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INHERITANCE nm om «pp»«Isswswr' ALLOWANCE on DISALLOWANCE �mmm�' REV-1548 sxmp (11-14)po mm ou0001 RDED CFF|CEV��msoucrzowo, AND ASSESSMENT oF TAX ON
HARRISBURG PA 17128-0601 ~' JozwrLv xsLo OR rnumr xxosTu
REGG|0 1 F \I|L[S
DATE 05-I1-2015
ESTATE OF BERLIN ANDREW
' ?015 [qff 19 pPq 12 20 DATE OF DEATH 05-02-2014
FILE NUMBER 2-t-15
C[E,-.'' ~ F COUNTY CUMBERLAND
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NELSON 6401LYN' /� � -T ACM 14132947
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MECHANICSBURG PA 17050-2602 (See reverse side under
Amount memizzwn
MAKE CHECK PAYABLE AND REMIT PAYMENT To:
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 170I3
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4~~~
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NOTICE OF INHERITANCE TAX APPmAISsMsNT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 05-11-2015
ESTATE oF; BEnLIN ANDREW DATE OF DExTH:05-02'2814 couNTY:cUMBERLAND
FILE NO. : 3.S/D.C' NO. : ACN: 14132947
TAX RETURN WAS: (X} ACCEPTED AS FILED { CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACCOUNT NO. :
TYPE OF ACCOUNT: ( X)SAVINGS C ] CHECKING C }TmV3T ( )TIME CERTIFICATE
DATE ESTABLISHED 04-06-1994
Account Balance 6.75 NOTE, To ENSURE pnoPEm CREDIT To
Percent Taxable X 0.166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1 . 13 UPPER PORTION OF THIS NOTICE
Debts and Deductions WITH YOUR TAX PAYMENT TO THE
Taxable Amount 1 .13 REGISTER OF WILLS AT THE
Tax mate ABOVE ADDRsss' MAKE CHECK
Tax Due OR MONEY ORDER PAYABLE TO:
"REGIoTsR OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
05-04-2015 SBADJUST .00 .05
TOTAL TAX PAYMENT .05
BALANCE OF TAX DUE .00
iINTEREST AND PEN. .00
°
IF p«zo AFTER THIS oATs, oss asysnus FOR cALcoL»rzuw OF xoozrzow«L rwrsnesr. °
IF rnr«L ous IS nsrLscrso AS « ^cnsozr' (on)' YOU MAY BE ous x ncpuwo.
oss mEvcnss uIos OF THIS punm FOR Iwurxucrzowo.
PAYMENT: Detach the top portion of this notice and submit with your payment to the Register of Wills indicated on the front of the
notice.Make check or money order payable to:Register of Wills,Agent.
REFUND(CR): A refund of a tax credit not requested on the tax return may be requested by completing an Application for Refund of
Pennsylvania Inheritance and Estate Tax(REV-1313). Applications are available at www.revenue.pa.gov or by
calling 1-800-362-2050. Services for taxpayers with special hearing and/or speaking needs are available at
1-800-447-3020. Please allow four to six weeks from the date a refund was granted to receive the check.
OBJECTIONS: Any party of interest not satisfied with the appraisment,allowance or disallowance of deductions,or assessment of tax as
shown on this notice may object within 60 days of the date of receipt of this notice by:
1.Filing an appeal online at www boardofaopeals state pa us on or before the appeal date identified on the front of this notice or
sending a written protest to:
PA Department of Revenue
Board of Appeals
PO BOX 281021
Harrisburg PA 17128-1021
2. Having the matter determined at audit of the account of the personal representative;or
3.Appealing to the Orphans'Court.
ADMINISTRATIVE Errors discovered on this assessment should be addressed in writing to:
CORRECTIONS: PA Department of Revenue
Bureau of Individual Taxes
Post Assessment Review Unit
PO BOX 280601
Harrisburg PA 17128-0601
See instructions for Inheritance Tax Return for a Resident Decedent for details on an administrative correction.
DISCOUNT: If any tax due is paid within three months after the decedent's death,a 5 percent discount of the tax paid is allowable.
INTEREST: Interest is charged beginning nine months and one day from date of death,to the date of payment. An interest calculator is
available at www.doreservices.state.oa_us. Annual interest rates can be found on form REV-1611.
Any notice issued after the tax becomes delinquent will reflect an interest calculation to 15 days beyond the date of the assessment.
If payment is made after the interest calculation date shown on the notice,additional interest must be calculated.