1-24-2013
FILE NUMBER 21 13-0184
G4UNTY CUMBERLANQ
SSN/DC
ELLA J NZCNOIS ACN 13106393
1208 REAWOOD HII.LS CIR APPEAL BY DATE:09-20-2013
CARLISLE FA 17025-4735 {Seereversestdeunderpbjections)
A�ount Rewitted r--^����
MAKE CNECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER 4F WIILS
1 COURTHOUSE SqUARE
CAR�ISIE PA 17013
CUT ALOk6 THIS �ZNB �'�' RETAIN LOWER PORTION K'OR Y4UR RECORDS 'E"" ,
"-"""'"'-'_-^'-"'-'.--.'--'-""-'--.'-..'-"--"'-"-'"--"--'--.'-"'-"--'-"'-"'-"
REY-154a EX AFp (12-12)
NOTICE 8f INNERITAMCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLOWANCE OF
� DEDUCTIONS, AND ASSESSMEH7 OF TAX ON JOINTLY HELD OR TRUST ASSETS
nATE: Ot-22-2013
ESTATE 4F:HUMPHREY ESTHER DATE OF AEATH:61-29-2013 C6UNTY:CUMBER�AND
FILE Np. : pl 13-0184 S.S/D.C. NO. : OG3-42-9834 ACN: 13306343
TAX RE7URN WAS: tX) ACCEPTED AS FILED t ) CHANGED
30INT OR 7RUST ASSET INFORMATION
FINANCIAL INSTYTIlTION: MEMBERS 1ST FCU ACCOUNT NO. : 129411-50
TYPE OF ACCOUNT: OSAVINGS O CHECKING t 3TRUST t70TZME CERTIFICATE
DATE ESTA$l2SHED 04-02-2008
Account Balance 5 944.76 NOTE: TO ENSURE PRQPER CREDIT TO
Percent Taxable X �.500 YOUR ACCOUNTi?$UBR43�,��THE
Amount Su6ject ta Tsx F•9?4.8$ UPPF� PpO'RTI4N'"Z}F 1iilt4 NOTZCE
Debts and Deductions ' .00 WITHY:,.Yt�:}R TA�AYN�� TO THE
7axsble Amount 2.474.88 RE6I�E.�. � W2LLS -AtT�HE
Tax Rate Y .045 A&OY&���,F.SS� MAK_Er;SHECK
Tax Due 133.87 OR M�EY 092DER PAV�I$li� T0:
"REGT�TF,,�t'dF WXlLS:�A�ENT.•'
TAX CREDITS: _ ,r,., ::,., � 5 e:7
PAYNENT RECEIPT DISCOUNT (+) � „_- i�
AMOUN7 PAIQ "`� �v
DATE NUMBER INTERE3T/PEN PAIU C-) -i S �(7> �
06-12-2013 CD017�35 .00 133 7 cA
TOTAL TAX PAYMENT 133.87
BALAtiCE 4F TAX DUE .04
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER 7HI5 DATE, SEE REYERSE FOR CA�CULATSON DP ADDITIOHAL INTEREST. � �..+(}1�
IF TO7Al DUE IS REFLEC7ED 11S A "CREDIT^ cCR). VoU MAY BE DUE A REFUND. ��'�
SEE REYERSE SIDE 6F THZS FBRX FaR ZNSTRUtTZON3. �i!
PURPOSE OF
NOTICE: To fultill Mc require�ertts of Section 274R o{ the Inheritance antl Estate Tn� Acb Aet 2S Rt 2UOp. (72 P.S.
Sactflon 9140).
PAYMENT� patach 4he #ap tlnrtion of kh3s notiea and sub�it with your pay�pnt Yb tha Raui5lrr of Wills priated an the
rsrersa sida. Make ch�tic or wrtsv artlsr oaYa67� to: Rcpistar of Wi315. Apant.
Fnilure to pav the ts�rr into�est sn0 Vonalty tlua �av result in the fi3ine ofi a lien in tha aoowopriata
caunky ar tha issuanca of an Urvhyn's Court citaSton.
REFUND CCR): A refund af a tarz eredit, which wes not ratlueattd on 4ha tnc r:kurm �m� ba repuostst bv twp7atinv an
^A6e3SCytian for Refuntl of P�nnsylrm3a INrowitanca and Estats Tsx^ tREY-13I3). Aoa7icetionx aro avaflebla fro�
th� Mpprlunt's Wab sit� et ww.rrr... _�..stat�'YA:'.� �ip. R�pistar ot Wills or Wvuw� D3skMCt Offic� or fro� tha
0<psrt��nY s ?4-hour aner�riey s�rvice� 2-l0�-382- OSd; servicas tur tszcNars wit� spscial haa�inD antltor
sP�akioq naods+ t-saa-a47-auze RT only).
OLJECTIUN6i Any DaFty in iniaPest not saSisHotl with ihi avorais�ant. allowanca ol` dis�113ovi1xa ef tl�d4ctions ar assasr�w�nt of ta%
Cincludinp discount or intaresU as shqwn on thia not9m �sY nbiaet xithin 60 Aays o£ th� dste of ret�iDt ot tM1is notiu
bY:
A) Profest to tMe PA ponart�ani af Rewnuar [ea�d of ADOUls bv filinp a prokast online a#
ww.boertl ta s a4 , a.us on or W}or� t�a 68-tlsy app�a3 par4pC ncpires.
Ta ordit far srt • ��� roft4c arok�at to b� vslid. vau �ost nuira s canfinatSon nw6�r end procossetl date
fraM th� Board of Apvals W�b site. Vou �av also s�ntl a writtNn orotot to PA D�o:Frt�ant of Powenw.
DoeW of ADO+Qs, PO�6m� 2fTQFL MarM:buro, PA l472i-3QR2. P!ttitlans Ny.not Ga fmctG; or
6) EUCt to hava tha �attar fistar�inotl rt tha autlit of tM nsrsunal raor�s�nkstivc accouni; or
ApITN- G7 �oP�al t0 tM Orphens• Court.
ISTfUTZVE
CORRECTIONS� Pactual Y�fpl`5 C1YCOV0P1d Ob kh]5 assass�ant shoultl ba atlCraased in wr�itiny to: PR Depart�an4 of Revaaue,
Duroau of IotlirStlwF Ta�res, ATTk. Pust Assess��nt Reviw ilnit. PO Eox 260SU2, NatNSWro. PA 77328-�dOI
ar call (71)) 787•6505. Sea Pepo 4 of ^Instructiqns for InhdrStanee Tsu Ratorn for a Rasidant D�paent° (REV450ll
for an ex>lanatien uf aMinistrat9velv corr�etablR �rrors.
DISCOUNT� Ifi any tax tlu� is paid within thror caUnaar �onths afkar 4he tlocadant'z aoath. a Hva perca�t discuont of the tax padd
is allottntl.
PENALTYs Tha 75 piresnt t� a�nastv non-asrticiDxtion aenaliv fs eawutW oo the #nUl ef the #m� and intarast a:sessatl antl not
n>3d bafon J�n. 18� 199b, tha firs! daY aftaf thY enE of tha tam amasiy vaHoE. This non•pnr4fcioatian
p0081tY i3 dpp�ilG�llY 3Y1 L�10 3!\e YlnNf and in tA6 Lh� si�P tlp PYI'iRS� Ss y9u MOU3tl IIpDlil tlta tiX Abt� i0}aP85t
tFat has bean nszlSaad 8a indi<atad on khis notiva.
INTERE57: Int�reat is charped bap3nnirW xith first tl�t of delinqwncY or ninc sonths anil ana Eay
frq� tha tletg of tlaath to thu Eetb of pev�ant. T�¢s vhieh baea�o delinquank b�fa�a Jan. 1� 19lT.
Dsar iMerost at tha rata of s3x parc:nt car ann� eslculatid at a tlaily rata of t.BY0164.
All tax�s which bace�e dalinqueni on o� aftar Jan. 1, 1882 w311 boar intenst at e nta which vaMes fro�
venr to year wit� the rota announcad by tM PA Daaert�ent of Ravenw. RaLas far 3982 throuph 2PQS can bo
fpund in tha Pennsylvenie ResiEant InstFUC[!on BookLt {REV-1501)r t�o Pmnaylvan}a NOn-RaslOant Inst�uctien
Boaklet CBEV^17367 or on the paperhant af Raranua MaE sila wrw.rw�nw.stal�.pa.us. .
7he aaalicablG intatest roiea for 20G7 th�ou9h 2U73 arat
Intarsst Dai}y IntaresL pai3Y Intertst Dsiiv
Y�a� Rata Factor Y�er Rate Paetor Y�ar Rate Factor
2007 8X .00tlY19 2009 7% ,OOU192 2G09 SX .ODU137
2078 4r. .6a93ta 2@714013 3x .68U882
Sn#arest Ss ca3eu2Matl aa feilowsv �
SNTEREST = MI.+INCE OF TAX UWAZO X Nkpf1ER UF qAYS DEl2N4UEN7 % ILlIIY IN7ERESt FACTBR
Ary notice issuatl aftar tha t� bac�as �elinqw�k vi72 re4lact gn intarest calzulation to 15 tlays
bavond tAC data of the assess�ent. If pav�ant 3s aatle after tha Snbr�at co�putation tlata shwn qn tha �
notice, adtlitional 3ntcresk twf be ca2culatetl.