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OEPARTMENTOFREVENUE
BUREAU OF INDIVIDl1AL TAXES INHERITANCE TAX REV-1607 EX nFP a2-12)
INHERITANCE TAX OIVISION STATE M E N T 0 F ACCO UN T
PO BOX 280601 p
HARRISBURG PA 1]128-0601 REC��U1._{J 4�i lii4.. OI
REGIST:`:�; Or ';'';;_) ;� nare 05-06-2013
ESTATE OF STILLSON JOSEPH R
���� ���� �� �� � ��ILE NUMBERTH 28��2-0142
ANITA M BALDASSARO CLEf;IC O;" COUNTY CUMBERLAND
ACN 11112977
z4 LONGVLEW DR ORPHANS' Ct>LR'f pmount RemitteE
MECHANICSBURG PA i�p�gERLANL� i�., �,Q
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submik the upper portion of this torm with
your tax payment.
CUT ALON6 THIS LINE 1 RETAIN LOWER PORTIOH FOR YOUR RECORDS �
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REV-1607 EX AFP (12-12) ��■ INHERITANCE TAX S7ATEMENT OF ACCOUNT ���
ESTATE OF:STILLSON JOSEPH R FILE NO. : 21 12-0142 ACN: 11112977 DATE: D5-06-2013
THIS STATEMENT PROVIOES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLILATION OF pLL PAYMENTS, THE LURRENT BALANLE, AND, IF APPLILABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-27-2012
PRINCIPAL TAX DUE: 420.28
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOl1NT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-14-2012 CD016118 . 00 420.28
04-16-2013 C�017494 14. 10- 14. 10
TOTAL TAX PAYMENT 420.28
BALANCE OF TAX OUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
� IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL OUE IS REFLECTED AS A "LREDIT" CCR), YOU MAV BE OUE A REFUND. SEE REVERSE SIDE OF THIS FORM �
FOR INSTRUGTIONS. �
PAYMENT: Oetach the top oo�tion ef this notice antl subnit vikh your payment matle oaYable to the name anA atltlress
orinfed on the reverse sitle.
If pavmenY 3s for a resident decedent, make check or monev order paYable te: Reeister of Wills, Aeent
If paymenk 3s for a non-res3tlent decedent. maka <heck or �oneY order DaYable te: Con�onvealth of P¢nnsvlvania
Failure to pay the tax, interest, and oanaltv due mav result in the filine of a lien ot record in the
approoriate couniv, or the issuance of an Orohan's Court citation.
REFUND (CR): A refund of a Yax credit, which was not reouesYetl on the kax return, mav be requested bv comoleking an
"Application for Refund of Pennsylvania lnheritance antl Estate Tax^ (REV-1313). Apolications are available from
tleoartment's web site at ww.�evenue.state.pa.us, any Regisker of Wills or Revenue Oiskrict Office or fron the
de0artment's 24-hour ansveHng serv3ce: 1-800-362-2050; serv9ces for taxoavers w3th soacial hear3n9 antl/or
speaking needs: 1-800-44]-3020 (TT onlv).
REPLV T0: Vuestions re9artling errors shoultl be atltlresseA to: PA DeoartnenY of Revenue, Bureau of Intlividual Taxes,
ATTN: Posk Assessnent Rev3ew Unit, PO Box 280601. Harrisburg. PA 17128-0601, or call (]1]] ]87-6505.
DISCOUNT: If anY tax tlue is oaie vit�in khree calendar uonths aHer the tlecedenY's death, a five oercenk Eiscount
of the taz oaid is allowed.
PENALTY: The 15 Oercent tu annesty non-Oartici0akion Oenalky is coapuketl on the tokal of the t� antl inte�est assessed.
anE not oa3tl before Jan. 18, 3996. (the Hrst tlav after the enE of the Yaz annastv per3otlJ
INTEREST: Interest is charaed be9innine with f3rst tlav of tlel3nouencv, or n3na �onths antl one tlav from the Aate oF
tleakh, to the tlate of oavnent. Taxes v�3ch becane tlelinquenf before Jan. 1, 1982, bear interesY at She rate of
six percent per annum calculatetl at a dailv rafe of 0.000164. All kues vh3ch Eecane tlelinquenY on antl after
Jan. 1. 1982, vill bear inSerest aS a rate rhich varies froe year So year with the rate announced bv the PA
peDa�tnent of Revenue. Rakes for 1982 through 3999 can be Found in khe Pennsylvania Resident Instruction
Booklek (HEV-150U, khe Pennsylvan3a Nom resitlent Instruct3on Booklet (HEV-P36) or on khe Oepartment of
Revenue Web site wv.revenue.state.oa.us. The aoolicable interest rakes for 2000 khrough 2013 are:
Interest Dailv Interesk Da31v Inkerest Dailv
Vear Rate Factor Vear Rafe Factor Year Rake Factar
2000 BY. .000219 2001 9% .00024] 2002 6Y. .000164
2003 5% .000137 2004 4% .000110 2005 5Y .00013]
2006 ]•L .000192 20�] BY. .�00219 2000 1% .000192
2009 5Y, .00013] 2010 4Y. .000110 2011-2013 3Y. .000082
Interest 3s calculatetl as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF MYS DELINDUENT X MILY INTEREST FACTOR S
�'
Anv not3ce issued after the tax bacomes tlel3nouent will reflect an 3nterest calculat3on ko 15 tlavs -�--
beyond the date of tne assessRent. If oav+ent 3s made after the interest comoutat3on tlate shovn on the
notice, additional interesS nust be calculated.