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BUREAU 6F INDIYIDUAI TpXES NpTICE OF 2NHERITANCE TAX � DEPARTMEN70fREYENUE
INNERITANCE TAX DIYISION APPRATSEMENT, AlL4WANCE 6R AISALI.OYIANCE w��
P� 80x 280601 OF OEDLICTIONS� AND ASS£SSMENT OF TAX ON REV-1546 Elt aFP a2-12>
MURRISBURG PA 1A28•o601 JpINTLY HELG OR TKUST ASSETS
DATE OS-D5-2013
. ESTATE 6F saw�ar CHARLOTTE R
DATE OF DEATH OB-28-2012
FIIE NUNBER �—{7j-��(p
CpUNTY CUMBERI N
SSN/DC
14RE7TA J SNYRER ACN 12149997
381 LINCdLN ST APPEAL BY DATEs10-04-2013
StlMERSET PA 15501-1308 (SeereversesideunderObjectlotts)
A�ount Resitted �---�—�—��� �'��
XAKE CHECK PAYASIE AND REMIT PAYMEN7 T0;
REG257ER OF WI�LS
1 COURTH011SE SQUARE
CARLISLE PA 17013
CUT ALtlN6 THIS LINE "� RETAIN LOWER PORTION FOR YBUR R£CORDS �
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REV-1548 EX AFP C12-123
NOTICE 4F INHERITANCE TAX APPRAISEMENT, ALLOWANCE 6R DISALLOMANCE OF
DEDUCTIOMS, AND ASSESSNENT OF TAX ON JOINTLY HELD DR 7RUST ASSETS
DATEs 0$-05-2013
ESTATE OF:B4WLBY CHAR�pTTE R DATE OF DEATH:08-28-2012 COUN7Y:CUMBERLAND
FILE NO. : S.S1D.C. NO. : 204-16-6691 ACN: 12144997
TAX RETURN WAS: tX? ACCEPTED AS FILED C ? CHANGED
JOINT QR 7RUST ASSET INFDRMATION
FINANCIAI INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 252bfl2-41
TYPE OF ACCQUNT: C )SAVINGS C 3 CHECKING t 3TRU5T { X}TIME LERTIPICATE
DATE ESTABLZSNED IO-14-2004
Account Balance 8b 772.b6 NOTE: TO ENSURE PRQPER CREDIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMIT THE
Awount Sub]ect to Tax 7 230 77 UPPER PORTI4N OF THIS NOTICE
Debts and Deductions .00 WI7H YOUR TAX;'i'AYMEt� T4 THE
Taxable Amount ' 7 230.77 REGI9TER OF 41ElLS�-�,ll�`..�TNE
Tsx Rate r .045 ABO{� �DRES�"'' NJ�,I,SE�.-"CHECK
Tax Due 325,38 4R !!�!E'kY �1}RUE�R"�PA1��H�"�E T0:
"RE6�'[S'�Rr'UF WI�l3�5r ��ENT.^
TAX CREOITS: r- -,u, 4'!r sv ��: --,
PAYMEkT RECEIPT DISCOUNT C+) :.��- � � � � �� '��
DATE NUMBER IN7EREST/PEN PAIA C-7 AMDUNT PAT�9 C; ;.�, Y ' .. ,i
.�'� .., � ,__
?�:J {�" }.� �
. I ., .
^ :...�j „°'�,
'R7 t�.n U�d .q,l
Y 1—a
INTEREST IS CHARGED THROUGH D8-13-2p13 TpTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON TNE SALANGE OP 7AX DUE 325.38
REVERSE SIDE OF THIS F�RM INTEREST AND PEN. 2.05
TOTAL DUE 327.43
� IF P�IID AFTER THIS DATE, SEE REVERSE FOR CALCULATIUN bF ADDTTIONAI INTEREST. � f
IF 70TAt DUE SS REPLEtTED AS A °CBEDZT° CCR1, Y�U MAY BE DUE A REFUND. �!-
SEE REVERSE SIDE 6F THIS F4RM P4R INSTRUCTLONS. � � \
PIIRPOSE Of
N4TICE: To tu3f371 tha raquin�an4s ot Saetion 2140 of tha Inheritance and Estate 7az Act, Act 23 ot 2080. t72 P.S.
Satkion 93405.
PAYXENT: Dmtaeh tha tap oortion of this netic� antl suMit witn your cmr�ant to the RaYis#a� of Willa prfnted cn khe
rev¢rsa zitle. Mnke cheek o� �ooay ordQt PWabla ta� Rapiatar of Wills, Aeant.
Failuro te pAY the tAx� 3nttroEt Antl PaDalty due �n r'psUlt 3n the filip0 oF A li0n ]p tho aporopriate
countv or tha issuance of en Orohen's Court eitation.
REFUN� CCR): A rafuntl ofi a tac cr�tlit, rhich was net rwu�sttd on tM tnc r�t�rn, rav b� rsau�s#W i�r co�plotinp an
^Appliaa#9on fer R�fund of pannsylrsnis Infieritanco sm! ExtaTe T�" CREV-1313). Aop2ieslionz are avai3abU firo�
tM Q�p�rt��nk'x W�b s3k� �t Mw.rw�nu�.skat��.��.uae arer RYSisk�r of Mi11a or R�r�mx Dixtpic#Offin or f�o� ti�e
O�pert�int's 24-heur snaM�rin ��arrvieii�� �-5K7-2050;�s+rrices for tveoaYara ufth swc}�1 baarinp antllar
so�akinp aasds: 1-b00•447•3D20 RT only).
tlBJECTitlN5: Arer party in iatarost not satisHatl with tha �npra3s�mt, e]law+�nc� or dissllawanca of aoCUCtions or assasarent af tac
(inelud3n9 Giscount at fntenxU aa shbvn on tbis natic� �N ab3wt within 60 dalls of tM d�ta nf r1cliAt of this ootioe
bYs
A) Proteat to the PA WaaMwnL of Ravanw, eoxtl efi Apaaa2s by tilinp i protrst onlin� .t
www.bwrdM �atx.stN�. :us on or Nfiqn tM ti-tlw Eopswi�o�ried .zo3r�s. .
In o�tlar fo�ilp"Y��ELtdA ti�pte#e3Ft te b� ra34Q: vW stnk t��csiva a conHr�etSOn nwba� and Proeazsad date .
fro� 4Aa 6ae�d of Apo1�13 W�0 sib. You N1r �lso s�aC a rrittw prot�st te Po1 U�patU�n4 of RYVSnw� .
ia�rd of dpp�ela, PQ 7mc 261b21. HarMSbwp. PA 1712{•F021. Petitlerts �N�Mt bs faz�tlp or �
!7 Eliet to-hav� tM �ptbr tlabnin�tl at Eh� sudit of �h� o�rsonal raor�smtal9re eccoant; or .
ADMIW C? Apaaal to tM DrWqns' Court. .
ISTRATIYE -
CORRfCTIDNS� Faotael e1"�0�4 d1StpYYI'6tl pn 4his essass�ant ahouLd Oo atltl�assod Sn xr1t5n9 to: PA WuarXienk ef Ravanu�. .
Buroeu of InE3vidua} Taxys� ATTNi Post AssassMmt RevSw Unit. PO Oaz 26dSQ7. Xer�ls6urp, PA 7712S-Od01
o� cell (7173 7!7•6505. So PAYO 4 ef ^Instruetiens fo� I�Mer#tamce Tmc Raturn fiar a Raz3dent Deeedant^ fREV450ll �
for an przplanK9on of ptl�inixtrativelv correetaLl� srrorz.
DISCOUNT: Sf anY keie tlup is paid xfthin threo celsatlar �onths attar tM dwad�nt'z tloth. a fiva pareent discaunt of tha ta�c oaid
ix blla+ad.
PENALTY� The 15 percent tarz afnesri non-part3cdoetion penelb. fs aorauiad on tha total of tM tarz and intenst assessed and ewt -
paid baPora Jan. 1II. 1945. tM fiirst Eay qftar the ond of the t� a�n�sb ooriotl. Tbis non-Dnrticipatim
D�niltY ix app9aLb29 #n tha Sal�s winnaf and fn Lh1 kh� SaY� iA1 p�Moq as YoU XOY10 apOail Yho YAx and inYeYeSt �
that haa bcen esscssaE as ind9cated on thds not5ca. ��
IkTEREST� Intmrest is chsrpad 6�pinnintl with first dav of tlelinquancy or nino YopSh6 and am dav
fro� t�a Aat� of tleath ta thc d�b of pav�snL Tasos xhich Mca�a dolloqumt bafon Jen. 2, 1482r
bear inker�st at tha rgto of six perc�M per annw ce2culatad.at a tla12y �a#a af 0.000164. -
All tmcas which becue tlalinCUet�t on or after Jm. 1, 74b2 wi12 bear in#erast at a rota MF3CI1 MdFlpS ff011 �
vear Ya year rith the ret9 announFed b1r tha PA Dapart�ant of ReYVnua. Rato4 for 19B2 throuph 2006 tan be
found i� ths Ptn�sylvania RssiGmt Instwptian Booicl�t LREY•158ll, 4ha Pannavlvania Non-8aeident Inetructiort �
Bodclet KREY-1736J or en tM DeparHaM a{ Rennue WoE s3ie vM/.rYVYnU�.s#ak�.Pa.us. .
Thu ao0liuGle intarast rstes far 2801 thrpuyh 2013 ara� .
IntafOSt Od11y IniirogY 6ailY lntere5t Oi31Y
Yaar Rab � Factor Year Rata Foctor Yaar R+t• Factor
2007 &X .nOH214 2a08 7x .q00192 2u09 5r. .DOR137 ... �
2Q14 4% .00B170 2011-20i3 3Y. .00U082
Intarest is caleulato-tl az fbllovss . �
TMTERE5T : {qUNCE OF TAX NWAID X Hlpl►fk OF OI.YS bELINqUENT X tlYITIV TNTEREST FACTOR
Arm natite issued after tM1e t� beco�es tlelinouent will raflect an intarext eelcu]ation to 15 tlavz
6avond the data of tha assasa�ont. lf oav�eni is utl� after th� intarost convukation date shoxn en the - � '
notice, atldit;onal iMarest �uxt be caleulatetl. -�