HomeMy WebLinkAbout09-09-13 ����n
� pennsylvania
&UBEAU OP INDIY24UA� TAJCES N�TICE OF INHERITANCE TAX DEPARTMENTOf REVENUE
ZNXERITANCE TAX DIViSION APpRAISEXEHT. AILOWANCE OR DI$AL4pWANCE
PO !OX 280601 � OF DEDUCTIONS. AND A5SES5NENT OF 7AX Ok R�•1548 IX AFP (12-12)
WIRRISEtAt6 PA 77128-USOl JOZNTLY XE4B OR TRUST ASSET$
'<<'(vf;,w . , `� ..�
� � DATE �9-10-2023
*�'=�' � :C i�t" . . _`_v ESTATE OF DAVTES HOBERTA D
DATE OF DEATH 04-2&-2012
� n r^� J �.� FILE NUMBER 21 12-1252
-�1:,� i.��_` W7 ! I
cnaarX cunae��axn
SSN/DC
KAREN A DAVIES��,�Z�i (,l� ACN 12156188
115 MESSIAH CIR��I�!uAi�$' ��iu��f APPEAL BY DATE:11-04-2d13
MECHANICS9UR6���,QA��7D55-86 9�� (SeereversesideunderQhjectinns)
t�t AiVU i;V A�ount ReMlttad r--'-----`,
MAKE CkECK PAYABIE AND REMIT PAYMENT T8:
RE6ISTER Of WILtS
1 COUR7HOUSE SQUARE
CARIISLE PA 17013
CUT ALON6 THIS LINE "'�' RETAYN LOWER PORTIOM FOR YOUR RECORDS �"'�
""-_""'-"'-'•-"'-"--"_'-""""-"---"'-"-"--"-'---"-""'--""'--"-"--.."
REV-1548 EX AFP C12-12J
NOTICE pF INHERITANGE TAX APPRAISEMENT. A��OWANCE 6R DiSALLqWANCE flF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUS7 ASSETS
DATE: 04-10-P023
ESTA7E 4F:DAYIES R6BERTA D UATE OF DEATH:09-28-2012 COONTY:CUMBERLAND
FIIE NO..: 21 12-1252 S.S/D.C. HO. : ACN: 12156188
TAX RE7URM WAS: {X} ACCEPTED AS FIlEO { } CNAN6ED
JOIMF OR TRUST ASSET INf6RMAF2QX
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 272428-00
TYPE OF ACCOUNT: C�SAVINGS C 7 CNECKING C )TRUST C 3TIME CERTIFICATE
DATE ES7ABLISNED 20-03-2005
Account Balance 8 440.83 NOTE: TO ENSURE RROPER CREDIT T4
Percent Taxable ,K 0.083 YOUR ACCOUN7, SUBMIT THE
Amount Subject tn Tax 745.�4 UPPER PORTION OF THIS N07ICE
Debts and Deductions •Op WITH YOUR TAX PAYMENT T� THE
Taxable Amount 745.04 REGISTER OF WILLS AT THE
Tax Rate Y .045 A&OVE ADDRESS. MAKE CHECK
Tax Due , 33.53 OR MONEY ORDER PAYABLE S0:
:'RE6IS7ER OF WIL�S> A6ENT."
TAR CREDITS:
PAYNENT RECEZPT DZSCOUNT C+} � pMOUNT PAID
UATE NUMHER INTEREST/PEN PAID C-J
INTEREST IS CHARGED THROUGH 09^18-2013 TpTAL TAX PAYMENT .QO
AT THE RATES APPIICABLE AS OUTCZNED 4k FHE BA�AMCE OF TAX DUE 33.53
REVERSE SIDE OF THIS FORM INTEREST ANp PEH. .23
T4TAt DUE 33.?6
• ZF PASD AF7ER TNTS OATE. 5EE REYERSE FOR CAICU�ATZON OF ADDS7TffNA1. ZNTERE5T. � ��
IF TOTAL AUE IS REFLEGTEU AS A ^CREbIT^ CCR), YtlU MAY HE DUE A REFUND.
SEE REYERSE SIDE tlF THIS FORM FOR INSTRUCTIONS.
PURPqSE OF
NOTTCEe Tp fulfill tha revuirc�onts of SpCtlan 214P oF the Inharitanca and Est�ta Toc Ret, Act 23 of 2000. (72 P.S.
Section 4148}.
PAYNENT� Oa}seh the kap oortian ef this nqtico antl sulwf4 with yau� nw�ant ta tha Rcpister of Wdlls orinted nn the
rerarse si6e. Meka chwck or �onty ortl�r Y�Yable to� Rap3star of Wills, Awnt.
Failure tc pay the tvt, Yntarut and oenaltY Gw �av �^<ault in the filinp of a 3ien 3n the aoarapriate
county or the issuanc� 6f �n 9�nhan's Court c3tation.
REFUND tCR7i A ratuiW of a terz cr�ditr xh5eh res n6t r�qu�stttl on tM t�[ roturn. �aur ba roWSStad by towletinp an
"ApplSeHion tor R�funtl qf Pannsvlvania ln�urikanee and Estata Tuc^ <REV•13I31. RonlYCat3ons ara av�flable 4ro�
the Dtovt��nt'a M�! sit� at �.�v..»lu�.stWk�.��.us. ary R�pist�� of M111s br R�v�nu� d1aSHet OfYfe� er Pra� the
p�p�rtY�nt�'s 24•hour�insw�Nnp'i'�FV e✓ - • C2-295U; s�rvieas for tpco.Y�rs ri4h apea5el hasr5n0 antl/ar
SDlMtiRp npdsx 7-b@4-44T-3829 R7 on1yJ.
OBJECTIONS� Amr oarty in interezt no# setisf��tl with thc �oYroiarwt, allwanca ur disallw�nc� of tloductians or usaas��nt of tp� �
tlnoluEinp discoun4 or int�rasU ex sbown on tMs notic� Wav ob�NC# vit�in iU davs of th� da4� of r�c�iot pf this notica
fY�
A) Pretcst to tM PA Wwfb�nt a4 Raranw. Eoa�d of Jlpp�aTs hsr filir�p a protast onlfrw at
wr.6wr af t�. .0 en or infors fhc N+tl�Y wwsk Ptriaf a�epins.
In ord�r or-�Ii i !b IYhle�o�atost te ba va31E, vau wat r�ca3ve a eonffrution nwbor anA procassatl 4ate
fro� the Boertl ot Appqls W�b aib. You �w also s�nd a writt�n orok�st tp PA Mnarq�nt of R�vanw,
loa�tl of �PD��lsr PO��lex 261021, Harrisburp, PA 1712l-Id21. p�titiens uy not Ea fnnA; or
b) El�ct to hsve ttu r�tte� d�kar�tnstl ai ths audit of�tM bvsonal r�oreaamtativa sccouat; or
AOMIN- C} Avwal ta the Oroh�ns' Caurt, �
ISTRATTVE
. LORRBCTIONS� Factual arrprs aiseovered on thia essasz�ent should ba addrassad in rritinp to� PR Dapark�ant of Bovanue.
bureau of Intlivitlual Te�sps. ATTN� Post Assextwwk Rwiw Unit, PO box 2l0601, Harrisburp. P� 17126-0601
of Call Q37) TL7-b5E5. Ssa Pa9s 4 of ^Snstruttions 4or SrNaritinC� TaX Raturn finr a Rda33fnt➢aaotlsnt^ fRkY-1587)
fo� an rsPlanatton ef wM3nistratir�ly comcctaEle arrors.
DISCOUNT� If anv t+x tlue is vaid within thrw ealendar �enths rfter the tlacatlont's tlanth. e five uaroent discoun! of #hn tax oa#d
Ss ailowaC.
PENALTV: T�e 15 oarcent tuc rnpsty non-uarti<ipatian PenaFtv is cwvutatl on tha tatal of the tm[ ar�n 3ntarost assessad antl mt
paitl E�fore Jnn. 18. 1996. tM first tlav af#er tM mtl of ths taz e�n�stv periotl. This non-oerticipation
nanelty is eppoalabL in tM so� ��nnar iM1tl 10 LIIY Sh1 sso ii�a poHOE aa you �ould WG�al t�e tan entl intorest
#hat nas na�n ass9ssa4 es iMicatatl on this rwtica.
INTERE5Tx lo{prast is charp�d Eapinninp rith f3rst dsy of tlalinqu+�ncv or nina �onths antl ona Eav
fro� tha tlate of d�ath ka tM tl�ld of naN��nt. Taxes Wh3Ch b�clMl tl�linqwnt botoro Jan. 1, 19l2�
6ear intcreat at tha nte of six Dafcank oaP annu� qlculat�tl a# e daily r�td of 0.0061F6.
All tncas uhleh bcca� Aalincue�t on ar aftcr }an. 7, 7982 xill tr�er iateraat at a rat� whicn vsrAax frw
year to voar rith tha rate snnouncad Mr tha PX D�aariwnt of R�vsnue. RatRS for 298? throup� 2pd6 un be
fountl in tha Pannsvlvani� Rasid�n# Instruetlbn �ooklat (REY-150Ur 4ha Panneylvanie Noo•Rasitlant tnstructian
bookl�t CREV-1736) or on t�e Mo�rtwnt of RWV�nue W�b xii� rw.r�Wnue.at�ta.o�•us.
Tha aco7i<able interaat ratas fo* 2q07 throuyh 2813 aro�
Interast Da31v Int�rest Dailv Intarest Atily
V�er RaYe Factor Y�er R�t� Faetor Y�ar Ra;• Factor
2p07 BY. .000219 2tlOB ]Y. .00019I 2004 5% .00613'!
201U 4Y. .608110 201F•2D13 3Y. .68HC82
Inksrest is caleulabtl as follwx�
INTfREST = MLAMCE 6F TAX UNPAtD % NUNIER OF MYS DElINOUENT X DA1lY INTEkE&T KACTOR
AiSY notiw issueA ettar the tvc baco�ax aelfneuant wdil reflect an inYerast caiculattan to 35 days
bcvantl tha daka of t�e aszassont. If osvM�nt is �atle after kha }�terest co�outation date shwM1 6n iha
r�otice, atltlitional inta�esi �ust bc celculetaG.
NOTICE tlF INHERITANCE TpX . � pennsylvania
BURHAU OF 2NDIYIDUAL TAXES APPRAISEMENT, ALIOWANCE OR DISA�LOWANCE DEPARTMENT Of REVENUf
INNERRAHCE TA% DSYZSIQN
PO FO% 2b9a87 6F DEDUCTIONS, AHD ASSESSMENT OF TA7S 4N Rfl'-154a IX AFP (iz-72T
NARRISlUIt6 PA in2E-06Ui .. .- J6INTLV HELD OR TRUST ASSETS
r ;; -;
rv r (: ' _ . ., �
�""� � � DATE Oh^30-2013
i�t'.. - � ����'� • ' ' � �' ��y ESTATE 4F DAVIES R4BERTA D
DATE 8F pEXTN a9-28-2�12
� _ � `;=�� ,�� �1 FILE NUMBER 21 12-1252
-�--� - - COUNTY CUMBERLAND
- SSN/DC
..;.,. � .. „
PAULA D TR�,`d�.i;:`� `�� ACN 12156292
115 MESSIAH�£i`�yr��y,�"j' i;ii�.�i;l APPEAL BY DATE:11-04-2013
M E C HAN I CS C��6��;t�P���1�7 0��-�Q 9 {See reverse side uader Objectfons)
Arau�t Rarittsd �--��-�
MAKE CHECK PAYABLE AND REMIT pAYMENT T0:
REGISTER dF WILLS
1 COURTH4USE SQUARE
CARLISLE PA 17013
CUT A18N6 THIS LINE � RETAIN �OWER PORTIBM FDR YOUR REtUROS �
-""'--'.' --".."-""'^'-"^'---'."--"".---'."---""---""--"'_---'.""""_---'
REV-1548 EX AFP C12-12) .
NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWAMCE OR DISAL�OWANCE qF
DEDUCTI6kS, AND ASSESSXEN7 4F TAX 4H JOINTLY HELD OR TRUST ASSETS
_ DATE• 09-10-207,3
ESTATE OF:QAYIES ROHERTA 0 DA7E 4F DEATN:04-28-2012 COUNTY:CUMBERLAND
FILE NO. : pl 12-1252 S.S/D.C. NO. : ACN: 12156192
TAX RETURH WAS: CX} ACCEPTED AS FILED C } CkAN6EQ
JDINT 4R TRUST ASSET INFORMATIBN
FINANCIAL TNSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 272428-11
TYPE OF ACCOUN7: { 3SAYIN6S f �0 CHECKIN6 L }TRUST f 37IME CERTIFFCATE
DATE £STAB�ISNED 10-03-2005
Account Balance 1.208.64 NOTE: TD ENSURE PROPER CREOIT TO
Percent Taxabie X 0.083 Y4UR ACC4UNT. SUBMIT THE
Amaunt Sutrject to Tax 1Q0.72 UPPER PORTIpN OF THIS NOTICE
Debts and 1leductians .00 WITH YOUR TAX PAYMENT TO THE
Taxabie Aa�ount 100.72 RECISTER OF WItLS AT THE
Tax Rate r .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 4.53 OR M4NEV OROER PAYABLE T0:
"REGTSTER OF WILLS, AGENT."
TAX CBEDZTS:
PAYMENT RECEIPT DISCOUNT (+) pM0UN7 PATp
DATE HUMBER INTEREST/PEN PAId (-)
0$-17-2013 SBA➢JUST .00 4,55
TOTAI TAX PAYXENT 4.53
BALANCE OF TAX DUE .00 �
INTEREST AND PEN. .Op
TOTAL DUE .00
� TP PAID AFTER TXSS DAT6. SEE REYEB5E FOR CA�CULATIGN OF ADDI7ZONAL INTEREST. . �--�`
TF 7�7A� DUE ZS REFi.ECTEO AS A TMCREDIT° tCR}, YOU NAY SE DUE A REFUND.
SEE REVERSE SZDE 8i THIS FqRM FOR ZNS7RUCTLONS.
PU(ipOSE OF
NOTICE: 7o fulfill tbe roouire�antz of Ssttfon 2140 of the Inbprikanw and Estate Ten Rct, Act 23 af 2000. O2 P.5.
3ection 424(1).
PRYMENT: Deteeh t�a taq Oortion of this not4ta antl subWit rith your o�v�ent to the ke0ister of Wills orin#atl on tha
rov¢rse si80. M�ka ch�ck or �omy ordar o�ribi� to: Ropist�r af Wills, Ay�nt.
FaiYurc to psy tfit ta�e. inttrtst and o�na}ky tlw wv r�sult in tha filirW ot a lian in the avorop�iata
countY or thp issuance of an Orclfan's Court citatian.
REFIR7P tCR): A rofund uf e fau cwtlit, xM1icM vas not »qubstatl on tha tmc return, spi bs roWastatl bY cawlatiny an
"Appliution fior Refund of P•nnsylvenie Inharitence and Eatate Tnc^ CREY-1315). Aool3cetfons sra arailabir frvow
th� Owart�anti's N�0 aAt� �t www.w. .�iwa.a•Y�t�,Da.ua W� R�yiabr of Mills or RwYeua pistrlet pff5e� or fro� tha
Dap�M�mY s 24-�our snsr�Hnp siFv3e�� 1 50; s�rriecs far locoa5nrs�wfth spasial h�erin9 and/or
sD�NCinp nretls: 7-584-447•302U� tiT un7y3.
OBJECTIONSe Artl Oartv in intarast not satisffotl vith tha �Dpraia��nt, �llw�nca or dissllwanca af d�tluctioos or asa�sn�an4 of 4pz
(incluainp tllseount or iMensU �a s�ovn on i�is notic� �ry ob3k¢t within bP das of kM tlake of r�e�iot of this notice
bYs
A> Protest to tha PA Wpartsint of Rerenw, BoeM oi Appsals by filirW a nrotest onlSne at
ww. Mof a �s:s l s: .0 on or titfota ihe d9�•Aap�aypea2 ptriatl oxpina.
In o�Mr for an r ic tM �probst ko b� valitl, vw wat nc�9r� a eonfirr�tion nuWbor antl procassetl tlata
fro� ihr posrtl of App��la Wab sib. Yau wb also srntl � rrikt�n oret�st to PA Wv�rkont of R�vmuc.
6wrd of Apo�als. PO !mc 2t7021, Xsrrisburp, PA ll128•1021. pwtitions �y not b� faot�E; or
b1 Elaet to hare td� ��ttsr dst�r�i�sd at the aud4f bf tha avaonel ronresentative eccount; o�
AS7XIN- C} Aovul t¢ thr 6rohana' Court.
ISTRATIVE
CORNBCTI�NS: Factual errors tliscowretl on ihia essassont shoultl ba atltlrossetl fn uritine to: PR Dwarben4 of Revenue,
9ureau of Individual T�ps, ATTN: Post AssassYmt Rarlw UniY, PO !oz 28060], Xerrisbury, PR 17128•0601
or call (717J lE7-b595. Sae PaOa 4 os ^Iasttuetions tor Inhsritantt Tne R�turn far a Residant Oec�tlanY^ fREY-15913
for an axa3enation of atl�irtixtret3vely corractabi� �rrops.
OISCOUNT: �IF arry tax tlue is oeiC within thr�a calentlaw �onths eftar the tlecrtlant•s da�th, a fiva p�rcsnt dixcount of 4ha tax naitl
it alloretl.
PEtLSLTYa T�a. 15 ovomi ta: a�nastY non-n��ticioation p�naltv is CbYOYYYd an tha tak�l of tha tros anE iMarosk assessa�l an0 npt
paid befor� Jan. 1!, 199b, tha first Oav +ftar tha and o{ t�a t� nn�stv pardod. This non-p�rticiVation
pYD�1LY is LpPBa3�b1Y ill tlle swp pnnYr pntl iD the t�6 Sa�Y ti�e Dsfiatl aF Yeu voulq APpYal the Ltll( antl intBfest
that has b�en asssasaE ss indicatad on this notSca.
INTERESi: Fntarast is cherD�tl bapinninp rith first tlay of ddfnquantv or n3n� �oM�s �ntl one Eay
fra� tha dato of tl�akh ta th� tl�ka of oav�ant. Tuas whlch b�e��y d�linau�nt b�fore Jen. 1, 1982�
. beer intarest st tha rata�ot six p�reent eaF snnu� calculat�d at M d�ily r�te of O.ROtl164.
All t�es wfiicb trecri dolinquant an or att�r Jan. 1. 1482 rill bear intarrst at a ratt rhich varfas fra�
vear to vear witb tha rata announced bv tFa PA OaoarLank of Rav�nuo. Ratas f6r 1982 throuph 2066 can be
fauntl in tpp P4nnrylvA01! Rasitlent Instrvction 600klot (REV4501?r tha PannsyYranie Non-Rasitlant Iostruek;on
puaklat (REV-1936) or on the D�nyri�ant of Havonue W�b afte rw.rrv�nu�.st>t�.a�.us.
Tfie aonlicablo 3at�rast rates for 20U1 throuph 2813 ares
SnkaroSt Daily Ini4t�5[ bsilY ZntapPS4 OOiIY
V.�ar Rat• Fector Yaar Rat• factor v�ar Ra#e Fpctor
TOp7 8X .000219 ZOtl! 7Y. .000192 2009 SR .000137
� 70i0 4Y. A89iltl 2833-2013 3x .98UUl2
Intarosi is cnleulatad es follwa�
SNifREST = MtAt2E OF 7A% UXPAZD X tlUMEER OP MYS �LIN4UENT X GI,IlY IN7ERE57 FACTOR
Ar�y notice iaxuatl afler the iaz beco�es delino�ent will rafiect ao interest calculatian ta IS deYs
beyontl She dete of the assess�ent. If pay��nt is �atle aftar the interast cu�putation da4a shwn on fhe
notice, atltlltional interost �ust 4e ulculnted.
NOTICE DF INNERITpNCE TAX j� pennsylvania
BUREAU OF IHOIYIUUAL TAXES ■ �EPARTMEN7 4fREVENUE
ZNNERITAtICE TAX DIYISION APPRAISEMENT, A�IOWAMCE OR DZSALLqWANCE l��
Pfl lp7C 2su607 GF DEpUCTI�NS, AND ASSESSMENT OF TAX ON REY-154a IX AFP a2-12)
tiARRISlURG PA 17128-O60i ,Iq=NTLY HELD OR TRUST ASSE75
�`r � W.''��' ' . .. , UATE 09-10-2023
_ .. v� �•. --.� ESTATE OF DAYZES RpBEBTA D
DATE OF DEATH 04-28-2012
' �� :';:i=' � I'�� „ 1y FILE NUMBER 21 12-1252'
�� � � COUNTY CUMBERLAND
SSNlDC
KAREN A DAVZE�� ;=E;;� �*?�- ACN 12E56141
115 MESSIAH C �-.� r� � a� APPEAL BY DATE:11-D9-2013
MECHANICSBURG�� Ec�� µ",��G+ug 60 (SeereversesideunderObjeedons)
�����(l�-���U "i;.• ��S . A�ount RerYtted ���--�
MAKE CHECK PAYABLE AND REMIT PAVMENT Tp:
REGISTER pF WILLS
1 COURTH4USE SQUARE
CARIISLE PA 1�013
CUT AlON6 THZS G.INE ""� RETAIN �6WE& PORTFBN F6R YOUR RECORDS �'"�
-""""""-"' "-"«"--""---'."-"""'--""-""'^---""-"""--".`---`."""
REV-1548 EX AFP C12-12)
NOTICE OF INNERITANCE TAX APPRAISEMEHT, ALLOYtANCE OR DISALLOWANCE OF
DEDUCTF4NS. AND ASSESSMENT 4P TAX ON JOIMTIY NELD OR TBUST ASSETS
DATEt 09-10-2013
ESTATE OF:DAVIES ROBERTA D DATE OE DEATN:09-28-2012 COUNTY:CUMBERtAND
FILE NO. : 21 12-1252 S.S/D.C. NO. : ACN: 12156191
TA7( RETURN WAS: fX? ACCEPTED AS FSLED C } CHAN6E0
J6IN? OR TRUST ASSET SNFORMATION
FINpNCIAL TNSTI7UTION: MEMBERS 1ST FCU ACCOUNT NO. : 272428-11
TYPE OF ACC6UNT: f }SAYIN6S { 7Q CHECKING C }TRUST f 3TIME CERTIPZCATE
DATE ESTAB�iSHED IO-03-20U5 �
Account Balance 1,208.64 NOTE: TO ENSURE PR�PER CREDIT T6
Percent Taxable X 0.0&3 YOUR ACC4UNT, SUBMIT THE
Amaunt Sub3�ct to Tax 100•72 UPPER PORTION OF THIS NpTICE
Debts and Lleductions •�0 WITH VOUR TAX PAYMENT TO 7HE
Taxabla Amount 100.72 RE6ISTER 4F WILLS AT THE
Tax Rate Y .045 A80VE ADDRESS. MAKE CHECK
Tax Due 4.53 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGEHT."
TAX CREDITS:
PAYMEN7 RECEIPI DISCOUNT C+) AMOUN7 PATD
� pATE NUMBER IN7ERES7/PEN PAIp (-7
08-17-2013 SBAAJUST .DO 4.55
T4TA� TAX PAYXENT 4.53
BALANCE OF TAX DUE .00
INTEREST AN[1 PEN. .00
TOTAL DUE .00
. IF PAID APTEH THF5 DATEs SEE BEYERSE P6R CALCULATIUN 4F ADDTTIONA� INTEREST. • �
SF TD7AL DUE SS REFIECTED AS A °CREDIT" {CR>, Y4U MAY BE DUE A REFUND. �
5EE REYERSE SZDE OF THZS FORM FOR INSTRUCTTONS.
PURPUSE OF
NOTICE� To fultill kbe rouuire�anYS of Sactfen 2140 uf the Inbahitanca end Esteta T>x Rcc. Act 2S of 2000. 02 P.5.
5aetian 9749).
PAYMEN7� Dmtech the tnp Cortion cf this notiea mA subnit vith vcu� nay�ent to the Rapister of Wiils orintctl on the
rxvarsa sias. Maka eMCk nr wntY ertlar vayeble to. Ra9ister nf Wills. A94nt.
Failun tu ueY #�a tmc, intarast a�tl wnalty dua �mr r�svlt in the H7'sn9 of a 73en in tha aperaoriate
countv or tM issvance pf an Orpfian's Caurt cltat3on.
REFUND CCR3� A rofuntl of a taz credit, YM1Sch Kas ewt r�quta#ert en tfi+ t�c r�turn. �sv ta rvawst�d M <awlat3ny an
"Appliuilon tor R�fund et Pannsylv�nia lnharitanw and Esbte Tns^ CNEY•1315). ADVlications era a!vi3ebla frbr
tM Wo�rt��n4's W�E si#� at www.»vmu�.stM#�.ya.ua. �IW R�yfsl�r of Nilis ar R�vuw� Oistriet Oftica or fro� tne
D�P�Mw�nt's 25•�our snaw�riny s�rv ee—'Y�Si - -'S�bBO; serv5eu ior iu[oaYars rith�sppcfel heeHn9 and/or
speNC{np needsx 1-SOQ-447-3820 (TT onlr7.
OBJECTIONS� Amr osrty io inbrast not satisf}od with tha epnraini�nt. slla+�nc� or tlisallowsnce ot dutluctions or eu�sxMCnt of tuc
Uncludinp tl3eeount or infarost> es shown on t�is noLica �a ee5�ct vithin 6B� do�s of tM dab ot roc�ivt of t�is notfco
bv�
A> Protaat to the PA tHpartxnt of Ravsnuc� 6aard ef 8pptals Gy f13i� a probat onl#tto at
Mw. MOf i Y�i atf. .Y op eF 6e}pM�tM1+ d0�diy aOAiik p@'iod pcpYt�s.
In ord�r fer an�-� •�. filliG pPObst to'-0Y v�13d��, You��ust nwiro a conHrotion nuwbor ane urocozsea tlet�
fro� kha bartl of �pp�als W�b xib. You MsY �lso srntl + wHx#�n orotut to P� D�periont af Rev�nu�.
eo.ro af Aoaa�ls, PO !ex 2/7021, N�rrisburp, PA 1712r-3021, p�titiens Ny not Ga tmud; or
!7 E7sct to hsrs ttu rsttar Ntar�incd at the autlit af tha a�rspnsl r�ort»niativ� acepunt; or
A�lITN- C) Apual ta tM OrpMns' Court,
ISTItATIYE
CORRECTIONS: Factual errcrx tliscovewatl on ihis essassunt sheulA qa eddrossatl in writin4 to: PA papartonk of Rwenuer
luraau of Ind3v3tlual Tmcos, ATTN� Pos4 Assoss�ent X�viw Unit, GO !we 280601, NarrisburD. PA 17128-U601
or <aA (7T7J 767-i5D5. Sas Papa 4 of °Inatruetflans fot Snhsritanco Tax Rsturn far a R�sStlent becadant^ ft{EY-75B7)
fa� �n ezV3anation of aep�inistrotSva3y torrectatrlv aonrs.
OISCpIINT� Ifi anv tuc dua is paitl vifhin t�r¢e calcntlar �onths eftar tha dacatlont's tlaath, a fiva pIf<enk dYSCDUnt of tha tan oaid
is allaasd.
PEIy{LTYx TM 35 oercant tnc xinasSy nomcarti<ination panaltv is <o�vuGU on tha tot»3 ef tha t�ass sntl iMtrosY asstssatl antl not
pnfd b�foro J+In. 18. 399d. the Hrst tlav af#er tha �nd of th� t�uc e�n�stv periotl. Thld nen•oartAcipaiion
p�oslty is �pp�alable in tha sna wnnar and in iha th� sa�� ti�e q�rioE as you voultl epp�el the taz anC interast
that has bean assessed as irWieattd on tMs notica.
INTEREST� Intqrest is che�p�tl bppinninp wlth tirst day of tlQinqumcv or niM �onk�s mntl ona Aay
fron tha tlatf of daath in the detW of VaY�aM. Tarzu Mhith baeMU tlalinquant b�foro Jen. 1. 19l2,
baa� intar¢sk at Ma rata of six patwnt OcW annu� ealcu3ekeA at e daily rata uf O.DOOXb4.
AA taicu rhieh bccafe dolirwuaM on or aftar Jao. I, 1462 r3ll bsar inLrosk st a rate rhlefi varies fro�
year to vaar rith tha rate announc�E bv th� PA OenartMant of Raranue. Bat¢s for 1982 throuph 2Upd can be
found in tha Pannsvivania Residank Instruetion lookl�t CREV-1503), t�a PannsYlvenia Nan-kesidank Instruetipn
Boakl�t CREVLL175Q or un the Uepart��nt of Rw�nu� W�b sito ww.r�wnw.sbta.D�•us.
7hY apolicable Sntcresk rates foh 2007 throuph 2013 arar
7ntcr�st Dailv Interast Dailv inqr�st DailY
Y�er Rate Factor Y�nr Rata F,�cior V�ar^ Ratd Factor
T007 B% .000219 2008 7% .000192 2009 5% .0110137
2034 4# .889110 2011-2013 S% .00U082
Intarezt is celeulatad as tol3ora+
SNTEREST = 9At.ANCE OF TAX 11NPAID % NiN16ER QP MYS 0€IdNGUEkT X IMTLY INT�ftESi FACTOf(
AM �atice fssuetl attar the tax peee�es tla3{novanf w911 roflact an inMrwt calculafSon tc 15 tlays
beyond the tleta of the eszess�ant. It nev�ant is �atlr efter tha foterest cuMDUtafion tlete sharn on the
ntltice, atlditional inka�ast �us; b0 calculbfed.
NOTICE OF INHERI7ANCE TAX i� pennsylvania
6UREAU OF INDIVIDUAL TAXES pfPARTMENT OFREVENUf
INNERITANCE TA% OIViSION APPHAISEMENL A�L4WANCE tlR DISAL�OMANCE ���T
PO l6X 258d@1 OF DEDUCTIONS, AND ASSESSMEHT OF TAX 6N REY-7548 IX AFP ti2-12J
WiRRiS6uRG PA 17126-o5ai JOINTLY NELD OR 7RUS7 ASSETS
� _i '�"��, '� ' ; i.�l" DATE 04-1Q-2013
;, ESTATE OF DAYIES ROSERTA D
- �-` �- � �� �� � � � � � DATE OF DEA7H 09-28-2D12
, FILE NUMBER 21 12-1252
..i.!;,j ���,':.P � r'I 1 � ��. COUNTY CUMBERLAND
SSN/DC
KAREN FDAYLES.�� ACN 1215b194
115 MESSIA��CIk, ,^. �r APPEAL BY DATE:11-p4-2013
MECHANI�U�Fa�`� Pk�1��055-8604 (SeereversesideunderObjections}
GUe°�C�y�I�u GO., P4 A�a��t Re�itted ��
MAKE CNECK PAYABLE AND REMIT PAYMENT T4s
REGTSTER OF WILLS
1 CQURTHQUSE SQUARE
CARLIStE PA 17013
CUT ALOtt6 TNZS LSNE � RETAIH L.DYtER PORTION FOR YOUR RECORDS �
'-""--"""'-""-'�."-"..""--"'---""-'--'_'--"""--""'-"'.'--'.""--""--'
REV-1548 EX AFP C12-12J
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTI4MS> AND ASSESSXEN7 OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 09-I.p-2013
ESTATE OF:DAYIES ROSERTA D DATE OF ❑EATH:04-28-2012 COUNTYcCUMBERIAND
PILE NO. : pl 12-1252 S.SlD.C. N4. : ACN: 12158194
TAX RETURN WAS: (XJ ACCEPTED AS FILEQ L l CHAN6ED
J6ZNT 6R TRUST ASSE7 INFBRMATION
FINANCIAL INSTITUTION: MEMBERS 1ST fCU ACCOUNT NO. ; 272426-05
7YPE OF ACCOUNT: LXJSAYIN6S t } CH£CKIN6 C }7RUST C )TINE CERTIFFCATE
DATE ESTABLISHED 12-24-2�05
Accaunt 8alance 34.548.69 N07E: TO ENSURE PROPER CRE�IT TO
Percorrt Taxable X 0.083 YOUR ACCOUNT. SUBMST THE
An�ount Subject to Tsx 2,87$•44 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Aaount 2.876•F4 RE62STER QF WILLS AT THE
Tax Rate Y .045 AB4VE ADDRESS. MAKE CHECK
Tax Due 129.55 OR MONEY ORDER PAYpBLE T0:
"REGISTER OF WIILS, AGENT."
TAX CREDZTS:
PAYMENT RECEIPT DISWUNT (+) pMOUNT PAIp
tlATE NUMBER TN7EREST/PEN PAIp C-)
INTEREST IS CHAR6ED THROU6H 09-18-2013 TOFA� TAX PAYMENT .QO
AT TkE RATES APP�ICABIE AS OUTIINED ON THE BALANCE 8F TAX DUE 229.55
REVERSE SIpE OF THIS FORM INTEREST AND PEN. .87
F6TAL DUE 130.42
� IF PAID AFTER FHI5 O0.TE, SEE REYERSE fOR CALCULA720N pG A➢DITIONAL INTHREST. e `��
TF TOTAL DUE ZS REFIECTED AS A °CREDZTTM {�R), Y4U MAY EE DUE A REFUND. �+
SEE REYERSE SIDE �F 7HIS FqRM FOR INSTRUCTTONS.
PUItpp5E OF
NO7TCE: To fulfill tho roauire�tlMS of SdCtfon 2140 nf the Inhsritancc and Estato Test �ct, Act 23 of 2Vtl0. 02 P.5.
Section 4140).
PAVMENT+ De#eeh tha kap Doriion pf thiz nqtice anA sub�ii wit� yaur oav�ant te iha 6apistar of Wills orintcd on the
rev¢rse sitla. Mek� Chack or WqeY erdvt DeYpbl� to� R�9ist�r of Wills. AqY�i.
Failure to pay tho tau. ietar�s# �nd oam1W Gua �m� nsult i� the filinp of a 73an 9n the aoorop�3ete
cpuntr or tha issuanee ¢t an Orptvx�•s Court c}}ation.
REFtMD CCR): A rotuna nf e tm creAit. rhfcM1 ras not repowst<tl on tha taz re4urn, �av be rvrouastatl by ewolatiny an
"Applfeation Per R�funtl bf Pennxylvanie Inhoritanea and Estaia T1uP' (REV•1313). Aoolieations are availabla frw
tM1� Dw�rt��nk'rY�D nit� et rMV.1YV�mu.st N. a.VS.� �w R�O�sbr of Wills ar R�wnuW Diatriek Offiea or fra� tha
D�Vart�an!•s�24-how �nq+�rin0iypvac�-a�50; s�rvices fer iaxosY�rs MSY� YPBti�l h1bM�0 and/or
SMikinP �M�tlSZ I-E8�-447-3G2@ LTT only).
OBJECTIONS� Arry oarLV 3a iniarast not satisffetl with tha a0prais�pntr eliwpnc� or dly�llannce of datluetiona or aszaas�an4 of tuc
iSnelutlinp dfaeouM or Sn<aresU as shown an thiz notice �eY oD�ict w3�hSn bd du�s ot tha tlst� of r�e�iot of this noklco
bvs
A} protast to tha P8 Wpartvnt of Raranw. ioard ef APpasls by filinp a protast onlina at
�rw.. a en�er�ti�tore tM dd-itr�'aYpetl 6�Hai �xpires.
In ortl�r OP��M�I' �C� MO•L PI"OS19S to�pa vnlftl, vtlu��ust wca3vo a can{Snation nuebar and procassed da#e
fro� the OearA of 11PP��13 W16 Sitc. VOY Mav �lso s�ntl � wrftkm orotesk Se PA WwrtNnt of Rwmua.
�MM.ot� ADD��ls, p0 �ex�3l1021, 1brHaburq, PA 11124I037• PYtit;u�t n1y oot b� fu[�d{ or
- D) Ele<t�to haw Yha ptt�r daUr�3n�d at khe auEit of tM vsrs6M1 r�ores�ntativc aecnunt; op
qpMyµ� C} Atroaal to th� OrpM�s' Court.
ISTftATIYE
CORRECTIONS: FacSUal emars tliscoverpd on this assesswnk shoultl ba atltlrossetl in wriiinp to� PA Deperbent of Ravanw.
Bunau af Iod3riAUa1 THCas, ATTN� Post Assfss�mt Rwi� UnfL PO Box 2l0601, Harrisburp, PA ]7129-0601
or ca7i t71?J 7S7-E5S5. S�s Aaqp 4 of ^Znstwetiom for IMtHt�nca Taz RKU�n far a R�SiGent Decetlwt^ tREYd581J
tor an ase}enation of aMiniztrotivalv eorrectabla arrors.
OISCOUNT� If anv tu[ tlua is wid within thwco calendor Wonths af4ar tM ticc�dant b Aapth, e fiva pa�cent ESSCOUnt of tha tax oa3tl
fs allawed.
PEH0.4TY: Tha 15 oercant tuc a�nantv nen-partt<ipetion panalH is cowutad on k�a tntal of tha taic and iMarast suaxxotl antl rvot
peYd befon Jtn. lE, 1996, tha f9rst tlav aftar the aotl af tho tax Nnastv periotl. Th9n non-oarticiVation
p�nalb is eoPa�LOL Sn th� s��� nnner antl in Yhe tM1a su� tiM� pariod pa You raulq aPVeal tha tau and int�rost
that Ms baan azsaassd as indtcatetl o� this �oti<s.
INTEREST: Intaresi is chsreed bapfnnine wfth Hret der of tlelinpuenev or n6na �ont�a antl one Eay
fl'D� tho tlata of dNth to tAS detll of CsY�in#. Ta�ces WhiCh b�cq11� tldinau�nt b�fora Jen. 1. 1982�
bOf inLYfffS �4 kh1 reta nf si% pP�C1n! DYF �OnY� Gl1CUlibYC !L i 0l11Y Mt1 Of O.ODU164.
All traas uhich Eaera d�l3nqueat on or afU� Jan. 1. 14G2 xfll bta� Sntsrest at a rata xhieh varles fro�
yoar to vear with tiw rata announcsa by tM PA UaeariMdnt of Rwanuo. Ratoa for 7452 thro�yh 2066 can be
founA in tM P�nnsylvenfa R�sitlent Instructlon �ooklet tREVd501?, tAa Pmnnlvania Nnn^R�sitl�nt SnsiruetSan
luaklat (REVQ7i6) or on the Deperkunt of k�vanw Web niL www,rvwnw.stwt�.oa.us.
The aoolicbb3e intarest ratas tor 2887 Lhroup� 2Y13 aras
Intrnst Dativ Inkarsst Dailv I�terest OsilY
� Yoar Rata Fsetor Y�er Rat� F�etor Ylar R�ta Factor
2q07 8J.' .000219 2C08 7X .0�0192 20tl9 5% .tltl0137
293U 4S .86D110 2U11-2U1S 3% .OBV682
lntanst is celeuletRtl as follopse
ZNTERES7 = MIANCf OF TAX tk1PAZD X NUlS6ER OF MYS OElSN4UEN7 % WILY SNTEftEST KACTOR
Ar�v nofice 3sswtl sfiter the tu bb<was tlalineuent wiYl reflect an inbrost caiculatian to 15 davs
bayena the date of thA assess�ent. If ow�ont is �ad¢ sfter tha intarest cowDUtation tle<a zhwn on the
aoti<e, aEditfonal irvt4rnst �usk be calculakad.
NUTILE OF INHERT7ANGE 7AX j .� pennsylvania
BUREAU OF INDIVIDUAL TAXES DEPAHTMENT OFREVENUE
INNERITIdKE TJ4X DIVISTQM APARAISENEN7, A��OWANLE OR DISAtLQWANCE ■ ■
PO DO% 2a9c0i 6F i}EDUCTIDFFS, A#iD ASSESSMEXT �F TAX Oti REl`-1545 ES AFP ti2-SF)
HARIXISBURG PA 37128-od01 JOINTLY HELD OR TRUST ASSE7S
`i�'� �' .°", . ' . ' DATE d9'1a-2013
_ . ., �( ( .;, .,:;i w�i .. _., ESTATE 4F IIAYIES ROBERTA D
��:� ', . ,_ DATE OF DEATH 09-28-2012
C � �°d FILE NUMBER 21 12-1252
^� v�� �� :'��•,� " -` �� � ' '� �-�. COUNTY ClINBERLAND
` �m�' SSNIDC
Q�, " KAREN A DAVIES �-„� ;
n . E,j...�'�.'E `.1`' ACN 1215b197
`J 115 MESSIAH CIR � 'J' CQuil�� APPEAL BY DATE:11-09-2013
� MECHANICSBURG P 0 .5 ,7A (SeereversesideunderObecdons
�. i 1
, ti G�`� . . �+ � A�� �u-• ' '� Arount ReNitted ��—�—�
J� t���'' . � MAKE CHECK PAYA9LE AND REMIT PAVMEN7 TQ:
����,� , Y?,."
��t��-'"� � REGISTER OF WILLS
��� 1 COUR7HOUSE SQUARE
LARLISLE pA 17013
CU7 At4N6 THIS LINE � RETAIN �OWER PORTI6N FOR YOUR RECORDS �
_""--"."-""'--""""""'--".`----"---""'-'-""---."--'-""---'^----"-'-"'
REV-1548 EX AFP C12-12)
NOTICE OF INMERITANCE TAX APPRAISEMENT, ALIOWANCE OR DISAI�OWANCE OF
DEDUCT26NS: AND ASSESSMERT 6F TAX ON JOtNTLY NE�D OR �TRUST ASSE7S
DATE: 09^1p-2013
ESTATE OF:DAYIES ROBERTA D DATE OF DEATH:Q9-28-2012 COUNTY:CUMBERLAND
FILE NO. : 21 12-1252 S.S/D.C. N4. : ACN: 12156197
TAX RETURN WAS: CX? ACCEPTEp AS FILED C 3 CHANGED
JOINT OR TRUST ASSET ZNFORMATION
FINANCIAL INSTITU7ION: MEMBERS 1ST FCU ACCpUNT NO. : 272428-40
TYPE 6F ACCqUNT: { 7SAYIM6S { ) CHECKING t )TRUST C39TIME GERTIFZCATE
DATE ESTABIISHED p3-25-2004
Aecount Balance 120,143.80 NOTE: TQ ENSURE PROPER CREDIT T4
Percent Taxable X O.lb6 YOUR ACCOUNT, SUBMSF THE
Amount Sub3ect ta Tax 20,084.3� UPPER PORTIpN OF THIS NOTICE
Debts and Deductions •00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2U,024.37 REGISTER OF WItL5 AT TNE
Tax Rate v •045 AB4VE ADDRE5S. MAKE CHECK
Tax Due 401 .10 OR M4NEY ORDER PAYABLE T0:
"REG2STER OF WILLS, A6ENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUN7 Cf) AMOUN7 PAID
DATE NUMBER INTEREST/PEN PAIp [-7
ZNTEREST IS CHAR6ED THROU6H 09-18-201'S TOFA� FAX PAYMEMT .00
AT THE RATES APPIICABIE AS OUT�INED ON THE BALANCE OF TAX DUE 901 .10
REVERSE SIDE OF 7HIS FpRM INTERES7 AND PEN. 6.06
TOTAL DUE 407.16
• IF PAZO AFTER 7HIS 4ATE. SEE REVERSE FaR CALCULATZON oF ADDTTiONAL TNTEREST. + {
IF TOTRL 4UE ZS REFtECTED AS A ^CRE4ZT^ LCR}, YOU MAY BE DUE A REFUNII. `�{�`
SEE REYERSE STDE aF THIS FQRN F6R INSTRUCTIONS. ��1,V
PURP4SE OF
NOTxCEa To fulfill thu roauirawants of Srction 2140 pf t�e Inharftanca and Esteta Tez Aet. AcY 25 ot 20D0. O2 P.S.
$YCtion 4148). �
PAYMENi� Oqtaeh tM tap oortion af this notici antl sub�it wikh you� om�ant ta tne Reeistar of Wills orinted on the
�erorza sitle. Nake cback or woney ortiv naY+ble tw 8�pfrter of Wills, Ayent.
FbYlura to paY tha taz, ietertst ae�E wa++1tY �ue �m roxult in #h¢ filirq qf n lian in th¢ avvropr£ate
countY or }M issuencr of an Oro�a�'s Ceurt citation.
REFiktA ttR)x A ratund of e ka�c crvCit� rhith v»x not rvwas*cd on thK terz r�tu�nr � 6a ratlu�atetl by aoipF�tinp an
"Appliution Aor R�tuntl at 4�nnsylvenia ln��hitanw and Estet� Tm[" CREV•13137. �OOlications aro awil�bla fro�
LhN D�wbhmYS W�4 a1t��at�y.r v�nuost#t��,oa�.us,�elqr M91st�r of Mills uw Rwmue Oistriet pffiee o� frnW tM
prpartNnt's 24•hour snw�rinp sar"�v" t��tl�d-33Z-2D5tlp s�rviesx fo� tu�o+Ydws rith apacfal haaHnO ���ar
spbNCiny �padsi I-&99-447-3026 LT7 pnlyJ.
OBJEC7IONS: Any oartv in lnter�st not satisHptl uith 4ha env��iw�nt, allaw�nc� o� Aisallqw�nn of tlstluctions ar assass�cbt of SaY
(inclutlinp discount or in4arosU es shown on khia natic� �av obiact vitain 80 tlevs of tha tlat� of ruedpt of t�ia noYicr
M�
A) Protast to tha PA Wpa�Wnt of Revemt. Seard of Appta}.a bY Hliny a protest oNSna at
M11N.bo bf �. }IF . Yn 6(' 4ifptY tIN 68-{{iy mpY;l P9('iOd �ItDifts.
In orAer on an'� a�Nnle'iTOtYat to.by v�litl. vw ruat rae+lw a eonfir�stion nuwbar antl procaszab tlake
fro� th6 BOa�G of ApqNls W�b slt�. YoU �n. elso s�nd � vrittan orok�st to PA D�vMPt��nL of Rersnus,
loartl of App�als, PO toz 26kY21, XarHibury, P� 1712l-3021. P�Sitions �apl not b� funA; or
!3 Elset to have th� ��ttar Aaterr�irt�A at tM euCit eF the oaraoosl roo�es�ntatira accauM; or
AOXFN- C} Aeptal to ttw 9rpA�ns' Ceurt.
ISTRATIVE
CORRECTIONS� Fectual errors diseovaratl on t�is assess�en; should be edtlrassad Sn uritina ka: P� Dapart�ant of Hovenua.
lwuu of IndlvlAUS1 Tu[os, AT7Ne post Assess�ent Rariaw Unit, Pp 6ox �80601, Narrisbur�p, PA ll12l-0601
or ca37 {717? 7D7-6545. Ssa Fa90 4 ef ^Instruetio-ns tor 2Marttanco Taz Atturn for a Rasitlant OacedenY° BEY-7547)
f9r �� npl»nation of atlriniatratiralv cc�ractabl� �rrara.
DISCOUNTi If ain tu� dua is naid uithin thraa eslentlar Wnnths aft�r th¢ tlacetlant's tl�eth, e fiv� pa�cent discount of tha !ax oald
is a11waE.
PENALTY: Tha 35 nercent tax a�mrsty non-particioatian penalty is ce�outad on tha tote3 af the t»x antl intarest azsessatl antl n6t
PsSd Eefora den. 16, 1996r tha fi�sk dav sfker th� antl pf th� tqx b�n�sty O�riotl. This bOn-Datic]pation
OYntllb is appe�labla in tM s��a �snner antl 1n th� tM1� ;MO iiu peNod e5 YDU �ou1E appaal Yhs t� antl intProst
thEt�hiS at(1 lSSYSSid b5 3�]CltYf} O(1 {hii ftOkiCY.
INT�REST: InHrost is cherpetl EspSnninp rith first tlay af tlalinvuencY ar ndne �onths and one day
frow the tlete ot tluYh tp Yhe tlak� of oaY��nt. Tncas which baeaa d�linqu�nt bafore Jen. 1. 198Zr
61AC 9oYeraSt At t0� reta of six percant Oir mnw cA1cul�t�A �t � tl�ily ��tY of O.00tl164.
All t�ces rhich bacar delirwuent on ar afibr Ja�. 1. 1482 xill bo�r iMarast et a ratt v�ich variss fraa
Yatr to rear with }ha rato announcMd bv the PA Dapartunt of Reranup. Hattx tnr i%2 throupA ?006 can De
fountl in the Pannsvlvanla RuiEmt Instruction 6oaklat CREV-3503), the P�nnsvlvania Non-R�sitl�nt FnstrucYioa
64oklat (REV•1736) or on tna Mpart�ant of Rwsnw W�b ait� rw.rw�nue.sLati.pa.us.
The GYOSitabU 1l1Ye�aSY fiLY3 for ?�P7 t�rnuyh 2073 n�ar
7ntorasf Daily Sntarost Daily Zntsrast 6aily
V�er Bate Peetor Y�sr Rat� Factor Y�ar Rqta Factor
2tlp7 PY. .000239 2qU8 7X .000192 2004 5X .00013]
2P1U 4Y. .00811a 2611-2013 3X .8BB082
Intor�s4 is caleulat�q ns follarsi
SNTEREST = CALANCE OF TAX WBASD % NUMlER OG ILIYS DELINDUEkT X MIIY INTEREST fACTOR
ArN netice ixsueA after the tu Oaceus tlelinquent will �efiest an fnteres} wlealstLan to 15 dsYs
beyond the tleta of Ma essass��nt. If pay�mt is �atle efter the intoras! ewputation dake s�awn on tha
notice, aaaikional interest �usk ba ealeulatetl.
NOTICE OF INHERITANCE TAX � pennsytvania
HUREAU OF INDIYIDUAL TAXES DEPARTMEN7 OfREVENUE
IXNERZiANCE TAX AlYisi�i APPRAZSEMENT, A��OMANCE 8R DISALLpWANCE
PO HAt 258607 OF DEDUCTIUNS. AND ASSESSBENT 8F TAX 8N RfY-754a IX AFP t72-123
1I7�RRISBUR6 PA 17128-Od01TM = ��'-Jp=NTLV NELD OR TRU$T ASSETS
;i -i✓ „
���� '�� - DATE 09-10-2013
��•� � � ��" �" � ���� �J ESTATE OF DAYIES ROHERTA D
q DATE 8F DEATH 04-28-2012
,�,��,'.i �:�;:�. �j ;'j'j � �J. FILE NUMBER 21 12-1252 ,
��" COUNTY CUMBERLANC!
� SSNlDC
PAU�A D TREM�+I�-'=��i ��• AGN 12156145 -
115 MESSIAH C '-'�"` `��'2:,' +.%'�:,��-�.��
(�i�,'i�,�:,.. APPEAL BY DATE:11-09-2013
M E C HAN I CS B U R������(f�¢SZ,{$§� (See reverse side under Objeclions)
t� A�cuat Rerittad E---�-�
MAKE CHECK PAYABLE AND REMIT PAYMEN7 T0:
REGISTER OF WILLS
1 C4URTH6USE S4UARE
CAR�ISLE PA 1�p13
CUT AIONfi 7HZS l2NE '�"� RETAIN �OWER PORTION FOR YOUR RECORDS F
-""-"""'-"""'-"'^'-"'.----'.'---""-""'-'--".'---""--""^---"-'--.."-"'
REV-1548 EX AFP C12-12�
N�TICE OF INHERITANCE TAX APPRAISEMENTs ALLOWANGE OR DISAILqWAMCE OF
DEDUCTIONS, AND ASSESSMENT 4F TAX ON JOINTLY NEID OR TRUST ASSETS
DATE: 09-10-2013
ESTATE Of:DAYIE5 ROBERTA D 6ATE OF DEATH:04-26-2012 COUNTY:CUM&ERlANO
FILE NO. : 21 12-1252 S.S/D.C. N4. : ACN: 12156195
TAX RETURN WAS: CX> ACCEPTEp AS FIIE➢ C J CHANGE➢
J4INT 6R TRUST ASSET ZNF4RMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 272428-05
TYPE OP ACCOUNT: tX}SAYIN6S C } CHEGKFN6 C }TRUS7 C 7TINE CERTIFICATE
DATE ESTABtZSHED 12-24-2005
Atcount Balance 34,548.69 NOTE: TO ENSURE PR�PER CREDIT TO
Percent 7axable X 0.483 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,$7$.94 UPPER PORTIpN OF THIS NO7ICE
Debts and Cleductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Ap�ount 2,878•94 REGISTER OF WIILS AT THE
Tsx Rate Y .Q45 AB4YE ADDRESS. MAKE CHECK
Tax Due 129.55 OR MONEY ORDER PAYABLE T0:
"REGTSTER OF WILISr A6ENT.'•
7AX CREDITS;
PAYMENT RECESPT DISCOUNT (+) AMOUNT PAIp
pATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHAR6E0 TNROUGH 09-18-2013 TOTAI. TAX PAYXENT .00
AT THE RATES APPlICABLE AS QUTCINED ON THE BALAHCE 8f 7AX DUE 129.55
REVERSE SIDE OF THIS FpRM INTEREST AHD PEN. .87
70TAL DUE 130.42
+ IF PAID pFTER THIS DATE. SEE REVERSE F6R CA�CULATIpN OF 0.DSIITIONAL INTEREST. + ��
LF TOTA1. DUE IS REFIfCTEb AS A "•CREDZT^ {CR}, ypp NAY HE DUE A REFUNb.
SEE REVERSE SIDE OF 7HZS FORM GOR ZiiSTRUCTitlNS.
PURPOSE OF
NOTICE� To fulfill khe reauirc�ents of 5eotfon 214U of The In�eritsnce antl Estata Te�r Aet, Act 2i of 2�Otl. (72 P.5.
Saction 4766).
PAYMENT: O�teCh tha t4V nOrYion oi this nokiCO and SUbMit with yoUr pry�ant te tha RYqiSter ot W1115 orinkktl en Sha
��vYfse side. Meke thaGk or �oMy O�tl�� 4�YlMla to: ftlpist�� Of Wdl3s, Ayfpt.
FaYlure to paY tha tmq intarast and v��1W eWa �av rosult in t�o filinp af a iitn 3n tha aPP�ODNete
eounty or tha 3s:aane¢ of an Orpl+en•s Court citat3on.
REFtIHD tCN}: t ratuntl of a tau ersdit� rhieA rss not riv4�statl a� thi tsx raturn, ras+ Oe r�ep»st�d by ta�nlitino an
"Apclication for R�fund of P�imaYlvanis Inharitance end Es:at� Tau° CREV-1313). ApclicWtiona ara evaileble Prow
th��MO���nt'a YNb s3t� at�rw.r�v�nur.st!# .o�.ur. imr R�oixt�r of M111s nr�R�s�xu� District OfHee or Ppo� t�e
D�p��bmt's 24•hour anaw�Mnp a�rriu��l-���Sb; s�rvic�a for tazoq6rx rith speci�l MarTnp antl/or
sW+f[1n9 M�dS� I-lB4-447-3828 C7T M1YJ.
OBJECTYONS� R�ry partv in in4arost nqt sntisfzatl with the e0oroia�onkr ailov�rycp er tlisalla+inca of tlatluctiona ar essass�cnt of tex
(intlutling distount or inHr�st) as s�ovn on this notic� M�v obj�c! uith3n bq tlavs of tM Aate oP r�eaiot pf this nakice
bv�
A) Frotcst to the PA Mpartwnt of R¢ronuW� boarG of App�als M filing a protast onl3na at
vww.troartlet al .stals. .us on er Wfore tM dil-dtY anwsl P�riod n[pir�s.
In erd�� for �n f ti; ronie p�olast to bp vplitl, va4 �ust n4aive a eoofir�atiort nu�bar end procssseC tlala
fro� tp1 board of �ppu15 W�b sii�. You �N elso spOtl a writUn prot�st to P� Mpa1't��nt of Rw�nua,
SOlPtl O4 APP�i15� p'b ►me 861p21, Narrisbupp. P� 1712H-1B21. Pit145enc�Y,y�noL�l� frfrotlp or
� D7 Elact ta haw tbe �attar 6atenimE at the auCit of tM wrsonal no�asmtatiw account; or
ADMIN- C) Avneal to tha Orohnna' Ccurt. �
ISTRpTFVE
CORRECTIONS: Factual errors tliscowratl on ihis nssass�an# should ba stltlnssed in �ritinp #oi Pn Uapmrt�ant of Rovanue,
BuFaau of Intl3v30ua1 TezaS, ATTN� Post Assasx�on! R�ri4M Unit. PO pooc 280L01, Marrisburp, P� 17128•0601
� c� call C717) 7&7-b585. Sae Pape 4 uf °Znsti'uttions foP Inh�HtmGe Tnt Riturn fer a Roxi6eat Dectdaot^ {REY-ISD7)
for an axaianatien.af atl�inistrat}rolr cornctabie arroTS.
OISCOUNT: IP airy tax dus is naitl within three ealentlar �ont�s sftsr t�e dpcad�nt's tleath. a tive parunt tldscaun4 of kha iax vaid
is allweea.
PENALTY� 7M 35 narcant tuc a�nsxb non-participation pmaity ix cotnutad on the total of the tar antl inierost azsessetl antl nnt
naitl Gafore Jen. 18. 1996. ina first tlw aftar the �nd afi khe t� e�nasty p�MoG. This non-Varticipation
pcnelty ii eppRalebl� in tha swc ��nn�r snd in tha thp sao ti�a p1Hetl as y0U weultl bppoal tha tex antl iMCrast
thnf hez be�o azsess�d as Sntlicatetl nn this notfca.
INTERE57: Intarosi iz cherpatl D+yinninp vith first day of Aa3inqwo<v or n5np �onths antl one tlay
� fro� tha tlaYc of tl�aih to the datW nf nar��nt. Tazas which C�c��� G�linou�n4 bofore Jnn. 1. 1982�
brar intarsst at tha rota of sis pareant ner aenu� ulculrtad �t i tlailv rat� of o.0011164.
All tazcs whlch bsc�s tlalinCUmt on or aft�P Jan. 1� 7982 rill bear intarost at s rato xhich rarios fro�
year to vear r]th the rets announcoA bv tM PA Moart�rnt of Rev�nw. Retax for 1Bb2 thrauph 2�C6 ean br
tpund in tha PonnsylvpMa R�sidwt Inatruetio� eeoklat (REV-15011, tho Pannavlvania Non-Rasident Instruclion
Bedklet cREV•1736) ar an tha Dap�rt�mt of Rav�nua web aite VW.PYWAW�SYiL�.Dd.Y3.
Tha apolicpbla int�rost retes for 2UU7 t�rpuph 2U13 aru
Intanzt Dailv Interez# Daily Zntatvst ➢ailY
� VYar Rate Fector Y��r Rate Faetor V�ar Rata Fackar
2p07 BY. .OD0219 2P48 7# .Oa0192 2009 6X .00013�
291D W: .00Bil@ 2411-2Q23 3X .000U82
Interost is celculabd AS followst
TNTERfST = lAUNCE OF TAX IMPAI➢ % NUM�ER 0� MYS DElIM4UENT X IY.ILY IMTEREST FACTOR
Arry noH<e 3ssueC aftar tha tuc Eaee�es delfnpuant w332 reflec4 an interos{ caleu3ation to 15 daYs
beYOntl the tleta of the assass�ant. If oayont is �atla afilor the interast co�putation tlete snown on the
notfce, atltliklenal intar4st �ust be celcula�ad.
NOTILE OF INHERITANCE TAX � pennsylvania
BUREAU OF INOIVIDUAL TAXES DEPRRTMENT OFREVEN�E
INXERIT�NCE TiU( OIVISION APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
PO BOX 280601 OF,�EDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 D! RFP (12-12)
IURRISBURG PA 17I28-0601 - JOINTLY HELD OR TRUST ASSETS
p (�!' � • �'.i ._ �
i�� /�� `
r._,,,�.. .:. �,� �. ... .�. DATE 09-10-2013
'��`'"" � ESTATE OF DAVIES ROBERTA D
- , � � DATE OF DEATH 09-28-2012
���.,"�.� ��� �.', ����' ° FILE NUMBER 21 12-1252
COUNTY CUMBERLAND
PAULA D TRE�I�C`'��'� `�� . _ SSN/DC
ACN 12156189
115 MESSIAH �}Q��i`lA��� `'G�`��s���� p� APPEAL BY DATE:11-09-2013
M E C HAN I CS B�t�.�Q E�a,p.9�£o s��-e 6 0 9 (See reverse side under Objections)
A�ount Re�ittad �--�
MAKE CNECK PAYABLE AND REMI7 PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT AlON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS �
"---"'-""-------""-'-------"'-------"'--------"------"'------"-------"-------"
REV-1548 EX AFP C12-12)
NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALIOWANCE OF
DEDUCTIONS. AHD ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSE7S
DATE: 09-10-2013
ESTATE OF:DAVIES ROBERTA D DATE OF DEATH:09-28-2012 COUNTY:CUMBERLAND
FILE NO. : pl 12-1252 S.S/D.C. NO. : ACN: 12156189
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHAN6ED
JOINT OR TRUS7 ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. : 272428-00
TYPE OF ACCOUNT: ( IOSAVINGS ( ) CHECKING ( )TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 10-03-2005
Account Balanee 8,940.83 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X O.b83 YOUR ACCOUNT. SUBMIT THE
Amount Sub�ect to Tax 745.04 UPPER PORTION OF THIS NOTICE
Debts and Deduetions ' .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 745.04 REGISTER OF WILLS AT THE
Tax Rate Y .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 33.53 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS. AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROU6H 09-18-2013 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 33.53
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .23
TOTAL DUE 33.76
� IF PAID AFTER THIS DATE, SEE REVERSE FOR CALLULATION OF ADDITIONAL INTEREST. � �\
IF TOTAL DUE IS REFLECTED AS A ••CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
PIMiPOSE OF
NOTICE: To fulfill tha reaulre�ants of Saetion 2140 of the Inhcritenca anE Estata Tax Act. Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT: Dataeh the tou nortion of ihis notiea antl sub�it �ith your pay�ant to tha Rspister of Wills orintetl on the
reverse sitle. Meke chack or �oncy orAar oavabls ta� Rapiskar of Wills, Apant.
Failure to pav the 4�x, intarast antl o�n�ltv due �ay result in tha filinp of a lien in t�a aoorooriate
county or khe issuance of an Oeohan's Courf citafien.
REFUND (CR)i A rofuntl of a tarz ercASL. whic� was not nweatatl on the t�x raturn. �av pa rwu�ztatl by ewolRinp an
"�ppllc�tion for R�funtl of P�nnsfrlrania lnherH�nee antl EsLta Tuc" (REV4313). Aoolications are available fra�
tM D�Derbent'z M�b sib it MM.MV�MI�.ttFtbD�•YD �rN R�pistar of Wills or Rrv�nu� Diatrict Offic� or fro� tha
O�oart��nt's 24-Aour anaw��in0 sI'v e��--�-�1 5B; services for tauowa�s vith so�eiel haering and/or
swakinp nseES� 1-800-447-3020 CTT onlv).
OBJECTIQlS� •ro narty in iniarast not satisfiaE �ith t�a aonreis�ent. allwanea er dlsallwane� of tlaEUetions or assess�a�t of tax
(ineludinB tlizeount or intansU as shovn en this notiu ��y ebiaet rithin 60 tlavs of the tlala of roeaiot of this notice
bY:
A) Protast ta t�e PA D�osrt��nt of Revanue, bertl of Rooaals Ov f93inp a orotast online at
www:bwrEOT ala.st U: r.us on or bafon !M 60-EaY�wv+al OaPiotl lzoina.
In orE�r tor�.�a � rstrOmld�oFObst to E� vAlid. You �ust nceiva a confir��4ion mrbar end processatl data
frw tM 6oerd of App��ls W�b siL. You ��v slso s�ntl a writbn orot�st to PA D�n��tw�nt of Raranue,
6oartl of �p6a�ls, PD fex 263921. Harrisburp. PA 1712l-1�2L�MMLfoOS �ay mt ti� fuuA; or �
B) Elact to hara ths ��tt�r tlal�r�ineA at th� �utlft of th� nsrsonal r�Orss�nt�tSvo acceun4; or
qp�IN- G AoDaal to the OrOhans' Court.
ISTR�TIVE
CORRECTI�NS: Fectual errors Aiscoraratl on this sssass�ent should ba atldrassad in rritinp to: PA Oeoart�ent of Ravanue,
Burcau of InAivitlual Tsxas, ATTN� Post Assass�an! Raviaw Unii, PO Bw[ 280601, Marrisburp. PA 17128-0601
or call (717) 7l7-65a5. Saa Papa 4 of "Instructions for In�eMtano Tax Raturn for a RasiAant Dwatlant^ (REV-1501)
for an sxolm�iion of atl�inistrstivalv corr�c4abla amars.
DISCOUNT: If any tax tlua is oaitl rithin t�ree calentler �an4hs eftar <n. a.o.a.ot•: a.acn. . fiva oareant tliscount of the tax paitl
is ellowetl.
PENAITY: T�e 15 nercenC tux �nasty non•partieioation oanaltv ia cowutatl on t�a total. of t�a tmc antl interrst essesseE anE not
oaitl bafora Jsn. 1!� 1996� th� firzt EaY aftar tha �nd of tha tu[ a�nesty periotl. T�is non-psrticipation
oenalb is aVYealebla in ths se�a wnnar antl in tho t�a sa�e ti�e oeriod as you would avDael the tax and interost
that h�s b��n azs�ss�tl as intlicat�C on this notice.
� INTEREST: Interost is eharpatl bapinninp wit� firs4 dav of dalinquaney or nina wnths and ona dav
fro� tha data of tl�ath ta the data of aavont. Tuas which baer� d�linqu�nt E�tora Jan. 1, 1982.
baar interast st tha rata of six n�rcmi o�r annu� caleulataE at � tlailv rata of O.BD0164.
All taxas which baca�� d�linqusnt on or afbr Jan. 1, 1982 rill baar interast at a rata vhich varias fro�
vaer to vaer wit� the rata announced by tM PA Daoart�ant of R�v�nua. Ratas far 1982 throuph 2006 can be
found in iha Pannsvlvania Rasitlant Instructian Booklat (REY•1501), ihe Pannsvlvania Non-Razitlant Instruetion
Booklat (REV-1736) or on tha Uepart�ant of Rwanua Web sika ww.rav�nua.stata.o�.uz.
T�e aoolicaCle interast ratas for 2007 throuph 2013 are:
In4erast Dailv Interest Dailv IntarasY Daily
Y�ar Rata Fsctor Y�ar Rata Fsetor Y�ar Rat• Faetor
200] 8X .0�0219 2008 7X .000192 2009 5X .000131
. . 2010 4X .000110 20114013 3% .OU0082
Intarast iz caleulatatl az follovsv
INTEREST � MLANCE OF TN! UNPRID X NUMlE4 OF d1YS OELINOIIENT X MILY INTEREST FACTOR
Am nokiw izwatl after !he tv� beewas tlalinauwt vill refleci an interest celwlat3on to 15 tlavs
beYOntl the tlate of Y�e assess�ant. If on��n4 is �ada afia� iha inta�ast ewputation tlata s�q+n on the
notice, atltlitionel interest �ust Ea calculatcd.