HomeMy WebLinkAbout06-07-13 � pennsylvania
DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL 7AXES INHERITANCE TAX xev46o7 Ex AFP a2-12�
INHERITINCE TAX DIVISION STATE ME NT OF ACCOUNT
PO BO% 260601
IURRISBURG PA 1712H-0601
RECORDrD Oi FICE OF pArE 06-03-2013
�E�I$"(;",:R OF 1���`LS ESTATE OF RASMUSSEN ADIS A
DATE OF DEATH 06-27-2012
;Gi3 JUN 7 P�l 1 .�i1 FILE NUMBER 21 12-0726
COUNTY CUMBERLAND
GEORGE F DOUGLAD III E�ERK OF � ncN 101
35 ALEXANOER SPRINGO u N5' COURT Amount Remitced
CARLISLE PA 0'I�
CUMBERLAND CO., PA
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER OF WILLS
1 COURTHOUSE SpUARE �
CARLISLE PA 17013
NOTE: To ensure proper cratlit to your aceount, suDm1S the upper poriion of this form w1f� yaur tax payment.
CUT ALON6 THIS LINE 1 RETAIN LOWER PORTION FOR YDUR RECORDS �
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REV-1607 EX AFP (12-12) **■ INHERITANCE TAX STATEMENT OF ACCOUNT ■�■
ESTATE OF:RASMUSSEN ADIS A FILE N0. : 21 12-0726 ACN: 101 DATE: 06-03-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARV OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAVMENTS, THE CURRENT BALANCE. AND, IF 11PPLICABIE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-29-2013
PRINCIPAL TAX DUE: 6,155.88
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-17-2012 CD016506 307.79 6,000.00
05-17-2013 REFUND .00 151 .91-
TOTAL TAX PAYMENT 6,155.88
BALANCE OF TAX DUE .00
INTEREST AHD 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. �
PAYXENh Dakac� tha top nortion of this noticc ane sub�it viih your oay�enk oae oavabie to Fhe nawe antl eAGress
printatl on thd ravarsa sida.
If AaYdint if for a f051d�FiYt tltCatlint. ��ti Ghack o� �YMY arCp� p2Ya672 t6e RB9ist8� 6fi Yi175� XpYtit
If paveant ix for a non-rasitlant tlacedanF, Make c�eck or noney prder navable ko� Coror�wealth of Pennsylranie
Failuro to pey !he taf4 interos[� anE penal2Y Eue �ay rMSUlt in tha filinp of a 13en of recorA in the
appraoriate county, o� tAS issumce of an Orpban's Caurt e3iation.
REFUNO (CR): A ratund af a teu crodit, rhich uas noc FYqYB9tttl on tha taz rbturm �av ba �eavestotl dv co�olatdnp an
^Applicatian 4or RatanG of Paae�sy2r�n3a Znheritance and 6state Tau^ CREY-7313}. Avnlicat3ons are availabla fro�
depart�eni's wab sita ak ww.rwww.st�ta.pa.us, am Rapizkar ef Wilis or Revanua District offica or fro� the
depertnent•s 24-hour answerin9 so�viesv 1-8tl0-362-205q= sarvices for taxoaYprs with spacial heap3ny antl/or
sDeakinp nsotlsx 1-8Cb-447•3u20 RT onlv).
1
HEPLY T0� 4uastions retl++rtlinp orrors s�aultl be addressad iov PA Oeparbenk of Ravenaa, Buroau af Intlividual Tax�s,
ATTN+ Pozt Asaesa�snt Rortw Unit. PO {mc 2b@501. Marris4urp, PA 177TS-Od61, ar ca21 tTlT} 7g7-b5i5.
OISCDUNT: Irt nw tarz tltw is paitl w3thin thres calantler �anths aftpr the docadenYS doa#M1, a fiva aarunt tliscaunt
of the tme oaid is allarad.
PEW1LTVa The 15 pereent tax amesiy non-nart3cioetian paneltY is co�outcd oo the tota3 of Lha tax antl inkarost assesae0.
and not oaitl bafora Jan. I8, 799d, <the fint tlav afto� tha enG af tho tu a�nesb poriod.7
IMTEfiESi: IMarost is cherpatl bapinninp rith flrst dey of tlelionuencv, ar nitw wnths antl one tlay froe tha date of �
tlaath, ta tht data of oaypant. Talcrs vhieh 6eca�a delfnqusnt btfore Jan. I� 19t2, bsar Sntarast at the rata af
six parcent Ger annu� celculatea at a tlailr rate of O.Od0364. All taxas vhYCh becau tlqlincuent on anE aftaF
Jan. I, 1982, pill bear fnterost at a raLe uhich varies fra� yea� ta vear witfi the rate announcatl py the PA
DepeMwent of Rcrenu¢. Rates for 14$? throuph 1448 can tra faund £o th¢ Amnsylvania Resitlent Zns#PUCtion
Dookle! (REV-35a13, ih¢ Pannsylrania Noo-res}�}y�t Instruction Booklat (REV•1]363 or on tNe Oeoart�ent of
Ravanue Wab slte ww.rqvanue.stai�.pa•us. Tha aonlicable inieresk �ates for 2000 4hreuqh 2013 are�
Interest Da37v Intervst Unylv Znterast Deilv
Vaer Rete Factor Vaar Nata Factor Year aeta Factor
�Q�6 SY. .QBD214 2001 9% .0@Q24I 2892 6Y. .�00364 �
2803 5Y. .fl00137 2004 4X .BD8130 2065 5X .OU0137 -
2006 7X .000192 2007 BY. .000219 2008 IY. .000192
2099 SX .000137 201tl 4k .890llU 2011-2013 3X .000082
Interast is ceiculated aa fnlloxss
INTBREST = BAI.ANCE OP TAX UNP�ID % NUMOE1t OF UAYS DELiNYUENT X OAILY INTEREST FAGTOR
AtN notic� issueA afte� tha tmc baCU�es EalinquAnt xill reflec# en iqGrest ca3cu7ation {O IS dLys
bayontl ti�e Cska ofi the assa3s�ent. If oavwnt is �ede aft�r the interast co�putation tlat� shorn bn the �.
netica, addit9nnal intercat wst be calculaNq.