HomeMy WebLinkAbout10-01-13 _
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� pennsylvania
BURE U OF INDIVIDUAL TAXES ' NOTICE OF INHERITANCE TAX ��� DEPARTMENT OFREVENUE
INH ITRNLE TAX OIVISION APPRAISEMENT, ALLOMANCE OR DISALLOWANCE
PO 280601 OF DEDUCTIONS. AND ASSESSMENT OF TAX ON REV-1548 D( AFP (12-12)
IURRI BURG P� 17128-0601 p �+ ,mypf�7yY^�IELD OR TRUST ASSETS
f\F1iC?�'L . , r�
.. , DATE 08-26-2D13
�1�=<'�� �- � -` " -� - -����''� ESTATE OF DAMBACH JUDY N
DATE OF DEATH 02-08-2012
1�i�j ',-i���� �3 Fi� 2 O� FILE NUMBER
COUNTY CUMBERLAND
SSN/DC
GARY A DAMBACH �%�'_����''� '���� ACN 12152764
11 DEWBERRY CT QP,(�NAiIS� li��'J2� APPEAL EY DATE:LO-25-2013
MECHANICSBURG PG�g�S�qq� c�.. PA (SeereversesideunderObjectionsJ
A�ount Re�ittsd
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT LON6 7HIS LINE � RETAIN LOWER PORTION FOR YDUR RECORDS �
---- --""'--------""--------""---------"'---------"'------------'--""------------
REV- 548 EX AFP (12-12)
NOTICE OF INHERITANLE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIOHS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-2 -2013
ESTA E OF:DAMBACH JUOY N ➢ATE OF DEATH:02-08-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 12152764
TAX RETURN WAS: CX) pCCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FIN NCLAL LNSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 0575545777
TYPE OF ACCOUNT: OSAVINGS O CHECKING OTRUST CXITIME CERTIFICATE
DATE ESTABLISHED 07-01-2010
Acco nt Balance � 10,380.80 NOTE: TO ENSURE PROPER CREDIT TO
Perc nt Taxable X 0.500 YOUR ACCOUNT, SUBMIT TNE
Anount Subject to Tax 5.190.40 UPPER PORTION OF THIS NOTICE
Debts and Deductions ' .DO WITH YOUR TAX PAYMENT TO THE
Taxable Amount 5,190.40 REGISTER OF WILLS AT THE
Tax Rate Y .00 ABOVE ADDRESS. MAKE CHECK
Tax Due .00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
P YMENT RECEIPT DISCOUNT C+] pMOUNT PAID
ATE HUMBER INTEREST/PEN PAID (-)
. TOTAL TAX PAYMENT .00
: BALANGE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
� F PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. •
F TOTAL DUE IS REFLECTED AS A •'CRE�IT" (CR), YOU MAY BE DUE A REFUND.
EE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
PURPOSE OF
NOTICE: To fulfill the reouiruenls of Seetion 2140 of the IMaritanca sntl Esteta Tm[ Re4, Act 23 of 2060. [TL P.S.
Saction 9140). � �
PAYMEXT: D�4ech ths too Vortion of ttii� noii<a and sub�it with your nav�ant to tha Napistar of W311s orintatl on iha �
rwarse sitle. Meka check or.�oAry�-ord�r navabl�.to: Rapistar of Wills. Apant. .
� Failuro 4o pay iha kax,.in4�rest and qan4lky .dp� �ay rozult in tha filinp ot a lim in khe aoorooriate
counb or the iasuanu ef'en�6i�o/hn's'G6ort citetion. �
kEFUNU CCR)� A rafund af a ta.o�W1.t, yMth.vis�mt 1Ye1W14k�A on tb�:ta¢.m�tYrPr W,M�r�pMat�d 4y�:.ewpT�tlny w ��
"�noliy�tion for Rlfimd PM�PM�nlvan3e Inh�Ht�ne� and Eafab Tac° (REV-1b13). Anolie�tiona��r� a�ail�bla frw. �
tM D1p�rYN1�i'a Wb slts �.�..;NAf�.ay.�w, �qy,qNiEt�r aR.WLls.�a.R�r�iwa WsRr1el..6ti;¢��or fro��Ma
D�perlt�rtt'•s 4K•fionr��nwarYM-sMrPae�'f'..r-aos•ae¢•2sSE;-sor�lteis'fer'toRa9�ra�wSih ae�e3aY'fioarinq e�E/er �
aoaakinq naads� 1-880-447-i620 QT onlv). �
0!J€CTIONS� Aro narty in intaroat nok eatisfi�e wit� ih� �nora3e�ant, allowanc� or ASa+}}wane� of daductions or ass�ss�ant of fm�� '.
CineluAlnO"biscount or ini�rast) as shovn otl't�is netie� �ey o071M'vith3n�Y0 d�YS of kha d�t� of raealot of this�netieo �
bY� .. . . . . .
A) Protast ta tM PA.AN�Wnt of Rw�m��,�.lo�rtl uf AyN3y.Opr fS11�p a orot�ati�enlin� at ��.
.ww.•6u rr . p�.�a�on.or E�fati:tM N•Yp.ap/rai wn�;od pepina_ . .
Yn on"dr� to�;,Wik��'1'j'�,�retq#,ty b� tliY##: ypN atl��eri�geiw a eenfir�ation nuW�r �nd prouss�d tl�te �
fro� th� �oa�d of Ikppsrls Wrb sit�. Vou �ay slso s�nd a weftt�n�oroba! to P11 Wp�rt��nt of Rsv�nue, �.
� ipaRA�.of AoPw�s. P6�i�R 2�1423. XarrisWrfl. PA 171l6-NT"R�- P��{�ps:'.yp nek:.{kr�}oqi:. er �..
� tYELet to�har� t�a ult�� d�UniMtl sY tk� We11t of th� Mf9on�1 NlrriWnCNir� �eewnt; or �
AOM1N- C] MauT to qN�Oroh�ns' Court. �
ISTIUTIVE �
CORRECTIONS� Fectual arrors discorered on khis assossont s�ould bs atlOroxsaE in wHt'iny to� PR Daosrtwnt of Rwcnue. -
Buraau of Individu�l Tax�s, ATTN: Pesk �saess�ent R�viw Unib PO {ox 260001, Narrisburp, PA 1A2E-0681
or eell O17) 1!7•b5b5. Sac P�p�4 of ^Instructions for Fniw+`Skr�e� Tx� R�turn for-a�R�siA�nt D�c�dmt°��(REY-15ull �
for an sspl+n�tion of.�OLiniat��tiralv eorreet�bl� �rrors. . �
D15fAUNT� If anv tmc due is naitl within t�rea calmdar �onths aftfr th� 0watl�nt'a tlwth, a fri� a�rcmt diseouni of tha tv[ oaiE
Ss +llow�d. � �
PENALTY: Th� 15 varc�nt tau a�nacty opn-oariieipation oanalty is co�nuGE on tha total af tM tax end int�rost assassad and not �
oaid b�for��J�n. 16,� 1996, tM�firot Eey aftar tha �nd ef ih� ta iYMSb paPiotl. This 'non-particiDation ��
o�nnity is��pw�labl��in �th� Se�e xnn�r end in tM1a th� sr� ii�� v�riod �s vou wou;d �poaal kha tm� antl iniarest
thst has bam-ass�ss�A�AS 1nJieatetl on khis notice. �.�
INTEREST� Intaras4 is charp�tl b�pinnirq with firat Eay of d�linau�ney or nina �onths antl on� dry
fro� tha Aata of tlaath to tha Aeta.of wW�ent. Tn[as urh3c� boCYi� C�lih9wM b�fora Jan. 1, 1982.
baar inbrast at ths r�te of six oarceat a�r armu� ca3wLtrtl'it a daily'rN� of 0.000164.
•11 t�as whieh b�ce�e A�linau�n4 en or afbr Jan. 1, 39BY will b��r int�rost at a roYa which varias fro� �
year to vaar wlth tha rata announe�d by th� PA O�oarMant of R�vanu�. Ratas tor 1962 throuph 20U6 een be -
fountl in the Pennsylvania RuiA�nt Instruc45on �ooklat (REV-1501), tha Pmnsylvenia Non-Rasfdmt Instrue4lon �.
looklot [REY-173Q or on th� D�oartunt of R�r�oua Wab sit� ww.r�rwu�.St�t�.D�.us. �
Tha aoalieable intarast rat�s for 2007 throu9h 2033 ara�
Interest Dailv Interes4 OailY Intarast Dailv
- Y�ar Rata Factor Y�sr Rate Pactor Y�ar Rsta F�ctor
2007 6X .U00219 zooe 7X .BD0192 2009 5X .�OB137
2010 4Y. .00011� 2011-2013 3f: .OUOB82
InterozY is eslcu3et�tl as follewai.
INTEREST = MUNCE OF TAX UNP�10 % NUM�ER OF MYS OELINqUENT % MILY INTEREST F�CTOR
Rm notiee iszuad after the tax beewes tlalinauan! will refleet an interest eal<ulation to 15 tlavs
beYOnA 4ha tlate of tha essess�ant. It oay�ant is waEa ef4ar the inkarast cowutation tlata shwn on the
�o<��o. ,aaitio�ei interest musi be calculateA.
� _ _ _ . ___
� pennsylvania
BUR AU OF INDIVSDUAL TAXES NOTICE OF INHERITANCE TAX ��� DEPARTMENT OFHEVENIIE
INN ITANCE TA% OIVISiON APPRAISEMENT� A�LOWANCE OR DISALLONANCE
Po X 280601 OF DEDUCTIONS, ANU ASSESSMEN7 OF TAX ON REV-1548 EX AFP t12-12)
HARR SBURG PA 11128-0601 JOINTLY HELD OR TRUST ASSETS
RcCfl��.��<: �� ��" nprE os-z6-zois
E''.�. '�ci�_! i�..� .i ",;� .. , .�.:� ESTATE OF DAMBACH JUOY N
DATE OF DEATH 02-08-2012
� �n q�;t � �(1 FILE NUMBER
,;•_�'�L� ���L.��v �J � � � COUNTY CUMBERLAND
. SSN/DC
GARY A DAMBACH ���{:;'j��; (,, ACN 12152765
11 DEWBERRY CT O�i'H�1('a�� 1.���JUt( I APPEAL BY UATE:10-25-2013
MECHANICSBUR6 P �J (SeereversesideunderObjecdons)
���"���� ���7•� �A . A�ount Re�itted
NAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT LON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS �
"'- '-'-"'-"--'-"'-'----"---'------------------------------------'---""""-'-------
REV- 548 EX AFP (12-12)
NOTICE OF INNERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSNENT OF TAX OH JOINTLY HELD OR TRUST ASSETS
DATE: 08-26-2
ESTA E DF:DAMBACH JUDY N DATE OF DEATH:02-OS-2012 COUNTV:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 12152765
TAX RETURN WAS: (X) ACCEPTED AS FILED O CHANGED
JOINT OR TRUST ASSET INFORMATION
FINA CIAL INSTITUTION: SOVEREI6N BANK ACCOUNT NO. : 0575546221
TVPE OF ACCOUNT: C )SAVINGS C ) CHECKING OTRUST C p TIME CERTIFICATE
DATE ESTABLISHED 12-21-2010
Acco nt Balance 10.142.32 NOTE: TO ENSURE PROPER CREDIT TO
Perc nt Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amou t Subject to Tax 5,071. 16 UPPER PORTION OF THIS NOTICE
Debt and Deductions ' .00 WITH YOUR TAX PAYMENT TO THE
Taxa le Amount 5.071. 16 REGISTER OF WILLS AT THE
Tax ate Y .00 ABOVE ADDRESS. MAKE CHECK
Tax ue •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX REDITS:
PA MENT RECESPT DISCOUNT C�) pMOUNT PAID
ATE NUMBER INTEREST/PEN PAID C-J
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE � .00
� I PAID AFTER TXIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. �
I TOTAL DUE IS REFLELTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
S E REVERSE SIOE OF TXIS FORM FOR INSTRUCTIONS.
PURPOSE OF
NOTICE: To fulfill th� raauire�anls of S�elSOn 3140 of the tnhsritanca sntl EsRate Tax 11ct, Aet 23 of 2000. (72 P.S.
Saction 9140).
PAYMENT� OeEach kha top uoriion of this not5ce antl subwi! with your oev�mt to Ma Reeister of Wills oHntetl on the
revarse side. Naka ehack or �on4v order p�qrabla to: R�pister of Wills. Apani.
Failura to ob tha tarz, inter�st and p n�lty Aua �av nsult in khe fS1inB oF a lian in khe a�nroprisLe
counYV or kha issuance of en Orohm•s��eurt citation.
REFUND (CR)� A rafuntl of a tac. erq4lk, wh3oh q�s nOt ry��let�d qn tlH�.k�u[ �Rtur�..�av;M GlqW�F'4�W�.1�t �Mir�},'�tina M��. �.. . .
"RUplic�kien for Rtfund of;Pe(�nsYlvanie InMHt�nea a� Es4�l� T�' CREV-1511). RVp1ltNiens v� araila63a frw
tM WpM�t��ph's 41Hb cLt��.�E.iilfe.�.�pw.s,Rrt��.na�.4s.� aw.R�Y.titar of Ml113s.oe.qav�nu� .DlatriG�-Offic� x frar kh�
WCaM�ent�'a�24-Irour�trN"xMV evx � s�n+te�a�ior tmtfm.��s tii�th�so�aial MYr4ny a�M/er �
suaakinp msds:�l•B00•457-i02D RT onlv). .
0lJECTIONSi �ror uartv in intarast not setisfiaA vith tM aoVrai.v}ifM.��llor�ne� pr tlisa}lw�nc� at d�ductions or asswswnt of tax
�� CincludiM diseoun4 or int�r�aU. ss ahown on�tlris neMN��N$ olt�et'r4th1„ H�d�is ot th� E�G af rwKOt of t�is mkie�
tiv�
A) Protast ta tM PMi14MR41iNnt of R,�van�+loard � Ikep��kf�4Y f131ny� orotest an13n� at
�Yw.4rMafail� � m w Wla� SM iB-dW tiaadll i�MOtl.�pe►ina. .
In or ����r�Wq���f4Q;�ka;M>�e Y9lf���C 1'Mr�iv� a eontirwtion nu�Wr antl nroe�asaE dak•
fro� th� Boa�d Of AO6+It�s �b sSE'a. '1{CU �aY il so swltl a vrSltm oro[�st to PA Dln��lf�nt of Rav�nu�,
10i�d of Aow�la, R�-lm� 3�7921. X�rrSsWra. PA 1712�-L#2I, PrL�;}aqE..ryof aot�bM�-fa)uA; or
b EUet tm°Rar� th� �etHr MLr�irntl at�lM'wMit of kM errnnr nens�n�ikSW� ectuvnt; or
pp�IN- C) Aowa1 to SM QrChfna' CourY.
ISTRATIVE �.
CORRECT[ONSi Fsctual errors Aiseovarotl an this �ssassMnt should ba addraszatl in writinp to: PA DapaM�aot of Rw�nua, ��
Bur�au of InAividual Taxas, �TTN� Post Ass�ss�wt Rwin, Unit. Po �ox 2D0{A1, XarHsburo� PA 17128-0601 �
or eell (719) 767-6505.� S���Pwa 4 of�^Instruetions..for IMUrit�nw Tm Wturn for � RasiO�nt Dae�tlmt^ (REV-150ll .
for en aplanNion of atl�i�let�ativQy corrwtabU �rrors.
DISCOUNT� If anv tax tlua is v�id wit�in throa ealanEar �ontbs �fb� th� dae�A�nt•s EwY�� a five parcant dfscount of !M to� naid �.
is alloweE.
PENALTY� The 15 vercc�t taj��.uo�stv non-wrticinatian panalty is co�outatl on Mc kotal of 4M tat end intarast assessetl enA not �
n�itl bafora Jan. 1E, 1996, kh��first day aPo�r tlu�a�tl ot�Cfit�t� almoaty oarfotl. Tbir nan-o�rticiwtion �.
v��alkv is aonalabl� 111 2�� 9Y1 �snmr and in th� th� aau tio wriotl as.uou roultl apoul iha tax and int�rest �
that has Mm aaaasatl �s Snblrot�E on fhis nofic�. '�
INTERESR Int�nst is eharpW b�pinnfnp rith fint Eay of Mlinuuanev or ni�� �enths aeW orro tlav ��
fro� t�a tlato of tl�a[h ta ih� -0�t�of oaYw�ni. Taxes whic� WCNH d�13nVwnt b�fore Jsn. 1. 19�2, ���
baar inNresY at kha ret� of six o��e�nt oar snnw m3CYl�t�d aS e WS1Y�rab af O.OB8164. '�.
All tax�s whith b�cna dQinau�nt on or aft�r Jan. 1, 19l2 wili bar intsrost at a rste v�ich wrias frw �
vaar to vaar with th� rats ennouneatl M tha PA Danarhant of R�r�nua. Rat�z for 19l2 throuph 2006 cen bo '�
tountl in iha Pmnrylvania Rasitlant Instruction Bookl�t (REV-150Ur tha Pmnsylvania Non•Raaid�nt InalructiOn '�
Book3et (REV-173Q or on tha D�p�rt�aat of Ipwnuf W�b sita ww.rwRnW•;4at�.p�.us. .�
Tha appliutila inbrost retas for 2009 throuph 2013 aro: '.
Interest Dailv IM�nst Deilv Inbrost Uailv �.
Year Rata Faetor Yaar R�k• F�etor Yaar Rata Faekor '�
2007 BY. .000219 20D0 1X .098192 2009 5X .UOY137
2030 4% .000110 2011•2013 3Y. .OBU082 '
InGraat iz eeleul�bd n folla+s:
INTEREST � MLANCE OF TiV( UlF�ID X NIM{ER OF MVS DELINpUENT X MILV INTEREST F�CTOR �
Ary notica issuetl afiar iha tax bwwas tlelinvu�nt will refLct an inbrost ealeulation fo 15 Gavs �
bavond th� tlata of Yhe essass��nt. If o+v�mi is uE� eft�r tha intarest cwpuiation d�4a s�own on ihv �.
nokica� eEtlitional intarest �ust be calculateA. ..
,__ _ �- _ _
� pennsylvania
BI1R AU OF IND24IDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OFREVENUE
INNE I7ANCE 7AX DIVISION APPRAISEMENT, AL�OWANCE OR DISALLOWANCE
Po B x 28060i OF DEDUC7IONS, AND ASSESSMENT OF TAX ON REV-1548 IX AFP c12-12)
WVtR SBIRt6 PR I7128•0601 JOINTLY HEL� OR TRUST ASSETS
f=.;;r �� ".i:=��li'° t�F nnre oe-2s-zoia
. .. ; U, :`._j..;? ESTATE OF DAMBACH JUDY N
DATE OF DEATH 02-08-2012
.�`��':1 �IL�J 23 F�i Z O9 COUNTYUMBER CUMBERIAND
SSN/DC
GARY A DAMBACH ��j r�.�;,f( �;'�: ACN 12152766
11 DEWBERRY CT O 't� �I�5� �qUpF�T APPEAL BY DATE:10-25-2013
MECHANICSBURG CUM��LAN��U., PA (SeereversesideunderObjecdons)
A�ount Rewittsd
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT lON6 THIS LINE � RETAIH LOWER PORTION FOR YOUR RECORDS �
""'--'-'--'-"'----------'-'---------'---------'---------'-------"'-------"-------
REV- 548� EX AFP (12-12)
NOTICE �OF INWERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUC7IONS. AND ASSESSMEHT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-2 -2013
ESTA E OF:DAMBACH JUDY N DATE OF DEATH:02-08-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 12152766
TAX RETURN WAS: (X) ACCEPTED AS FILED O CHANGED
JOINT OR 7RUST ASSET INFORMATION
FINA CIAL INSTITUTION: SOVEREIGN BANK ACCOUNT NO. : 3481000243
TYPE OF ACCOUNT: OSAVINGS C b CHECKING OTRUST OTIME CERTIFICATE
DATE ESTABIISHED 06-27-1981
Acco nt Balance 28,386.30 NOTE: TO ENSURE PROPER CREDIT TO
Perc nt Taxable X 0.500 VOUR ACCOUNT, SUBMIT THE
An�ou t Subject to Tax 14,193. 15 UPPER PORTION OF THIS NOTICE
Uebt and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taza le A■ount 14,193.15 REGISTER OF WILLS AT THE
Taz ate Y .00 ABOVE ADDRESS. MAKE CHECK
Tax ue .00 � OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
TAX REDITS:
PA MENT RECEI7T DISCOUNT C+) pMOUNT PAIO
D TE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMEN7 .00
� BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
fi I PAID AFTER TNIS DATE, SEE REYERSE FOR LALCULATION OF ADDITIONAL INTEREST. �
I TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV HE DUE A REFUND.
S E REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. �
PURPOSE OF
NOTICEv To fultill tha requiraunts of Sic4lee 214B� of the Inheritance and Estata Tax Act, Act 23 of 2000. C7? P�.S.
Saction 9160). � �
PAVX@NT: Mtsch tha ioa norHon of 2his noYie� and sub�ik Mith vour uaY�ant to tha RaYisiar at Wills vrintad on Yha
revorse sitle. Meke chack er �e�v ortl�q paYabl� tm R�pist�r of Wills, Au�nt.
Failur� !o D+v the Ymc, fni�ra}t and naM1W du� �av rosult in tM filinp of a lian in tha aocropriate
county or ih� issuance of �n Orohbn3S�CburC dtation.
REFUNO (CR): � ��funtl of a iaY CeyA1t.. �M1IEh�.M�s net tiYWq��d'on tM�:Lft MtuFM �!Y-!W �'MMM4LM )IV 51MP�iFr1t19�10� � �
"�ooli4�t}on..4or ��tund ot fynMVlvania lMnrilaneo anA�EStat� Ta�c" SI�Y4313). AyolYt4tions ar� aveilabla fro�
: ttwAii�#arW't.'s WU�aiLe-�t'1$w.F�zxwa.4Rria w,ua..:aiw..Wa1slae of Y4111s or�WV�w�-�0lstni¢t.Gf�fiu.or. fre�.tha. .
� biKwtnnt•s Y4wheur�ensM�rit�'terPVttlrz°r+s�s-e�essa:�'stiwY<rr�for tet9Ners v1M�awMe2��Mmir�y�mNev
w}�I[ini.n�ads�. 1-800-447-3020 CTT onlv)• �
0lJECTIONSv Aro D�rtyain int�rost not zatiafi�d with th� #npnig��nt, allw�nw�or Aiaalloranoa of d�tluetiona or assass��nL of tax
Cfnelutlfd9 ASseoun4 or inL�ro�U as aAOwn on'!M3 f1Y'CYtV rU/ OE�}itS YSYIIS�I 6B'8svs ef th� tl�i� of r�c�iP! of Yhis nbtiee
CY�
A) Protast to ths PA Dfw4tpwk of R�vsMi�. IMrd of MMM�1s�hBr�fflin� a.Arobstioqlfna aY
.h m ar WfaM tN� N*GY �CPMl.:-w'1aA,�xcins.. . ..
In or ��` On*f{�` �I(�e(yfet���:'ka�Cr x�(,d� vW MiE ry�iw � tonHn�rion nu�E�r snd pree�esatl tlaG
fro� sn. oa,re or �cw ri+ Wb �i1�. You ��Y �lae aMd a r'ri!!m prot�st Lo PA OwMtunt of Rw�nu�,
P4/it}f.of �yoyls. PC^� �NF021, N�rclsbW�y, PA 173Tl-t}ij. Pp�i'!i�'�Mk! �t y���.Raxt�f; or �
� !)�CTYCY-te�kav� th� �a4 �r Mt�r�in�E at ttlt`aUtlf2 tlf tM'd►Ptbn1F1 'TiVhY+ntativa aecount; or
pp�IN� C) kpp�yl to M��OroM1W+s'�'qourt. .
ISTRATIVE
CORRECTIONS� Faetual errors tliscovapad on t�is assessont shoultl ba adArossaC in writinp tm PA Uap��txnt of Rerm�e,
luraau of Indiridu�l Tarzas. ATTN� Posk Ass�sa�ant RfYiaw UQit� PO 6w� 260601, Narrisburp, PA 17128-0601
or e�ll (717)�767-6505. Sao P�y�4 of "lnstruetiaaa fer 'lAM�itane+ Tax�R�turn for a R�zitlmt D�eadan4° (REV-15B1)
fer arc ncpianation of aA�in£sttstiv�ly correct�bL srcers.
DISCOUNT: If anv tau dua is orid within Lhraa <a1�nCar �oMfis after th� d�<�Gnt'Y duth, a fir� oarcent discount of tha taz naid
ia .YTowe. �
PENALTY: TM. 15 v�re�nY t�x rp�stv �wa-osr�icinetlon p�nallv..is cwVUtatl on th� toLl of tha ta�[ anG intor�at assassetl enC rwt
p�fd�6�foro Jen.�16, 1�996, tha firsk Aav aft�r tfis intl�of LM taht eWi�stY C�Fiod. Thia�non-oarrieioetion
pinallY is apVYilfbll in�tM aY� �snmr �ntl in thr�.tha sa�� tf�� a�MOtl�as�vou wuld�apo�al th� taz and intarazt
t�a4:fi�d b��n sac�x,Nd as SMieebtl on this notica.
INTEREST: IMarezt is charp�tl bepinninp riLh firzi tlw of Mllnqu�ney or nin� ►eoths an0 on� tlq�
fro� the tlat� of d��th to th� tl�fw of Davont. Tax�s rhSeli MCwO d1lf�awnt b�fore Jan. 1. 19l2,
bear int�rast at ths ret� of s'vc V�rc�nt par annw e�lcutrt�d s,f y qY42Y�r�t� of 0.6001L4. �
All tmcas r�ieh bacra Aalinaumt on or aftar Jan. 1, 1962 r111 b�ar inY�nst nt a raL vhieh vari�s frw
ycar to v�ar wikh th� roie announwd bY ih� P� MOar4unt of R�rmue. Rstes for 19l2 Shrouph 2006 csn be �
founC Sn tha Pannsrlvenie RaslAent Insirvetion Booklet fRFV•1501), th� PannsYlvania Non-RasiE�nt Insfrvetion .
Bookl�t (REV•1]36) or on tha Oaoartunt of Rawnue N�C siN nw.nv�ww.:tat�.P�.us.
Tha applie�bl� inta�ast rat�s for 200] lhrouph 2013 er�:
Interast Dailv IntarasL Oailv I�torast Dailv
Y�er Rs�e Faetor YTar Rata Faetor Y�ar Rata Fsetar
2007 6X .000219 2008 7X .040192 2009 5X .000137
2010 4% .000110 2011-201i 3X .000082
Interest is caleul�kad es follwsv
INTER65T = BAUNGE OF TIU( WPAIO X NIMBER OF MYS DELIN7lIENT X MILY INTEREST FACTOR
Aw notiea issuad eftar khe tarz baeo�as tlelineuen4 wi11 ratlect an intarast calculstion to 75 tlsvs
bevontl th� Aate of tna assess�ant. If pay�ant is �atla after kha intarast co�outation Asta shwn en tha
notica, sAditional intarest nust be celeulatatl.
_ i _ .
I � pennsylvania
BUR AU OG INDIVIDUAL TAXES NOTICE OF INXERITANCE TAX � DEPARTMENT OFREVENUE
INX ITANCE T1UC OIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO X 2la6o1 OF DEDUCTIDNS, AND ASSESSNENT OF TAX ON REV-1548 IX AFP t12-12)
HARR SBURG PA 17128-0 60 1 �� , JOINTLY HEID OR TRUST ASSETS
���Q"; i n^i �,- ri
I r,� _,,:; �- DATE 08-26-2013
I� ' �'�- .��_;j ESTATE OF DAMBACH Jl1DY N
DATE OF DEATH 02-08-2012
•-'!�3 fiL,� �� �� � FIIE NUMBER
� I O COUNTY CUMBERLAND
SSN/OC
GARV A DAMBACH �'�-����i i,,j- ACN 12152767
11 DEWBERRY CT ��+F'f�A�$' ��JR�- APPEAL BY DATE:10-25-2013
MECHANICSBUR6 PAGY�fI�-��A�p r fSeereversesideunderObjecBons)
'�•• PQ A�ount Rs�ittsd
� MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
CUT LON6 THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS H
"-' '-'--'----------------------------------------"""""------------------"""---'--
REV- 54E EX AFP (12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUC7IONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 0 -2 -2013
ESTA E OF: DAMBACH JU�Y N DATE OF DEATH:02-08-2012 COUNTY:CUMBERLAND
FILE NO. : S.S/D.C. NO. : ACN: 12152767
TAX RETURN WAS: CX) ACCEPTED AS FILED O CHANGED
JOINT ''AR TRUST ASSET INFORMATION
FINA CIAL INSTITUTION: SOVEREI6N BANK � ACCOUNT NO. : 3461000359
TYPE OF ACCOUNT: OSAVINGS O0 CHECKING OTRUST C )TIME CERTIFICATE
DATE ESTABLISHED 11-26-1984
Acco nt Balance 42.699.10 NOTE: TO ENSURE PROPER CREDIT TO
Perc nt Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amou t Subject to Tax 21 .349.55 UPPER PORTION OF THIS NOTICE
Debt and Deductions ' .00 WITH YOUR TAX PAYMENT TO THE
Taxa le Anount 21,349.55 REGISTER OF WILLS AT THE
Tax ate Y .00 pBOVE ADDRESS. MAKE CHECK
Tax ue •00 OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, A6ENT."
TAX REDITS:
PA MENT RECEIPT DISCOUNT (�) pq011NT PAID
ATE NUMBER INTEREST/PEN PAID C-7
. TOTAL TAX PAYMEMT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TDTAL DUE .00
� I PAID AFTER THIS DATE. SEE REVERSE FOR CA�.CULATION OF 11DDITIONAL INTEREST. �
I TOTAL DUE IS REFLECTBD AS A ^CREDIT^ (CR), YOU MAY BE DUE A REFUND.
5 E REVERSE SIDE OF TXIS FORM FOR INSTRUCTIQNS.
PURPoSE OF
NOTILE� To fulfikl the r�QUire��niS ef S�ction 2140 of tha Inharitanu antl Estata Ta[ �et. Aet 23 of 2800. 02 P.S.�
Sedian 9360)�. �
PAYNENT: D�Nath tha teo oortion of thia netica entl sub�it rith your pey�snt ta Ma Rapister of Wills vrinkeC on t�e
ravarsa sitla. Nake chack or �po�v ortl�r pwikl� to� Repfator of Wills. Apant.
Failure to oaY tha tuq iotapst an0 oana3tv dua �aY rasult in iAa tilinp of a lien in the aporopriafe
rounfy or fhe issuance of��en 9ROhM's Cburt <ita44en.
REFUNO CCR): A rafund of a tex !r�}ftG: whip��ws M�t r�9u*��.t�d on qv.tax .h2urp... �a�.W M1NMNr��p�t tiMT�ftinY aq
"AOnlic{�}�on.for R�farM of..PypSSYlrania lMi�M4�nco �nE EsfK� Tn�° QEY-1i131. 1op13c�tieus�f�r ar�ilabl� fro�
.tW O.plfFbi�h3�.!sY�li�sit� at ' . �.y� +ISy.�RMifmtw.ef.W11s or Wwypy yllttriak�9ffilu-oe t.�as..tM�
MMrMni's Pf-hawr �nswi! �affY' tli�!`gi4T=^siritNa fer tap�y�n wlNF's»cta3 h�a�inP�enEfer �
SWakiliB.nwtls� 1-800-647-3028 CTT o�ly).
0lJECTION$� �ro oerfy in.fnbrast nei sekisHad wiih iha upraifM nt, allwanu Or tli,salloyanee of A�AUetions or �ss�sa�mt ot taz .
� � (inelad}�0 Eiseount or iniaresU es ahorn on Ehis net�e�.py obyfe`[ with5n 60 dWa of tM1a tlst� of r�e�ipY ef ihis'mtica
bY� . . . . . . . .
A) Protazt to th� PA.GWrtNnt af RfrcnW. leartl ot ARn)i1s:4Y�fS1i�W� a� orot�st.'onlina at
yw���p; � u .en:ar Gt�� tM i4wdW-+M��1.MrioMl.atalMa.
In or��€er�h.♦ �"_�a,yrotlrat to b� y+St�. YAY �as# fv4�iv� e mefirpt7en qwb�r ena proc�ss�tl tlsta �
fro� th� loard of �pVafla M�b s3[�. Yw �N �1so »nd a writk�n oroR�st to PA.MOrtnnt of R�vanw,
. 6 +M of AOp��l#. P4�Mx d��:P21, Narrisburp, PA 1712{-jJ2�1�: P yqpy��Myy ppt W�,faC{r,11; o�
�lY�Eg.re co n.,.. SA� utNr�tl�ter�in�d at tM�euUft of thr WrsoM��^nbns+Mt�Hw �ceount; or
pp�IN- C) �pyql to Ch� 8rp11�ns' Court.
ISTRATIVE '
CORRECTIONS� Faetual arron tliuowra0 on this asa�ss��nk should ba eddr�ss�d in rMtiny io� P� Wp�rtwni of Rw�nw,
Bunau of Indivitlusl i�us, ATTN� Post Asa�ss�ent R�ri�w UML. PO !ar 268661, HarMSburp, PA 1712a-U601
or <all t717) 1A7-6585. Sse Payo 4 of "I�isSructlons fo�-3nAI�Mtanu Tu� Raturn for a-WsiMnY Oepdant" CREV=YS►ll �.
for m.acolanation of ahSnSaSnativelv corroctabl� errors.
DISCOUNT� If srry tax Gua is paiE vithin thraa ealmtlar �ontns aft�� tha tl�uEMf's tlsith. a fiv� oarcent Oiseount of th� tax o�id �.
is a11ow�C. �
PENALTY: Th� 15.n�rcwt tm[ a�nasty nnn-.oartieip�tion oenalb.3a coWUSstl on thr 4ata1 of th� Lac antl iMar�st assassetl anE not
cafp bafore Jm. 1!, 1996,�thr��tirst dar aPo�r tha �hU Of�Y1li� tmf i���3tY�DfPiOE.�Thif 6bn-p�rticiDatlon �
omaltY fs �oo�al6bU in th� sa�s wnnar and in th� iha wa kiu p�Metl �c veu woultl�avDaal th� tu and InYarest
thai�hK: bNn�eSftli�d �! SnGSGaY�A on Sh3S nOiica.
INTEREST: Int�rest is cherp�tl b�pinninp wikh first dry of d�linqu�ncy ar nin� �ont�s anA om tla
fro� tha d�t� of duth to tM Aft�Of Pavunt. Tex�s whieh baeilp�NSSnW�nt b�foro Jan. 1. 19i2,
beer intanst at M� rota of aix o�re�nt oar annu� eal<ulabd it a�dailv ��ta of 0.000164. �
All tv[as r�ie� baera dalinauent on or aftar Jsn. 1, 19E2 rill b��r int�r�s� et a rata which v�riaa fro� �
vaer to vaar rith t�a rot� announe�tl bv th� PA D�oarbant of Rov�nu�. Rstaa for 1982 throuyh 2086 ean ba
founE in tha P��nsvlvania R�sitl�nt Instruetion loaklet CREV-1501). th� P�nnsylvania Non•R�sid�nt Instruction
Booklat (HEY-1736) or on t�e D�aart�ant of R�vaw� Neb siL ww.nvMW.staN.pa.us.
Tha annlicsble intarast rotas tor 2007 throuD� 2013 srav �
Interast OailY inSar�st Oailv Inbrost Daily �
Y�ar Rat• P¢tor Y��r Rrt� Gutor V��r Rab Feckor
2007 8X .000219 200! 7X .090192 2809 5Y. .OQ0137
2010 4R .00Oi30 2011-2013 3X .00OB82 �
Intarest is calcu7�t�d-�s follaws� . '
INTERE57 = MLANCE bF TA%�UIIPAID X lWM6GR OF 61Y5 DELINYUENT X ORSLY INTEREST f�CTOR �
Amr notice isaueE after the tax becwas tlalinouent �ill refl�ct en inter�st caleul�tion to 15 tlavs
beyond the tlate of the assesswnt. If pey�ent is utla efbr tha inLarest co�outaSion data shawn on the �
notiea, adtlitional inbrosi �us! bo ealeuleLd.