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i� � pennsylvania
��� DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAI_ TAXES INHERITANCE TAX REV-1607 EX AFP C12-12)
INHERITANCE TAX DIYISION S T AT E M E FIT O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 p /.ry
i\�VV��LD Oi-�iCE O
���i��� L�� O� ����LS ESTATE OF oIORINA013 ANNA J
�?�i3 HPR 1 Pi� 12 y� DATE OF DEATH 01-30-2012
FILE NUMBER 21 12-0208
LISA M COYNE �LERK a� COUNTY CUMBERLAND
3901 MARKET ST QF?�p�{��Cj' (�if}�R� ACN 101
CAMP HILL P _[� �`�,� �� Amount Remitted
EU����tt�I�0
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with Your tax payment.
CUT ALON6 THIS LINE ---) RETAIN LOWER PORTION FOR YOUR RECORDS �--�
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REV-1607 EX AFP (12-12� *** INHERITANCE TAX STATEMENT OF ACCOUNT �*�
ESTATE OF:FIORINA ANNA J FILE NO. : 21 12-0208 ACN: 101 DATE: 03-25-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRQJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-25-2013
PRINCIPAL TAX DUE: 37,606.66
PAYMENTS CTAX CREDITS� :
PAYMENT RECEIPT DISCOUNT C+� AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-13-2012 CD016928 . 00 37,606.66
03-11-2013 CD017312 135.68- 135.68
TOTAL TAX PAYMENT 37,606.66
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
. 00
+r IF PAID AFTER THIS DATE, SEE REVERSE SIDE F�R CA�CULATION 6F ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
PAYMENT: Detach the top portion of this notice and submit with your payment made payable to the name and address
printed on the reverse side.
If pavment is for a resident decedent, make check or money order payable to: Register of Wills, Agent
If payment is for a non-resident decedent, make check or money�order oayable to: Commonwealth of Pennsylvania
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.
REFUND (CR): A refund of a tax credit, which was not requested on the tax return, may be requested by completing an
"Application for Refund of Pennsvlvania lnheritance and Estate Tax" (REV-1313). Applications are available from
department's web site at www.revenue.state.pa.us, any Register of Nills or Revenue District Office or from the
department's 24-hour answering service: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-B00-447-3020 (TT onlv).
REPLY TD: Duest3ons regarding errors should be addressed to: PA Department of Revenue, Bureau of Individual Taxes,
ATTN: Post Assessment Review Unit, PO Box 280601, Harrisburg. PA 17128-0601, or call (717) 787-6505.
DISCOUNT: If any tax due is paid within three calendar months after the decedent's death, a five percent discount
of the tax paid is allowed.
PENALTY: The 15 percent tax amnesty non-participation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18, 1996, (the first dav after the end of the tax amnesty period.)
INTEREST: Interest is charged beginning with first day of delinquency, or nine months and one day from the date of
death, to the date of payment. Taxes which became delinquent before Jan. 1, 1982, bear interest at the rate of
six percent per annum calculated at a daily rate of 0.000164. All taxes which became delinquenY on and after
Jan. 1. 1982, vill bear interest at a rate which varies from year to Year with the rate announced bv the PA
Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsvlvania Resident Instruction
Booklet (REV-1501), the Pennsylvania Non-resident Instruction Booklet <REV-1736) or on the Department of
Revenue Web site www.revenue.state.pa.us. The applicable interest rates for 2000 through 2013 are:
Interest Dailv Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate FacYor
2000 8% .000219 2001 9% .000247 2002 6% .000164
2003 5% .D00137 2004 4% .000110 2005 5% .000137
2006 7% .000142 2007 S% .000219 2008 7% .000192
20D9 5% .000137 2010 4i .000110 2011-2013 3i .000082
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Anv notice issued after the tax becomes delinquent w311 reflect an interest calculation to 15 days
beyond the date of the assessment. If payment is made after the interest computat3on date shown on the
notice, additional interest must be calculated.