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GENERAL INFORMATION
1. rAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAK ASSESSNENT with .pp1I'obl. Int.rut b",d ,n Infcr"t1on
lubIIlttltd b~ thl I1n."ell1 Institution.
Z. Inn.r1t~. tu beeo... dllllnwent nln. .onth. afttr tM dlctd.nt', dtt, of duth.
S. A joint account it tllCabl. ,..,." though thl d'c:ed."t', na.. Will addtd It ft ,,"Utr of cnn...."l."c..
4. Account. 1ll'1011Jdlno thon held btitw.." hulband Itnd wlfll) which the dlcedttnt put In Jotnt nu.. .,!thln "'" Vier prior to
d..th .r. fulh ta.lbl, II tt.",f,rl.
S. "c:eount. utlblhhttd jointh bIt...." husband and wlf. IIOt' than on. YU,. prior to d..th IIr. not tUlbh.
6. AocounU htld bv . dee.eftn' "In trult for" lnother or other. are tllelbl. fully,
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REPORTING INSTRUCTIONS - PART i
- TAXPAYER RESPONSE
l. BLOCI( A . If the lnforlltlon and cOllfluhtlon In thl notlCI IIr, corrlet and dtductlon. .,. not blinD oJIJMd, PIICI In "M"
In block "A" of P."t 1 0' thl "hlCpIVlr h.pon.... IIctlon, Sign two copll' and sub.lt thft wl1:h your chick for tM MOUnt of
taM: to the RIghtlr of wl11s of thfl counh lndlcnhd. Ttl. Olputllnt of R.v.nu. will 1I,uI en offlchl ........nt
(ForM REY'UU EX) upon rlclJpt of the R.turn fro. tho AIgllhr of Willi.
2. ILOCK I ., If thl unt tPlclflld on thh not lei hll b..." or will bl reporttd end tex Plld with th, PIMtvl",.nle Inhlrltancl
T'M Rlturn filed b)l thl dlc.dent', repr"lntetlvl, pllCI en "X" In block "".. a. Plrt I a. the "hlilpllyor A..pon.... ..0 tlon , Sign OM
copy and nturn to thfl PA Dt.,art.ent of AI",.nuI, !luruu a' Indl",lduel TaKII, nlpt 280601, Herrhburg, PA 17128-0601 In the
envllopl provlOtd.
~. ILOCK C - If thl notlCQ lnforutlon h lncorrlot and/or dlduotlon" arl bllng cl.llId, chick block "COO and cOlIPllh PI''' 2 Md S
according to thl In.trucHo", bllow. Sign two copl.. end lubalt th.. '11th your chick for th. Haunt of tllC pftyabll to 'hi Aqhter
of Willi of tho co,,,,ty lndll'lltld. The PA OIPlrt'lnt of Rlllonul '1111 lllu, an offlcl.l ........nt (FOri REY-1548 EX~ upon reulpt
of tM return fro. thl RIlIlthr of \11111.
TAX RETURN - PART 2 - TAX COMPUTATION
liNE
I. Enttr
HOTEl
the deh thl account orlgJnallY 'III l.tIlblhh,d or titled In the IInntr uhtlng at date of dlath,
For a dleldlnt dyIrlg 1ftI' IUIZ/821 Account! wlllch the dlcldlnt put In joint na... within on. (1) ynr of dtlth Ir.
tnlbh fully.. tranlft,., How.",ar, thlre h an 'lCcludon not to IlCClld n,ooo per trln,flr.. regardl,.. of thl Vllut 0'
thl .ccount or thtl nu.btr of ac:counh hlld,
H a doubh lIIt1rltk (MIl) epptl,. b.fare your flrot nl., In thl add".. portion of thl, natlcI, the n,ooo 'lCclullon
Ilrlldy hu bltn dlducted frol ttlt ICCOont belanc. u reported by thl flnenol.l lnttltutlon.
2. Ent.r the tot.l bllanc:, of thl .ccooo. including Inter..t ecorutd to thl datt of dllth.
3. The p.rcent of thl acc:ooot that h talCfI~,l. for IIch ,urvivor 11 dltar,IMd 81 folloWII
A. The percent hxabll for joint ....tt .It.e,llthld lore then ant Yllr prior to thl dactOll1t's dI.thl
1 DIYIDED IV TOTAL HUHBER OF
JOIMT OWHERS
EHMlPl.1 A joint ...., rlghttrld
01~IOEO BV TOTAL HUHBER Of )( 100 . PERCENT TAMULE
SUA~IYINQ JOINT OWHERS
In thl nta. of the d.c.dlnt vA two other perlonl.
I DIVlDED.V '(JOINT O"""RSI DIVIDED IV 2 ISIJRVIVOflSI . .167 X 100 . 16.7% (fAXUlE FDR EACH SIJRUIVOfll
B. TM perctn' ttx.wll for ....h oralt.d w1thln one ytar of thl dlcld.nt' I duth or Ilccountl ownld by thl d,uc*1t but held
In trutt for another lndlvldull(l) (tru.t blMftcltrlttll
1 DIYIDED IV TOUl HUHIER OF SUR~I~INO JOINT
OWNERS OIl TRUST IEHEFICIARIES
)( 100 . P[RC~HT TAXABLE
ElCe~1I1 joint account regllttred In the n"l of thl dlcldlnt and two other perlonl eocl utlblltMrl within ant y..r of d..th by
tho__t,
1 Dl~IOED IV Z ($URVIYOfn) . .50 X 100 . SOX (TAXABLE FOR lACH SURYI~OR)
~. The MOUnt .Iiljtot to tllC (11M ~) It dlhrtlned by IlUlt1plYlnlJ the ICCCM'It blllnC. (11M Z) by thl percent tllC.e,le Cllnl S>.
t. Enhr thl tc.hl of thtl d.Dtt bile. u.a,.U.Ji.hIlUl 111t.o hI i'drt 1.
6. The MOUnt hobll OJ"" 6) 11 d4ittrelnld by lubtractlng 'hi dtbtl and d4ductlonl ClInt 5) frOll thl NOU'\t lubjtot to t.x Cllnt~).
7. Enter ttn epproprIltt talC rflt. (11M 7) at dehr.tn.d b.low.
A. Trenl"" to 11".81 dI.ctndllntl Including father, .othlr, hu.bond, wlf., lon, daught.,., grandchildren, lon-In-I...,
dMJQhhr'ln-law, stepChild ..nd th.lr luu. are taMabl. at Ih perclnt (6iO.
B. Tran'"'' to .11 oth.r. Inc,oIdlng brother, IJltar, uncll, nunt, r\.ph.w and ntlcl Ir. \lobh It flft"n perclnt (ISil),
C. If YOU change tM talC nt., pit... IPICtfy your relationShip to the dlcQdtnt In thl .r.. provided,
.. TM NOUnt of tlM dUI ClII'III) I, d.h"ln.tJ by IIUltlplYlny thl a.ount taMlbl. 11In. 6) by thl tell rat. (line 71.
CLAIMED DEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMED
AllowNilo debts .nd dlductlonl Ire d.ter.ll'lld II followlI
A. You Itg.lh ere r.,ponslbl. for PIVltlOt, or thl ..ta.. ~ubj'ct to 1~lnht,.tlon by I p.rtonel rop,....nhtl"'. II Inlufflot."t
to PlY tht dlduotJbll !tHJ.
I. You ICtUlI1~ Plld the dlbt. Ifter delth of the d,cld.nt and CIn furnhh proof 0' PlY''''''
C. Dtbh btl~ ol.I..d lUSt bl It..lud fulh' In Part 3. If acktltlonfll SplC. It nt.dld, Uti phln pIper 1 Ill" x 11", Proof of
PIVHnt ..... be requllt.d b)' thl PA D'Plrt.lnt of AlvtnOt.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORHATION OR A$SISTANCE, CONTACT ANY
REGISTER DF WILtS, PA DEPARTMENT OF REV~NUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327.
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~ RIY-lI~BIX AFP (10.93*
C_AL I" lit' Pf_YLVAHIl
IllPAIHIEllI Ill' _III!
, __au 01' INDIVIDUAL IAXEI
IIlPT. 111101
IWIR IlDUlG, ~A I7IZNlII
JB-3
HOTICB OF IHHEIlITAlfCB TAX
APPRAIIEllEHT, ALLOHAHCI!: OR OIlALt.oHAHCI!:
OF DEDUCTIO" ..l"D A88E1l8"EHT OF TAlC 0"
JOINTLY not.o OR TRUIT WETI
~
EST ATE OF ROMAtlNOLl
ROSE
DATE OF DEATH 07-30-93
DATI 11- 07-94
COUNTY CUMBERLAND
FILE 110. 21 94-0039
S.S/D.C. NO, 847-00-4911
ACN
93044650
ANTHONY ROMAtlNOLI JR
701 BREEZWOOD DR
MECHANICSBURtl PA 17055
RlMIT PAYMENT Tal
REtlISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
_I R..ltlod
CUT ALaND THIS LINE ... RITAIN LOWER PORTION FOR YOUR RECORDS ~
it i"v: iA'4"i 'ix";. Fjt--i}'li:93Y- - -- - - ---- --" - - - --.. - _u -- ---... ...-- - OM - - -- -..- - - - --.. ------------ --". -......"..--
NOTICE OF INHERITANCE TAX APPRAXSEHENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON "OINTLY HELD OR TRUST ASSETS
DATE 11-07-94
ESTATE OF ROMAGNOLI ROSE DATE OF DEATH 07-30-93 COUNTY CUMBERLAND
FILE NO. 21 94-0039
T AX RETURN WAS,
S.S/D.C. NO, 847-00-4971
(Xl ACCEPTED AS FILED ( l CHANtlED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, HID STATE BANK ACCOUNT NO.
ACN
93044650
00149153
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTlREST
TOTAL DUE
. IF PAID AFTER THIS DATE I SEE REVERSE FOR CALCULATION OF ADDITION L INTEREST. .
( IF TOTAL DUE IS LESS THAN n. NO PAY"ENT IS REQUIRP.D.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( C~.l.l YOU "AV IE DUE A REFUND.
SEE REYEIlSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
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IlOTlCE.
To ""lftll tho ,,,,,I,_to of IocUon 2140 of the 1"""lhllOo ... hto\o TIX AD'. Aot IZ of 1"1. m P.I.
IocUon 21401.
PA~I
Dlt~ the top partlon uf thh MoUat MMI NMiIt with your PIYHnt to the AIA.,ter of NUll printed on the
rlverH .Ide.
-- ~. cMck or 110M)' orcMr pIVlbl1 tal M;UISTEA Of' WILLI, AGEHT,
AU P'lY1IIf1h r~.lYed IhIll flnt be IlPPlltd to M'\)' Intlrllt which AV bt M, with any r..lnd1r 1PP1led to thl tax.
REFUND (~1I A r.hnt of . t.", credit, whloh .,1. not r~.t.d on the hlC r.turn, .IV be rtqUl.tMt bv cOIIphltlng If'l "ApplioaUon
for A,fn 0' Pemlvh."l, InheritInG' IOd E.t,t, Tp" (REY-UUL Appllcltlon. .r. IVlllable at thl OfficI of
thIi R..ht,r of NUll, InY of the U AlvtnUt DlItdot OfficII or by CIUlnt the ,,"II' ~4.hour """,rll'11 ..r'lloe
rum-r. 'or for.. ordlrlnlll In P.w1lvlvlnh 1-'00"Ut-ZOSO, outthM Penn.ylY1tl11 end .,Uhln 10C81
Hlrrllbur, nl' (117) 717"IOM, TDDI (117) 772-2252 Uield", IIIP,lrld On!v),
OUCTlONSl Anv p.rtv In Intar..t not ..tllfled with thllPPr.hMerlt, .Uow.oct or dhaUowencl of OtduclUon. or UHIIMnt
of hill (lhOlucUng dhcCM.I1t or lntlrllU I. Ihown on thlt Motlce lav object within ,1Mb UD) day. flf recllpt of
thll Notln bVI
"wrUten protllt to thl PA Depll't..,t of RlvtnUe, IoIrd of Appel.., Dept. 211021, Hlrrhburl, PA 171Z'~10Zl, OR
..Ileatll"ll to havl the AUlr dtt"llntd It thl IlUdtt of the ICcOW1t of tho "nOMI rtpruentltlv., OR
-.~l to thl Drphan.' Court
ADIIIN-
IITRATlIII!
CORREClJOHII FeottMl errort d..coverN on thh ......Mnt should be IddruMd I" wrlUng tal PA DeIlart.."t of R.v.....,
lur.., of IncUvldull Tllell, ATTNI POlt h......,t Alyl... lkllt, DEPT. 210601, Hurl.burl, PA 17121'-0601
Phone (717) 717-6501. 1M p... S of th. bookl.t '"In.truotlon. for Inh1rU1nC1 T.IC A.turn for. Rllldlnt
DIoldlnt" (REY-IS01) for., IICpl..Uon of _lnhtrtUvolh correctlbl. erron.
o IICOOIlT .
If ."y talC due It pIld wUhln thrH (S) clltndtr uonth. .ftlr thl dtctct.nt'. dllth, I fly. p.rClnt U~)
dllCOU\t of the tax plld I, IUOttId.
JNTtREI11 Inter..t It chlrttd bltlMlntI wUh flrtt dlV of dellnquencv, or nine (9) ~th. end OM (1) chly
frOll thl dlt. nf dDtil, to thl dati of peVMnt. Tp.. which beuM dlllnquent btforl JtnUlry 1, "II
belr Int"..t at the ret. 0' .he ('~) Plrctnt Plr ~ a.loul,tld et . dilly ret. 0' .0001604.
All talC.. Mt1lch No.. ctI11nquent on or Ift.r Janullry 1, 19.~ will bier lntlr..t .t . rete Nhlch ..Ill vary frOll
cIl"'r Vllr to alllndtr YN' with thlt rltl tnnOlI1Qed by thl PA OeptrtMnt of A1YIf'lUII. ThI ."Uolbl.
Int.rl.t r.te, 'or 1'12 through 1994 .rll
'luc ]n1lr..t R.h D,l1.., ]n"r,st Factar xur Int.r..t A,t" D,U.., ]nt.rlst Futar
1912 20X .00054' 1916 lOX .ooom
I'" IU .0000' 1"7 9X .ooom
I." llX .000501 19M-I\>91 llX .000101
1.11 lSX .00OSS6 1992 9X .000247
199J-I_ r~ .000192
..Intlr..t 1. OIloullttd .. 'ol1ote'l
IICTElElT . "WCB OF TAll UNPAID M MVKIER DF DAYS DELINqUENT M DAILY INTEREST FACTOR
..Any Notice 1I1U1d Ift.r the '11M btoHl' cMillnquent wll! reflNt ., Interllt c.lcul.tlon to 'lftHn ,us) deVI
beYond thl dlt. 0' thl .....lMf'lt. If PIWHnt II .. _fter the Int.rllt COllPUtlUon nt. thown on thl
Notlct, tddltlonal Inttrllt ~., be Cllcuhted.