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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.., r-,rrl!ffU:(CE llF INHERITANCE TAX
rY: ('r~~~['~frPRAltSEMENl', ALLOWANCE OR DISALLOWANCE
... , .' '. '6F" DEDUCIIllNS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
f),1 prl \~ \5
'..' \
, :'''~
DATE 09-13-2005
ESTATE OF HESS G NOR H
DATE OF DEATH 04-29-2005
FILE NUMBER 21 05-0686
COUNTY CUMBERLAND
SSN/DC 195-20-6762
ACN 05133668
APPEAL DATE: 11-12-2005
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MARY AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV=is4S-EX-AFP-loi=osi--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-13-2 05
ESTATE OF HESS
GINOR
H DATE OF DEATH 04-29-2005
COUNTY
CUM ERLAND
FILE NO. 21 05-0686
TAX RETURN WAS:
S.S/D.C. NO. 195-20-6762
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COLUMBIA CNTY FARMERS NATL BK ACCOUNT NO.
ACN
5133668
2202418618
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 10-20-2000
Account Balance
2,666.29
NOTE: TO INSURE PROPER CR~DIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMI THE
Amount Subject to Tax 222.18 UPPER PORTION OF TH S NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMEI T TO THE
Taxable Amount 222.18 REGISTER OF WILLS A THE
Tax Rate X .45 ABOVE ADDRESS. MAl E CHECK
Tax Due 10.00 OR MONEY ORDER PAYA LE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 .00 9.50
TOTAL TAX CREDIT 9.50
BALANCE OF TAX DUE .50
INTEREST AND PEN. .00
TOTAL DUE I .50
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140 J.
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate countY1 or the issuance of an Orphan.s Court citation.
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" (REV-1313). Applications are available
online at www.revenue.state.oa.us. any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixtY-day appeal period. In order for
an electronic protest to be valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, HarriSburg, PA 17128-0601
Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT:
PENALTY:
INTEREST:
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.
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2005 are:
Interest DailY
Year Rate Factor Year
i98z 2ii%" ~ 1988-1991
1983 16% .000438 1992
1984 11% .000301 1993-1994
1985 13% .000356 1995-1998
1986 10% .000274 1999
1987 9% .000247 2000
Interest Daily Interest Daily
Rate Factor Year Rate Factor
1iZ :Uoii'3'Di" 2iiiii ~ .000247
9% .000247 2002 6% .000164
7% .000192 2003 5% .000137
9% .000247 2004 4% .000110
7% .000192 2005 5% .000137
8% .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER 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.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
r,,-('"',:,I',';-' !Nijf-(:ci ~~ INHERITANCE TAX
:..>_.'APPR~'1s'EHENT I ALLOWANCE OR DISALLOWANCE
..OF: DEDlk:TIONS, -AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
:~.- ("'\, ':...... 'f '; ~,
1eu~, '1._ "..' \ ~l ~
F"
l.\
~: \ S
, '
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
09-13-2005
HESS
04-29-2005
21 05-0686
CUMBERLAND
195-20-6762
05133671
APPEAL DATE: 11-12-2005
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAY
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
G NOR
H
MARY A AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-loi=osi---------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE
09-13-2 05
ESTATE OF HESS
GINOR
H DATE OF DEATH 04-29-2005
COUNTY
CUM ERLAND
FILE NO. 21 05-0686
TAX RETURN WAS:
S.S/D.C. NO, 195-20-6762
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COLUMBIA CNTY FARMERS NATL BK ACCOUNT NO.
ACN
5133671
4000078406
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 10-01-2002
Account Balance
Percent Taxable
X
26,300.12
0,083
I
NOTE: TO INSURE PROPER CR~DIT TO
YOUR ACCOUNT, SUBMI~ THE
Amount Subject to Tax 2:191.59 UPPER PORTION OF TH S NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMEt T TO THE
Taxable Amount 2,191.59 REGISTER OF WILLS A THE
Tax Rate X .45 ABOVE ADDRESS, MA~ E CHECK
Tax Due 98.62 OR MONEY ORDER PAYAE LE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 .00 93.69
PAYMENT MUST BE MADE BY 01-30-2006*. TOTAL TAX CREDIT 93.69
BALANCE OF TAX DUE 4.93
INTEREST AND PEN. .00
TOTAL DUE 4,93
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
I ~
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side~
Make check or lIoney order payable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
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" (REV-1313). Applications are available
online at www.revenue.state.pa.us. any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050) services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for
an electronic protest to be valid, you IIUSt receive a confirmation number and processed date froll the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, HarriSburg, PA 17128-0601
Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT:
PENALTY:
INTEREST:
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.
The 15% tax allnesty non-participation penalty is cOllputed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2005 are:
Interest Daily
Rate Factor
~ ':iiii'ii548
16% .000438
11% .000301
13% .000356
10% .000274
9% .000247
from
Year
i98z
1983
1984
1985
1986
1987
Interest
Rate
"""'I'i%
9%
n
9%
n
8%
Daily
Factor
:iiiiii3'iiT
.000247
.000192
.000247
.000192
.000219
Daily
Factor
Interest
Rate
~
6%
5%
4%
5%
Year
m8-1991
1992
1993-1994
1995-1998
1999
2000
Year
ZiiOi.
2002
2003
2004
2005
.000247
.000164
.000137
.000110
.000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER 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.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C'U'(\,"":,: "'.c:: i': ('IiOii'€E('cw INHERITANCE TAX
, '-'......<Af>PR~Is:EMENr,ALLOWANCE OR DISALLOWANCE
OF D~DUCTiONS,)AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
?~:!s n
.... ...., ...'....,. .~
'""
.J I
. 1: IS
DATE 09-13-2005
ESTATE OF HESS G NOR H
DATE OF DEATH 04-29-2005
FILE NUMBER 21 05-0686
COUNTY CUMBERLAND
SSN/DC 195-20-6762
ACN 05133676
APPEAL DATE: 11-12-2005
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAY ENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r,--
MARY AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
"
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-loi=osi---------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE
09-13-2 05
ESTATE OF HESS
GINOR
H DATE OF DEATH 04-29-2005
COUNTY
CUM ERLAND
FILE NO. 21 05-0686
TAX RETURN WAS:
S.S/D,C. NO. 195-20-6762
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COLUMBIA CNTY FARMERS NATL BK ACCOUNT NO.
ACN
5133676
5000009228
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
02-26-1998
Account Balance 4,907.82 NOTE: TO INSURE PROPER CR Dn TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMI THE
Amount Subject to Tax 408.97 UPPER PORTION OF TH S NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYME n TO THE
Taxable Amount 408,97 REGISTER OF WILLS A THE
Tax Rate X .45 ABOVE ADDRESS. MA E CHECK
Tax Due 18.40 OR MONEY ORDER PAYA LE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 .00 17.46
TOTAL TAX CREDIT 17.46
BALANCE OF TAX DUE ,94
INTEREST AND PEN. ,00
TOTAL DUE .94
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS, J
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
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" (REV-1313). Applications are available
online at www.revenue.state.oa.us. any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal periOd. In order for
an electronic protest to be valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT:
PENALTY:
INTEREST:
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (57.)
discount of the tax paid is allowed.
The 157. tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (67.) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2005 are:
Interest Daily
Year Rate Factor Year
1982 "'"'2iiz- -:iiiiii54ii i9ii8-1991
1983 167. .000438 1992
1984 117. .000301 1993-1994
1985 137. .000356 1995-1998
1986 107. .000274 1999
1987 97. .000247 2000
Interest Daily Interest Daily
Rate Factor Year Rate Factor
-m- :omiii" 2iiiii ~ . ii'iiii247
97. .000247 2002 67. .000164
77. .000192 2003 57. .000137
97. .000247 2004 47. .000110
77. .000192 2005 57. .000137
87. .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER 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.
MARY AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Cr: ("\i~r(~ot.itf~C6" "f~HERITANCE TAX
. AP~RAISEMENT..'''LtQWANCE OR DISALLOWANCE
OF DUUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
r"n~ ,,\ 8", \: \ 5DATE
: ,,\ ~,) i ~ i \
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
;n
09-13-2005
HESS
04-29-2005
21 05-0686
CUMBERLAND
195-20-6762
05133679
APPEAL DATE: 11-12-2005
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAY
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
G NOR
H
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-loi=osi---------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE
09-13-2 05
ESTATE OF HESS
GINOR
H DATE OF DEATH 04-29-2005
COUNTY
ERLAND
FILE NO. 21 05-0686
TAX RETURN WAS:
S.S/D.C. NO. 195-20-6762
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COLUMBIA CNTY FARMERS NATL BK ACCOUNT NO,
ACN
5000009231
TYPE OF ACCOUNT: ()SAVINGS () CHECKING ()TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 11-10-2000
Account Balance 29,060.12 NOTE: TO INSURE PROPER CRE DIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMI THE
Amount Subject to Tax 2,421.58 UPPER PORTION OF TH S NOTICE
Debts and Deductions - ,00 WITH YOUR TAX PAYMEt T TO THE
Taxable Amount 2,421.58 REGISTER OF WILLS A THE
Tax Rate X .45 ABOVE ADDRESS. MA.~ E CHECK
Tax Due 108,97 OR MONEY ORDER PAYAI LE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 .00 103.54
PAYMENT MUST BE MADE BY 01-30-2006~. TOTAL TAX CREDIT 103.54
BALANCE OF TAX DUE 5,43
INTEREST AND PEN. .00
TOTAL DUE 5.43
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
Make check or money order payable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
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" (REV-1313). Applications are available
online at www.revenue.state.oa.us. any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal periOd. In order for
an electronic protest to be valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
DISCOUNT:
PENALTY:
INTEREST:
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.
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2005 are:
Interest Daily
Year Rate Factor Year
i98z ~:D'iiii548 rn8-1991
1983 16% .000438 1992
1984 11% .000301 1993-1994
1985 13% .000356 1995-1998
1986 10% .000274 1999
1987 9% .000247 2000
Interest Daily Interest Daily
Rate Factor Year Rate Factor
J:"ir :D'Oii3ii'i'" 2001 ~ . iiiiii247
9% .000247 2002 6% .000164
n .000192 2003 5% .000137
9% .000247 2004 4% .000110
n .000192 2005 5% .000137
8% .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER 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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
....,..-.,r,- "'''-'1,'.''
r....~i~'CCI~;--\ r\~];ICEJOF INHERITANCE TAX
'.':..'-;'~"RAlSEME~T. ALLOWANCE OR DISALLOWANCE
. ,-. OF PEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
\: \ 5 DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 171l8-0601
...J ~
09-13-2005
HESS
04-29-2005
21 05-0686
CUMBERLAND
195-20-6762
05133682
APPEAL DATE: 11-12-2005
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAY
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
G NOR
H
r;. \
MARY R AVERY
6725 OLD BERWICK RD
BLOOMSBURG PA 17815
ENT TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-loi=osi--------------------------------------------------------- ----------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-13-2 D05
ESTATE OF HESS GINOR H DATE OF DEATH 04-29-2005 COUNTY CUM ERLAND
FILE NO. 21 05-0686 S.S/D.C. NO. 195-20-6762 ACN ( 5133682
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: COLUMBIA CNTY FARMERS NATL BK ACCOUNT NO. 5000075782
TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST ~ )TIME CERTIFICATE
DATE ESTABLISHED 11-26-2001
Account Balance 9,061.37 NOTE: TO INSURE PROPER CRE DIT TO
Percent Taxable X 0.083 YOUR ACCOUNT, SUBMI THE
Amount Subject to Tax 755.08 UPPER PORTION OF Tn S NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMEI T TO THE
Taxable Amount 755.08 REGISTER OF WILLS A THE
Tax Rate X .45 ABOVE ADDRESS. MAt E CHECK
Tax Due 33.98 OR MONEY ORDER PAYAI LE TO:
"REGISTER OF WILLS, AGENT,"
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-02-2005 CD005644 ,00 32.28
PAYMENT MUST BE MADE BY 01-30-2006*, TOTAL TAX CREDIT 32,28
BALANCE OF TAX DUE 1. 70
INTEREST AND PEN. .00
TOTAL DUE 1. 70
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ·
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side~
Make check or money order payable to: REGISTER OF WILLS, AGENT.
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
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" (REV-1313). Applications are available
online at www.revenue.state.pa.us. any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions or assessment of tax
(including discount or interest) as shown on this Notice may Object within 60 days of the date of receipt of this notice
by filing one of the following:
A) Protest to the PA Department of Revenue, Board of Appeals. You may Object by filing a protest online at
www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for
an electronic protest to be valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed.
B) Election to have the .atter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
Factual errors discovered on this assess.ent should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
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.
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the sa.e manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164.
All taxes which beca.e delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2005 are:
Interest Daily
Year Rate Factor Year
i982 ~:iiiiii54ii 1988-1991
1983 16% .000438 1992
1984 11% .000301 1993-1994
1985 13% .000356 1995-1998
1986 10% .000274 1999
1987 9% .000247 2000
Interest Daily Interest Daily
Rate Factor Year Rate Factor
"""'iiX :iiiiii3iil 2001 --w- .000247
9% .000247 2002 6% .000164
n .000192 2003 5% .000137
9% .000247 2004 4% .000110
n .000192 2005 5% .000137
8% .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER 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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTAT
OFFICIAL RECEIPT
RECEIVED FROM:
AVERY MARY
6725 OLD BERWICK RD
BLOOMSBURG, PA 17815
____un fold
ESTATE INFORMATION: SSN: 195-20-6762
FILE NUMBER: 2105-0686
DECEDENT NAME: HESS GINOR H
DATE OF PAYMENT: 10/31/2005
POSTMARK DATE: 10/29/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 04/29/2005
TOTAL AMOUNT P
REMARKS:
CHECK# 437
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
I
REV-1162 EX(11-96)
E TAX
NO. CD 006 952
ACN
SSESSMENT AMOU~ JT
CONTROL
NUMBER
--------
05133668 I $,50
05133671 I $4.93
05133676 I $.94
05133678 I $5.43
05133682 I $1.70
I
I
I
I
AID: $13.50
GLENDA FARNER STRASBAl GH
REGISTER OF WillS
A