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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
P,O. BOX 8327
HARRISBURG, PA 17105
IMiERITANCE TAX
RECORD AD~USTMENT
~OINTLY HELD OR TRUST ASSETS
DATE
02-26-86
REV. 1604 (EX)
ESTATE OF MILLER
JACOB
H DATE OF DEATH 01-13-81
COUNTY CUMBERLAND
FILE NO.
21 78-0121
S.S./D.C. NO.
000-20-9392
ACN
83021015
FISHEL NAOMI E
C/D JOSEPH ALEXA
43 W MAIN ST
MECHANICSBURG PA 17055
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
Amount Remitted to Register of Wills
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS _
- - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .
INHERITANCE TAX RECORO AD~USTMENT ~OINTLY HELO OR TRUST ASSETS
REV. 1604EX (01-B6)
DATE 02-26-86
ESTATE OF MILLER
JACOB
H DATE OF DEATH 01-13-81
COUNTY CUMBERLAND
FILE NO. 21 78-0121
ADJUSTMENT BASED ON:
S.S./D.C. NO. 000-20-9392
ADMINISTRATIVE CORRECTION
~OINT OR TRUST ASSET INFORMATION
ACN
,c,) ...11
83d2101S".'
FINANCIAL INSTITUTION: WERTZVILLE ROAD
ACCOUNT NO.
TYPE OF ACCOUNT: ( X) SAVINGS
DATE ESTABLISHED 08-06-79
) CHECKING
) TRUST ( ) TIME CERTIFICATE
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
Less Tax Credit
Balance of Tax Due
Interest
Total Due
x
.00
100.000
.00
.00
.00
.15
.00
.00
.00
.00
.00
NOTE: TO INSURE PROPER CREOIT TO YOUR
ACCOUNT, SUBMIT THE UPPER PORTION
OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS
OF THE ABOVE COUNTY. MAKE CHECK
OR MONEY OROER PAYABLE TO:
x
"REGISTER OF WILLS. AGENT."
(IF BALANCE OUE IS LESS THAN $1 OR IS REFLECTEO AS A "CREOIT" (CRJ. NO PAYMENT IS REQUIRED)
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST
PAYMENT,
Detach the top portion of this Notice and submit with your payment to the Register of Wills.
--Address information is listed on page 13 of the booklet. "Instructions for Inheritance Tax Return for a Resident
Decedent."
--Make check or money order payable to: REGISTER OF WILLS, AGENT.
REFUND (eR); A refund of a tax credit. which was not requested on the Tax Return. may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV- 1313), Applications are available at the Office
of the Register of Wills. any of the 24 Revenue Field Offices. or from the Department's Forms Service Unit 24
hour Forms Ordering telephone lines in Harrisburg - (717) 233-3443. in Philadelphia - (215) 351- 2065,
or in Pittsburgh - (412) 565-3601.
REPLY
TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, P.O. Box 8327, Harrisburg, PA 17105. ATTN: Post Assessment Review Unit (717) 787-6505.
DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of
the tax paid is allowed.
INTEREST: Interest is calculated on a daily basis at the following rates:
Delinquent Date Interest Rate Daily Interest Factor
5/27/43 to and including t 2/3 1 /81 6% .000164
1/1182 to and Including 12/31/82 20% .000548
1/1/83 to and including 12/31183 16% .000438
1/1/84 to and including 12/31/84 1 1 % .000301
1/1/85 to and including 12/31185 13% .000356
1/1/86 to and including 12/31186 10% .000274
--Taxes that became delinquent on or before December 31, 1981 will maintain a constant interest rate until the
delinquent balance is paid in full.
--Taxes that became delinquent on or after January 1,1982 are subject to a variable interest rate that changes
each calendar year.
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice,
additional interest must be calculated.
n1:;V-14/0 EX (5-84)
COMMOI\lWEAlTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF EXAMINATION *
P. O. BOX B327
HARRISBURG,PA17105 ,..'.
DECEDENT'S NAME
~J"iCOh Hi ller
SCHEDULE
ITEM
NO.
INHERITANCE TAX
EXPLANATION OF CHANGES
EXPLANATION OF CHANGES
FilE NO.
ACN 83021015
21 'l8-0121
The Notice of Inheritance Tax Appraisement, Allowance or Disallowance of
Deductions. and Assessment of Tax issued January 30, 1984 has mbeen adJust~d
in accordance wJ.th the Decision and Order of the lloard of Appeals issued
:January 29, 1'986.
TAX EXAMINER:
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