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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16o� EX AFP u2-12)
INHERITANLE TAX orvcsioN STATE ME NT O F ACCO U NT
PO BOX 280601
HARI2ISBUR� PA 17128-0601
�'��C�1'i'it7i��� ��)i� i �lit Q� DATE 05-06-2013
P�E��S 1 YF� O�' S�`�IL.�S ES7ATE OF SCOTT GREGORY C
(TpU pm DATE OF DEATH 04-17-2012
;:�!�3 I �ill 13 I 1 I � 52 FILE NUMBER 21 12-0542
COUNTY CUMBERLAN❑
TODD F TRUNTZ ESQ CLEiZK il!" ACN 101
STE 400 ORPHANS� �i���'ZT Amount Remitted
635 N 12TH ST r"Up�p���'p CO , PA
LEMOYNE PA P9'S4'3� 2
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 ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECOROS f�
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REV-1607 EX AFP C12-12J **� INHERITANCE TAX STATEMENT OF ACCOUNT ■*■
ESTATE OF:SCOTT GREGORY C FILE N0. : 21 12-0542 ACN: 101 DATE: 05-06-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX OUE, APPLIGATION OF ALL PAVMENTS, THE CURRENT BAIANLE, AND, IF APPLICABLE, p PROJECTEU INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-L1-2013
PRINCIPAL TAX DUE: 2,294. 10
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-12-2012 CD016253 114.71 2,400.00
04-15-2013 REFUND .00 220 .61-
TOTAL TAX PAYMENT 2,294. 10
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
� IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. � \
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)� YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM ,
FOR INSTRUCTIONS. �%
PAYMENT: petach the too Oo�tion of th9s notice and subnit v3th your Oayment nade pavable to the nane antl atldress
orinted on the revarse side.
If pavnent is for a resident tlecedenk, make check or monev order payable to: Register oF W3115, Agent
If pavment is for a non-resident decetlent, nake check or monev ortler oayable to: Connonwealth of Pennsvlvania
Failure to pav the tax, intarest. and Oenaltv dua nay result in the filina ot a lien of record in khe
appropriafe counYV, or the issoance of an Orphan's CouM c9tation.
REFOND (CR): A refuntl of a tax cretlit, which was not reouestetl on the t� return, mav be requestetl by conOlatine an
"Apol3wtion for Refund of Pennsvlvania lnheritance antl EstaTe Tax^ (REV-1313). Aoolications are ava3lable from
deDartnenk's web site ak ww.revenue state.oa.us. any Rag3ster of Wills or Revenue Oistr9ct Oft9ce or from Yhe
departnent's 24-hour answer3ng service: 1-800-362-2050; services for taxpavers with spec3al hearing and/or
sveaking needs: 1-e0D-44�-3020 (TT onlv).
REPLY T0: puestlons re9ardine errors should be adtlressetl to: PA Departnani of Revenue, Bureau of Intlividual Taxes.
ATTN: Posk Assessnent fteview Unit, PO Box 280601. Harcisburg, PA I]128-0601, or call (]I]) ]8]-6505.
UISCOUNT: If a�ry tax Eue is paitl within three calentlar nonths after the tlecetlent's Eeath, a five oercenk discount
of the tax oaid 3s allowetl.
PENALTV: The 15 percent tu annestv non-particioat3on oanaltY is comoutetl on khe tokal of the taz and 3nterest assessetl,
and not paid before Jan. 18, 1996, (the first day after the end oF the tarz amnestv oeriotlJ
INTEREST: Inierast is charged beginning rith first tlay ot tlelinouency. or nine months and one tlav fron the date of
death. to khe date of oavnent. Tazes vhich becane tlelinouenk before Jan. 1. 1982. bear interest ak the rate of
six Oercent per annum calculated at a dailv rate of O.D00164. All tazes vh3ch becane delinquent on antl after
Jan. 1, 1982, vill bear interest at a rate vhich varies fram vear to year wiYh the rate announced bv the PA
Deoartment of Revenue. Rates tor 1982 through 1999 can be found 3n the Pennsvlvania ftesident Inskruction
Booklet BEV-150ll. khe Pennsvlvania Non-residenY Instruction Booklet (REV-ll36) or on the DeoartnenY of
Revenue Web s3te ww.revenue.state.oa.us. The aoolicable interest retes tor 2000 through 2013 are:
Interest Oailv Interest Da31v Interest Da33Y
Year Rate Gactor Year Rate FacSor Vear Rate Factor
2000 BY. .000219 2001 9: .00024� 2p02 6Y. .000164
2003 5% .00013] 2004 4Y. .00011� 2005 5X .00013]
Z006 1Y. .000192 200] BY. .000239 2008 19, .000192
2009 5Y, .00013] 2010 4Y. .000110 2011-2033 3: .D00082
Interest 3s wlculateE as follovs:
INTEREST = 9ALANCE OF TAX UNPAID % NUMBER OF MYS DELINQUENT X MILY INTEREST FACTOR
AnY notice issuetl afker the tax bacones tlelinqvenk will refleck an 3nterest calculation ko IS tlavs
bevond the date of the assessnenk. If omment is matle after the interest coeoutation tlate shown on the
notice, atlEitional interest m�st be calculatetl.