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DATE 05-11'2015
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NsL D. BERLIN ACN 14I32949
$05Wb"AR-RD APPEAL BY oATE:07-I0-2015
MECHxNlCSBURG P& 17050'2602 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO;
REGISTER OF WILLS
I COURTHOUSE SQUARE
CARLISLE PA 17013
CVT ALONG THIS LINE ~~�^ GsT*zw LOWER PORTION FOR YOUR RECORDS
H�:H4VU-iWHi:N5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPm4ISsmsNr, ALLOWANCE OR DISALLOWANCE OF
DsoHcT%OWS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 05-11-2015
ESTATE OF: BERLIN ANDREW DATE OF DsATH:05'02-20I4 CouNTr.cVMosnLAwo
FILE NO. : S'3/D.C. NV. : ACN' 14132949
TAX RETURN WAS: (X) ACCEPTED AS FILED C } CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ACCOUNT NO. :
TYPE OF ACCOUNT: ( )SAVINGS C >0 CHECKING { )TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 04-0e'1994
Account Balance 960.88 NOTE: To ENSURE PROPER CREDIT TO
Percent Taxable X 0,166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 160. 15 UPPER PORTION OF THIS NOTICE
Debts and Deductions WITH YOUR TAX PAYMENT TO THE
Taxable Amount 160.15 REGISTER OF WILLS AT THE
Tax Rate ABOVE ADDRESS. MAKE CHECK
Tax Due 7.21 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-01-2015 WRITEOFF .00 7.26
TOTAL TAX PAYMENT 7.21
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
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IF pAzo xFrsn THIS oxrs, SEE nsvenos FOR cALcoL«r,ow or xooITcow«L zwrsnsor. °
IF TOTAL xoc IS nspLscrso AS A "cnsozr (on), YOU MAY as ous x asruxo.
ucs Rsysnms uzoE OF THIS romw FOR zwyrmucrzowu.
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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.aa.aov 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.boardofappeals.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 1 71 28-1 021
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.pa.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.