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� - NOTICE OF INHERI7ANCE TAX � pennsylvania
BN E I A CE 7A%�UIVISIaN TAXES ApPRAISEMEN7. ALI.OWANCE OR DISAlLbWANCE ��� DEPARTMBNTOFREYENUF
PO 2bUda7 OF DEDUCTIOHS. AND ASSESSMENT pF tAX ON REY-1548 IX AFP L12-12J
FURR rv6�iBtG PA t7128-0601 JOINTLY HEID 6R TRUS7 ASSE7S
y�_j�..k.}�" _�!!!W �^
r ; _ '�� DATE OS-2b-2013
r;�; � � ,� .�,�,� ES7ATE OF JEFFERYS NERMA J
DATE OF DEATH U2-U6-2012
FILE HUMBER
� !:�3 1�.': !� F� 2 Qg COUNTY CUMBERLAND
SSN/DC -
AURO�'J� .c -.�:.M,���EHMAN ACN 12153483
Ri�� ��,��3 APPEAL BY DATEs10-25-2013
CA�'�L���'' ���'�� PA 17 013 fSee reverse side pnder Objections)
UM6ERLANll GO., PA �t�aunt Reritted �------�'��
MAKE CNECK PAYABLE AND REMIT PAYMENT TO=
REGISTER OF WtllS
1� CdURTH011SE SpUARE
ICARLTSLE PA 17013
CUT A ON6 THIS 4INE �'�' RETAIN LOWER POR7EON FDR YOUR RECORDS '�"!
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REY-1 4lf4EX�AFP�f12-'I2?' �
NOTICE OF INHERITAMGE 7AX APPRAISEMENT, ALLOWANCE 8R DTSALLOWANCE OF
EDUCTIONS. AND ASSESSMENT OF TAX ON J6IHTLY HELD OR TRUST ASSETS
Q/iTE• 8' '2ft 3
ESTATE OPcJEFFERYS MERHA J DATE dF DEATH:82-Q6-2012 GOUNTY:CUHBERIAND
FILE N . . S.S1U.C. NO. : ACN: 12153483
TAX RETURN WAS: CX} ACCEPTED AS FILED C ) CHAN6ED
J4INT OR TRU$Y ASSET INFORNATZON
FINANC AL INSTITUTION: SOYEREIGN BAHK ACCOtiNT NO. : 3383124Id3
TYPE O ACCOtlNT: C )SAVINGS CX! CHECKING C ?TRUST f }TIMf CERTIFICATE
DATE E TABLISHED 11-09-2499
Accaunt Balance 1 961 67 NOTE: TD ENSUR€ PROPER CREDIT Td
Parcent Taxable X 0.5aa YQUR ACCQUNT, SU$MIT THE
A�naunt ub5ect to Tax 480.84 UPPER PORTION 8F THIS NOTICE
Debts a d Deductians .00 WITH YOUR TAX PAYMENT TO THE
Taxadle Amount 980.84 � REGISTER bF WILLS AT THE
Tax Ra# Y .15 ABOVE ADDRESS. MAKE CNECK
Tax Due 147.13 QR MONEY ORDER PAYABIE T0:
^REGISTER OP WILLS, AGENT."
TAX CRE ITS:
PAYMEH RECHIPT DISCOUMT C+J pMOUNT PAID
DATE NUMBER INTEREST/PEN PATD C-3
I
�
�
INTEREST IS CNARGEA THBQU6H 69-03-2023 TOTAL TAX PAYNEHT .OQ
A7 THE R TES APPl�ICABCE AS OUTLINED ON THE EALANCE OF T/l7C QUE � �� 147.13
REVERSE IDE OF THIS F�RM INTERE5T AND PEN. 3.63
TUTAL DUE 25p.76
�
� LF PAID��IAF7ER TNIS DATE, 5EE REVERSE FOR CALCULATION OF AD➢I7TONAL INTERESR � ��
IF TOTA� DUE IS REfIECTED AS A ""CREDiT^ (CR7, YOU NAY HE DUE A REFOND.
SEE REY RSE SZBE UF TNTS FORM FOR IHSTRUC71ONS.
�
PIktP6SE Of
. HOTIGE: To fu1f311 tbo raquirl�anta ef Spetion 2160 of the [nha�itencp en4 Estata TsSS Aet. Apt 23 0# 2900. t72 P.S.
Section�4I4U). ��
PAVNENi� botaeh tho toq portion af tnis natica and suWit ri4h your pay�ant to <�a Rapiatar of Wills orintwd on the
pevarse side. Make ch�ck OP�80Y�OfMP Oil�iblY k6t R�pfster af WiXls, Apant.
Failuro to OaY tha tax, i0bnst.�ti4 M�alty tlus waY result in tAa fSlinp of n lian 3n tha auprooriate
eoun#y or tha tssuenta of an Ot�pha6's Cburf�'citation.
REFUND tCR>i A rafund of a tc[ rnsitSY, whicA:wss rwk r�ryYWSLwd on tM !me r�kurvri.���a. 6� nqu�rt+t�d ipr ¢o�nl�Hnp an .
� *App]S,ykian for RrfunA af Psnnsylrani� Inhar7t�nc� and EstsN Tmt^ (1�Y•73337. topllcatlons ara avafiabla fro�
. tM..Wpi11`f�qYHC's��lJNe a3RS��NS��fiwrWi�A�u�.aA�tM�<wa.MSr��nd9N�is#�r�ofiY311x or�7N+M�w�,83ftriei.#f3ss ar frro��-tM
�7NCf1`tYitYC'S�29�•h>Yw'MfYY1'ln�Y i4� 9; 5�V'ViC�B�fOr ti%pAyyll`s�M3tTf�'tpiC!!3 MerirtGaMfor �
sp�aklAO na�tls� I-BVO•447-302D CTT only). . �
OBJECTIONSi Arty party in iM�r�zt not setisfiMd vit� ih� apora3slunt..al3aranMV or disadl++M+4e� of d`AUCtiona ar asxess�ent of tu[
� � (Sn<ludihp Afscount qr intanst} as shewn en ihis-nNtial�IW� a43�� xSttiin iQ'tlaYZ ef tbi dato ot rac�fot of th3s not4ce
� 6Y� . � . . . . . ..
A} probzt to tha�AA-Wt�r.##ent af IOSVanwn io+rd.of AYla�la I� filinp�a nrobsi onlin� at
.w...#rM.r.� '�a' j���,�g nn x w�or.�tn. so.a.r �r..a��r.e�tw«Hir.s. �
in oP� or� x�-p�4brdp 4ys;b� w3tqv.rqM��`ryW�ir� a ce�f3nntfon nu�Mr and vrx�szra dste
fro� the BoaAtl M Aph�tlls M�b s4N. You ��0/ ilde.NPIi �Mi�1tt�0 9rotiLt LO PA OfpNYpnt af Rovonw.
�b�tvl ef AoaM�lsr PA�N�t���..�U21r N�rriaburp. PA 371?Y-Ll�.b;. P�YlY{qns �IF;Y�.�wt W��fa%►d;:ar
9) El�et Lo Aav4 thq �wakkar Ecttrainpfi st�t���avCit� nt"t7dF p)NSehN'f rY0Nt1lY1'lttive aceount; or
AOMIX- C) Rpo�ai to ihe prohr��a' Gourt. �
SSTMTI4E
CORRECTI9N5: iatYUel arrors A7scovare4 on Yhis sssasx�ent ahould bo atldressatl 3n rritinp tn: PA Datattunt ot Revanua.
Eurqau nf Irttl;vitlual Taoces, ATTN� Past Ass�ss��nt RawiMw Ur�it, PO !� 268{81. Narrisburp. PA 3712&-06UX
ar call lJ2TT 78?-65Q5. Sea PaDa 4 0} ^Instruqtiens.fp� Inharitinco Tnc R�turn for a iNSitlsnY DeeatlenY' lREY-15Bll
fa��an�p[p7anaMen ot tltl�4niftretivsly corr¢ctabla c�rors.
DISCtlUNT� If �nv t�x dur is paid ritFio threa calandar �anths after 'the d�c�tl�nt's tl�eih, a fira percant discaun8 of tFe tax paid
ix ellwatl. � �
PENRL7Y� . Tha. 18 p�rwnt tax e�restY non-o�rticfpation psnAty is ewputdA on tha totyl of the tax anA lMOrest asaesseE and not
oaiE.batore J�n. 18. 199b, tha first tlay aFbr ths��nA of #Ts faz a�re�sty wriotl. This non•wrtidvatipn
wnblty ix aon�el�6L in kha saw unnar antl in Me tha amn� ti�e �»rioC as You woukE appasl the ta�c and interost
�.,.;i 'tAat hes b�tn aks�ssatl ax indicatad on this natice.
INTERESTx Interost !s charOttl bsylnninp with first tlW cf A�1lmwncy br nin� �aAths antl ona daY
tra� th� dhc ot tl�ath to tM laCr of navr�ht. 7ucas rAich b�cY� d�linpu�nt bafora Jan. 1. 1952.
baar intarast at tha rata of siz varcvnt p�r anryw EaTep3Mt�A �t a d�i3Y rstM of 0.006154.
All taxas rnie� 6ae»� tla3ieWUant on ar aftt� Jan. L 34l2 vill b�er int�r�st �t a r�C� rhich varias firor
vear to vuer with khs rata annnunc�d trv tM PA Wpartrent of Rfvenue. Rrt�s fo� 191{3 throup� 200b esn Ea
Pomd in tha R�nnsylvan3a R�sitlant Irtstreet#on }ookl�t CREY-15CiJ, the Pennsylva�fa Non•R�sldont Inatwetion
eoaklai CREV-1T363 or on th� Woar#wnt of Ra»nus W�b sita vwwx�xtnu�.:A�t+�.pa.us.
The apolicebla inEereat rotas tor 2d@7 th�ou� 2013 araa
IMarest 9eilr Intarest Daily Intarqs# Osiiv
Yoar Rats Factor Year R�ta F�4tor Y�ar Rata Fec#or
1
20pT dY. .868214 2Q98 7M .908342 20p9 5X .00013'!
���-��� 2010 4X .b0a116 2W1-2913 3X ,906U82
Intersst is calculatad��s fp}3wse .
TNTEREBT = BAUNCE OF T7J( UlF+iID X XIWi►ER bF 64YS 17ELTNqllEXT X ptiLY INTEREST FACTOR
Arry notice issuad after the tax bacwas tlrlinpuant wiil roflec# an inta�ast calculatia� to I6 6ays
Aeyond tha dstp ot the OsSaIISq�Oi. If ppyMlOt is �adc af#er th� 3nter�sY ea�outatdon dats shwo an the
notice, additional intereaf wuzt E� calwlefed.
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