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NOTIGE OF INHERITANCE TAX � pennsylvania
_susEAU uF ixDivi�un� ra3cES APPRAYSEMEHT, ALLOWANCE OR DISALLDWANCE
6F DEDllCTIONS AHD ASSESSMENT QF TAX es� DEPAHTMENTOFREVENUE
It@4ERITAt�E TAX DIYISI6N REY-1547 EX AFP LD3-73)
PO BOX 280b6k
HARRI9blIRG PA 171P8•060I
OATE D9-1S-2013
ESTATE 6F MCWILlIAM5 HUBERT R
DATE OF DEATN 04-09-2013
FILE NUMBER 21 13-0435
COUN7Y CUMBERLAND
KER4lLN H6LLY M ACN 301
4245 STATE ROUTE 209 APPEAL DATE: 11-15-2013
ELIZABETHVILLE PA 17023-H433 (SeereversesideunderObjecNons)
A�aunt ReMitted� �
MAKE CHECK PAYABtE AND REMIT PAYMENT TD:
REGIS7ER OF WTLLS
i C4URTHOtfSE SQUARE
CARLISI.E PA 17013
,CUT ALON6 TNIS LINE -�► RETAIN LOWER P4RTION FOR YOUR RECORdS !--
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REY-1547 EX AFP {p2-137 N4TICE OF ikHERITANGE TAX APPRAZSENENT: A�F.4WANCE OR
DISALLOWANCE OF DE4UGTIDNS AND ASSESSMENT pF TAX
ESTATE OFt NCWILLIAMS HUBERT AFILE N0. :21 13-0435 ACNt 101 DATE: 09-16-2013
TAX RETURN NAS: tJO ACCEPTED AS FII.ED t ) CHAN6ED
APPRAISED VALUE OF RETURN BASED ON: �RZ6INAl RETURN
1. Raa� Estata (SCheduln q) (1) 98.000.00 NO7E: 7o ensure prooer
2. StOfik3 80d BOflt�S fSCh9dUlY BJ (Zj .00 Cf0d1{ t0 y011Y ACe011llt�
.60 suh�eit tha uapar oortian
3. Closely Ha3A StoekfPSrtnarshSp Intarost {SehaOUle C} (3} of� tRis fn�'m x3th your
4. Mortpo9es/NO#as Receivable CSChatlule D) (4)- {;7 •00 �� p��,
5. Cas�/Ba�k Deposits/Misc. Personal Propsrty (SChadule E3 (5) �'��69 rf� ., "'
av .
cc� :�6� ...., ._
6. Join#ly 4xncd Praparty tSChadula F} [b} --� , ��
9. 7ransfers [SChotlula G) (7)�.: _ � .
B. Total Assats �p �;� {�) `=� `1�32:432.69
APPROYED DEDUCTZONS AND EXEMPTION4: -"�"- ^ i���� � "
_ .;T
�� '_,-.
4. Funaral Expansqs/AAm. CostslMiac. Exppnses (SChqdule H7 �g} 24•�Q„�� ..� . ,
1tl. Debks/Morkp�qa Liabillties/LS<ns (SChadule D QO)����� �'
rv "
L1. Toxai aeauctio�s -;7 -�cli> ,�TY� �r�65b.40
12. Nat Valua of Tax Raturn �'" (72) �i 1��7b.24
13. Charitable/GOVernmental HeQUasts; Non-elaetetl 9113 7rusts CSChedulo A �y,�a 3.500.00 �
l4. Nat Value of EsYafa SubjecY to Tax �yy� 104,276.29
NOTE: If in asSeSS�ent xas iSSUed preYioUSly, Linbs 14, 15, 16r 17. 18 sndta� 19 xill
refleet fi0ures that inelude the toYal of all returns assessed to date.
ASSE$SMENT OF TAX:
25. Ampunt of Lioa 14 at spausal rate t15) •4U X �� .�0
16. Amounk of L1�a 14 taxabla at lineal roto {16} 1114_976.94 X 045 = 4.692.43
17. Amo4nt of Lina 14 at xibling rat• C17) -00 X 1�' ' .�0
ie. nmou�t at une ia taxabla at coiiacerol rrts cie� .p0 x 15 = .��
19. PrincSDai Tax D�a <1�}' 4�b92.43
TAX CREDI75z
PAYMENT RECEIP7 SCOUN7 +) AMOUNT PAID
DATE NUMHER iNTERE5TlPEN PAID (-3
0 - 1-2� 8 2 .52 ,O1 .83
07-03-2013 CD017844 23. 10 438.98 -
TOTAL TAX PAYMEN7 4,692.43
9ALANCE OF TAX DUE ,pp
INTEREST AND PEN. .00
TOTAL DUE .p0
� ZF PAID AFtER DA7E TNDZCA7ED. SEE &EYERSE SF TOTAL DUE IS R£F�ECTED AS A CREDIT (CR}, YOU NAY BE DUE R
FOR tAtCULXTI6N OF ADDITIONAL INTEREST. A REFUND. SE£ REYERSE SZDE FOR ZNS7RUCTZ6NS. �1�
RESERVATION: Estetes W decadents dying on or befwe Dec.12,1982-H any tuWre i�terest in tlre eatate is transferretf in possession or
enjoymeM to oollat8r0lbenefiCi�lies.of Cie decederrt afler the expirrpNNNo-vt ary+�for Hhta Years�Unf Commr>nwealth
hereby e�spressly reserves the rigM to appta(se arxf asstlss lransfx inlierRance taxes at the fawlW coAatera!rate an�any such
tut�re intetest
PAYMENT: Detach the top..pordon of this nodr;,e arM submit wi1F�your paym6rrt b.i tha Reqister of Wilis Irnlicated on the front of the.notice.
Make cher.k or money order peyable to:REGI&TER OF WILL,AGEM.
REFUND(CR}: A refuod af a tax cr�t�at requested on the taY reWrn maY be� by��... '. An ' �i�Retcmtd of
PennsyWania lnheritanc�a�Estate Tax(REV-1343}. Appiic�ttl�s aro av�ad�b tfw+i#�e daparbii�nta web site st
� `� ,:any Rspister of�WNIs or Rev�p�[Nabkd��ar harti tAa tkpsM�Yt'S 2M�torms ordering
sarvice:l�E1q-�2-2050�sorvicea foc taxpe�yera with apad�Fiemi�q�w speWcnp neecl�:�-800•447-3020(TT onry).
Ptease albw 4•6 weeks from the date a refund was grarrted to artive.
OBJECTIONS: My perry in irrterest rxrt satisfied widr ihe a{quaisement,aibwance ar d�saibwanca of daduCdons,or a�asement of tax
(indud�np discount or interest)as shown on this rwtice may object witldn 60 days pf the date pf receipt nf this nodce by:
A) FUinp.an aPPeai anNne ai 7e0MS: AfSai6t@dte,1!&as or before ths a{�a�at d�idantified on tl�e tront W dus rrotice.
4r ser�np a written protest tfl:PA t}e�... ert at RBVera,ro,9oaxd of Appeak,P4 BpX 281201,Nsr�sburg PA 17128-t Q21,
B} Havqp tlre matter determined at aud[o�Hre eawuM of 4repeirsonat represerrtetive;or
C) C)AppeaNng W the Orphans'Gaurt.
ADMI�IISTRATIVE Errors�st:overed onShis asssssme�t shou{d be�gskted in writit�to:PA Dep�trt�r�t of Revanue,Bureau of tndtvitivat
GOFti�ECT10N9: Taues,ATfW�P�t� - � ftOView Ut�it,�PCI�X 28060i,HettiSburp PA,17t2$-1 U2t,PhEine{717}78T-8505. 3ee pSge 4
instructipns tor inheritar�ce Tan Retum tor a RbskeM Decedent(REV-t 5U1)ior an expianffiipn of adminietradvely conec[eble
errors.
DtSCpUNT: if aay tar due is parci within three ca�ndar months after the decedenfs death,a five�rcer�t discaunt of the tau paid f�a�wabie.
INTEREST: irrterest is charged t�3ginning with 8rst day of delinquency,or nine mor�ths and one date from date oi daath,to th�date of
paymerH. Annual inWres[rates are available on Fortn REV-7617,availaUe at www.roven��.state.d,.4�-,or upon rqUes[by
calling 1-$8$-728-2937.
Interest is ce#wlated as foibws:
INTEREST=BALANCE OF TAX UNPAID X NUMBER OF DAYS pEUNQUENT X DAILY INTEREST FACTOR
Any Notice issued atter the tax bernrtses d9Htu}isrrt vriH reflact an iMeraS#ceiculaiion to 15 days beya�d d�e date of#he
asaessmeM, if payment is made atter#he iMerast caka.datlan date stpw on the Notice,addiNonai iMerest must be qia�lated.