HomeMy WebLinkAbout95-014421- Q5 - Di~~(
This is to certify that the certificate hereunto attached is a true and accurate copy of the original
death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is
subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital
Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed
and commissioned as directed by Act 66 of the General Assembly, approved 29 June 1953, P.L.
304.
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Division of Vital Records
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New Castle, PA 16103
COMMONWEALTH OF PEHNSYLIMPWI • DEPARTMENT OF HEALTH • YITAL RECORDS
CERTIFICATE OF DEATH
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REGISTRAR'S SKINATVRE ANO NUAISER
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OQE FRED fMaxn. Day. Nail
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
FRANCIS M SOCHA ESQ
2201 N 2ND ST
HBG PA 17110
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOMANCE OR DISALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REY-1F7 E% ~F- (12-9i1
DATE 01-28-97
ESTATE OF LOFTUS JOHN F
DATE OF DEATH 02-11-95
FILE NUMBER 21 95-0144
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION_ FOR YOUR RECORDS ~ _
------------------------------------------------------------- ___
REV-1547 EX AFP (12-96) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR ----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LOFTUS JOHN F FILE N0. 21 95-0144 ACN 101 DATE 01-28-97
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedul• A)
2. Stocks and Bonds (Schedul• 8)
3. Closely Held Stock/Partnership Interest (Schedul• C)
4. Mortgages/Notes Reeeivabl• (Schedul• D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedul• E)
6. Jointly owned Property (Schedul• Fl
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adw. Costs/Misc. Expenses (Schedul• H)
10. Debts/Mortgsge Liabilities/Liens (Schedul• I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests (Schedul• J)
14. Net Value of Estat• Subject to Tax
(1) 75.730.00 NOTE: To insure proper
(2) .00 credit to your account,
(3l .00 submit the upper portion
(4) .00 of this fora with your
(5) 22.710.00 tax payment.
(6) .00
(7) .00
($) 98,440.00
(9) 17, 731 .44
clo) .00
(11) 77.7;7 _44
(12) 80,708.56
(13) . 00
(141 80,708.56
NOTE: if an assessuent was issued previously, lines
reflect figures that include the t
t
l 14, 15 andior 16, 17 and 18 will
o
a
of ALL returns assessed to date
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate (151 . 00 X . 00_ . 00
16. Amount of Line 14 taxable at Lineal/Class A rat• (16) 80,708.56 X.06= 4,842.51
17. Amount of Lir» 14 taxable st Collateral/Class B rate (17) . 00 X • 15. . 00
18. Principal Tax Dw
TAX CRE (181 4,842.51
DITS.
PAYMENT RECEIPT DISCOUNT (;)
DATE NUMBER INTEREST (-) AUNT PAID
04-24-95 AA023078 242.13 5,000.00
TOTAL TAX CREDIT 5,242.13
BALANCE OF TAX DUE 399.62CR
INTEREST AND PEN. .00
TOTAL DUE 399.62CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN il, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ^CREDIT•' (CRI, YOU MAY BE DUE
n
REV-In70 Ek ~6-88~
~.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME .JO~,.L1 ~C~~=a}
SCHEDULE ITEM
NO.
z ~, >
INHERITANCE TAX
EXPLANATION
OF CHANGES
ER ~,~ta~ i'3~~~)
S'JJ.
EXPLANATION OF CHANGES
r , ,. a
;~•. cc_ i~r ~1' ~ rf 1.+~li} tict ~,ff;<,~ r~, 4_ .7_;nLT zy :~tt, E9'~~ tai; € :::il; >`~x~*1~, -
t.~l?Pe CJci:i ~T.~F)Cyi'~ '_[1C..,-cISiI1r 'Ciil' c4:'i(SLtP_t <)Lr if:t: Lam.=,Liil YL'O1. /~ i~~,~i 10 ~~ ~71i~.
TAX EXAMINER: l,l'ii:ili<~. +~dr.ir,hC
__ PAGE
1 S /~
f 02:~362~~ - -~
tEV.ISDO Ex+ (7-oal FOR DATES OF DEATH AFTER 14131(91 CHECK HERE
INHERITANCE TAX RETURN POVERTY CREDIT IS CLAIMED u
COMMONWEALTH OF PENNSYLVANIA ~ RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE FILE NUMBER
~
DEPARTMENT OF REVENUE ~,
~
PnD~
B
R WITH REGISTER OF WILLS
~
HARRIS
U
t28-DbOt
G, COUNTY CODE YEAR NUMBER
OECEDENi'S NAME (LAST, FIRST, ANO MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS
~
LOFTUS, JOHN F. II 3411 BEDFORD ST
o SOCIAL SECURITY NUMlER DATE Of OEATM `„- DATE Of BIRTH / CAMP HILL , PA 17 011
178-03-0582 / 02-11-95 12-O1-13 coin CUMBERLAND
p (If AMUGSlE1 SUNVIVING SrOU3!'S NAME ;UST, fIRST ANO MIDDLE ~NITIAt) SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS(
W 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return
a[ Qy [for dates of death prior to 12-13-82)
„~ ~ c'ca ^ 4. Limited Estate ^ 4a. Fvturs Interest Compromise ^ 5. Federol Estate Tax Return Required
~ ~ ° (for dates of deoth after 12-12.82)
c m ^ 6. Decedent Oied Testate ^ 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit 3oxes
(Attach copy of Will) (Attach copy of Trust)
ALE. CORRESPONDENCE:AND CONFIDENTIAL TAX INFORMATION SHOULD' BE DIRECTED TO:
I'-
o NAME
~ COMPLETE MAILING AOORlSS
=
` FRANCIS M. SOCHA, ESQ 2201 NORTH 2ND ST
,~
, ~ TELEPHONE NUM9ER
~'"' HARRISBURG , PA 17110
1. Real Estate (Schedule A) (1) ~ ~ s ~ -~ U . U U /
2. Stocks and Bonds (Schedule B) (2 )
3. Closely Held Stock/Partnership Interest (Sd+edule C) (3) - 0 -
4. Mortgages and Notes Receivable (Schedule 0) (4) ' 0
5. Cash, Bank Deposits $ Miscsllansous Personal Property (5) 2 2 , 7 10 • 0 0
z (Schedule E) _
- 0
,°-_ 6. Jointly Owned Property (Schedule F] (b)
s
~
7. Transfers (Schedule G) (Schedule L) (7)
- 0 -
s 8. Total Gross Assets (total Lines 1-7) ~ /1 ~ ~ fi. `t' ~' (8) 9 8 , 44 0.0 0
9. Funeral Expenses, Administrative Costs, Miscellonsovs (9) ~T ;L2 3.1R:'~F~'...."-
Expsnses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule 1) (10) ~/ ~ /~ ~, ~~
11. Total Deductions (total Lines 9 8 10) (11)
~~r,o~ v ~ '~-
~' ~~~
12. Nst Value of Estate (Line 8 minus Lins 11) (12)
13. Charitable and Governmental Bequests (Schedule J) (13)
ld. Nst Valw Subject to Tax (line 12 minus Uns 13) C;
a ~ ~fJ ~' ~%~-' (ld)
15. Spousal Tronsfen (For da»s of death af»r b-30-94)
See Instructions for Applicable Percentage on Rwsrse (15) x. -__
Side. (Indude values from Schedule K or Sdtsdule M.) ~p7L. ~; ~ ~',
~~ ' ^~~ $' • '~~ r ~ '-`
~~ ~~~~ ~~ /
16. Amount of Uns T d taxable at 6% ra» (l b) x .OIS a
(Indude values from Schedule K or Schedule M.)
17. Amount of Une 14 taxable at IS% rats (17) x .15 = -G
o (Indude values from Schedule K or Schedule M.) t ~'
~~~
~ 18. Prindpal tax due (Add tax from Unes 15, 16 and 17.) (18)
~
'
~'~""~"~
...
~
19. Credits Spousal Poverty Credit Prior Payments
Discount Interest
w + 5 , 000.04 250.00 _ (19) 5 , 250.00
c ~ 20. If Lins 19 is greater than Une 18, enter the difhronu on Line Z0. This is the OVERPAYMENT. (20) ~ 1 7 _ ~i 9
~ ~C
21. If Line 18 is greater tfian Uns 19, enter the differsnu on Uns 21. This is the TAX DUE. (21)
I A. "toter the imsrest on the balance due on Line 21 A. (21 A)
i B. Enter the total of Une 21 and Z1A on Line Z 1 B. This is the BALANCE DUE. (21 B)
Haile Ctseck Payable »: Register of Wills, Agent
j ~ BE SURSTO ANSWER ALL CUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~
Under penalties of perjury, I deddrs that 1 have sxaminsct this return, inducting acmmoonying schedules and statsmsnn, and to the best of my knowisdgs and bsiier,
't a true. correct and comoiets. I declare that ail real estate has been reaortea at true market value. Dedarmion or oreaarer other 'hen the aersonal reoresenrati~e s
basso on ail information of which Drsoarer has any knowledge.
IGNATU OF 'ER RESPO Sle LNG RETURN
ADDRESS 7ATE
y
/~ / }~ CJ
51 NAiU ~ - _...'..SPARER OTNE , HAN REPRESe AiIVE ~DORESS -- JAT
Act #48 of 1994 provides for the reduction of the tax. rates imposed on the net value of transfers to or for
the use of the spouse. The rates as prescribed by the statute will be:
• 3% (.43) will be applicable for estates of decedents dying on or after 7/1194 and before 1/1/96
• 2% (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97
• l % (.41) will be applicable for estates of decedents dying on or after 1 /1 /97 and before 1 /1 /98
• Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK (NARK (rj !N THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred, ....................................................... X
b. retain the right to designate who shall use the property tronsferred or its income, ............... X
c. retain a reversionary interest; or ................................................................................... X
d. receive the promise for life of either payments, benefits or care? ....................................... X
2. If death occurred on or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate consideration;i If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration~ ...................................................................................................
3. Did decedent own an 'in trust for'. bank account at his or her death? ...................................... X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES
YOU MUST CQNIPL~'E SCHEDULE G AND PILE iT AS PART OF THE TURN.
:. -
t_T
~.
~..3
---
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REV-1502 EX+ (12-85( }-
~~~ s _ SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTA
FILE
JOHN F. LOFTUS, II.
R
irroperty jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchaneed 6wtwnnn ~ ..,au:.... i.....e. __~ _ ...:ue__ __~~ ..~ _- _
t
REV-150EE EX+ (2-87~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
E
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
JOHN F. LOFTUS, II'
(All property jointly-owned with the Riaht of Survive.:6ir.......~ i.. J:..:_._J _- c_L_J_J_ ~.
Please Print or
LE NUMBER
(Attoch additional 8Ys" x 11" sheets if more space is needed.)
r
REV-1511 E%+ (7.88)
COMMONWEALTH Of PENNSYLVANIA
1NMERITANCE TAX RETURN
RESIDENT DECEDENT
ITEM
NUMBER
A.
1.
B.
2
3
4.
C.
2.
3.
4.
5.
6.
7.
8.
JOHN F. LOFTUS, II
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
DESCRIPTION
Funeral Expenses:
NEILL FUNERAL HOME, INC
3401 MARKET ST
CAMP HILL, PA 17011
(viewing and casket)
Please Print or
Administrative Costs: waived
Personal Representative Commissions _ _
Social Security Number of Personal Representative:
Year Commissions paid
Attorney Fees and expenses
FRANCIS M. SOCHA, ESQ
Family Exemption
Claimant JOHN F.. L;OFTUS IIIRelationship SON
Address of Claimant at decedent's death
Street Address 3411 BEDFORD ST.
City CAMP HILL State PA `. Zip Code 17 011
Probate Fees FILING OF LETTERS
Miscellaneous Expenses:
CUMBERLAND COUIQTY LAW JOURNAL
EVENING SENTINAL
1995 COUNTY & BORO REAL ESTATE TAXES
IRS TAX RETURN - 1994
UTILITY BILLS
PERSONAL TAX
AMOUNT
$ 7,844.10
5,541.00
~e.J GU, (^f~;1
--~-944-:-40 __,
229.00
40.00
30.00
291.03
6.00
245.41
4.90
TOTAL (Also enter on line 9, Recapitulation) ' S ~~-; ~ ~'1= ~!--4°
I
(lf more space is needed, insert additional sheets of same size.) 4,„~' ;;;'`
I ~- ,~°'.
1
REV•1517 EX+ iZ-8~
COMMONWEALTH Of VENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN F. LOFTUS, II..
B. Charitable and Governmental Bequests:
FILE NUMBER
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation}
(If more space is needed, insert additional sheets of some size)
SCHEDULE J
BENEFICIARIES
S
ITEM AMOUNT OR
NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU of INDIVIDUAL Taxes INHERITANCE TAX
INHERITANCE TAX DIVISION
PO BOX 286681 ~~n~y,pf j~~ !~~F~j~'~~'ATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
-- i
2Q~~ Obi 3fl F~! 3~ 3 I
FRANCIS M SOCHA E~p,., C~~~,?~ rr~t
Vr.Pi ~ ~, JRT
2201 N 2ND ST ~, ,. ~ ~~ pA
HBG 17110
REV-1687 EX AFP C63-OS)
10-23-2006
LOFTUS JOHN F
TN 02-11-1995
21 95-0144
CUMBERLAND
101
Awount Rewittsd
DATE
ESTATE OF
DATE OF DEA'
FILE NUMBER
COUNTY
ACN
~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subwit the upper portion of this forty with your tax paywsnt.
CUT ALONG THIS LINE ~-1 RETAIN LOWER PORTION FOR YOUR RECORDS ~---
------------------------ _ _ _
---------------------- __
REV-1607 EX AFP (03-05) **~( INHERITANCE TAX STATEMENT OF ACCOUNT ~(~~
ESTATE OF LOFTUS JOHN F FILE N0. 21 95-0144 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATETESHONN BEL X006
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-1997
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
04-24-1995 AA023078 242.13
^
AMOUNT PAID
5,000.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A °CREDIT'• (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
4,842.51
5,242.13
399.62CR
.00
399.62CR
~~
PAYMENT: Detach the top portion of this Notice and subeit with your payaent aade payable to the nose and address
printed on the reverse side.
If payaent if for a RESIDENT DECEDENT, sake check or aoney order payable to:
Register of R'Dls, Agent
If payaent if for a NON-RESIDENT DECEDENT, sake check or aoney order payable to:
Commonwealth of Peonrylvania
Failure to pay the tax, interest, and penalty due say result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
REFUND CCR): A refund of a tax crodit, which was not requested an the Tax Return, way be requested by coapleting an
^Applfcation for Refund of Pennsylvania Inheritance and Estate Tax^ (REV-13137. Applications are available
online at www revenue.state.ca.us, any Register of Hills or Revenue District Office, or froa the Departaent's
24-hour answering service for forces orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 [TT onlyl.
REPLY T0: questions regarding errors contained on this notice should be addressed to: PA Departaent of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessaent Review Unit, P.0. Bax 280601, Harrisburg, PA 17126-0601, phone
C717) 787-6505.
DISCOUNT: If any tax due is paid within three C37 calendar aonths after the decedent's death, a five percent CS%7 discount
of the tax paid is allowed.
PENALTY: The 15% tax sanesty non-participation penalty is coaputed on the total of the tax and interest assessed, end not
paid before January 18, 1996, the first day after the end of the tax sanesty period.
INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) aonths and one C1l day froa the data of
death, to the date of payaent. Taxes which becaae delinquent before January 1, 1982 bear interest at the rate of
six C6%l percent per annua calculated at a daily rata of .000164. All taxes which becaae delinquent an and after
January 1, 1982 will bear interest at a rata which will vary froa calendar year to calendar year with that rate
announced by the PA Departaent of Revenue. The applicable interest rates for 1982 through 2006 are:
Interes t Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20% .000548 1988-1991 11% .000301 2001 9% .000247
1983 16% .000438 1992 9% .000247 2002 6% .000164
1984 11% .000301 1993-1994 7% .000192 2003 5% .000137
1985 13% .000356 1995-1998 9% .000247 2004 4% .D00110
1986 10% .000274 1999 7% .000192 2005 5% .000137
1987 9% .000247 2000 8% .000219 2006 7% .000192
--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 becoaes delinquent will reflect an interest calculation to fifteen C151 days
beyond the date of the assesswent. If payaent is lade after the interest coaputation date shown on the
Notice, additional interest gust be calculated.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
nr:r,(\Qnr-n nn:!('STATEMENT OF ACCOUNT
d ~: '; i :,__ .~./ " " ': '_, ....
", _r ,
REV-1607 EX AFP (03-05)
FRANCIS M SOCHA
2201 N 2ND ST
HBG
CLEF.<'
ESQPF;:..'" '~!tIRT
lJ . , ~...,^
"I !"h
\~A 17110
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-23-2006
LOFTUS
02-11-1995
21 95-0144
CUMBERLAND
101
JOHN
F
200& OCT 30 Prl 3: 31
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUT ALONG THIS LINE
NOTE: To insure proper credit to your account, subllit the Upper portion of this forll with your tax paYllent.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
REV-1607 EX AFP (03-05)
---------------------------------------------------------------------------
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
4-
ESTATE OF LOFTUS JOHN F FILE NO. 21 95-0144 ACN 101 DATE 10-23-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-1997
PAYMENTS (TAX CREDITS):
PRINCIPAL TAX DUE: 4,842.51
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-24-1995 AA023078 242.13 5,000.00
TOTAL TAX CREDIT 5,242.13
BALANCE OF TAX DUE 399.62CR
INTEREST AND PEN. .00
If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 399.62CR
SIDE 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
~1/