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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT O F ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 12-23-2013
ESTATE OF FORTINI ELEANOR
DATE OF DEATH 01-18-2013
FILE NUMBER 21 13-0117
COUNTY CUMBERLAND
PECHT ESQ WAYNE M ACN 101
650 NORTH TWELEFTH ST
Amount Remitted
SUITE 100
LEMOYNE PA 17043
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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 3)_ _�_1_ * RETAIN LOWER PORTION 3E;;ON FOR YOUR RECORDS - ---- - _ _ _ _ - - - - - _ _ __
REV-1607 EX AFP C12-1 ** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF:FORTINI ELEANOR FILE NO. : 21 13-0117 ACN: 101 DATE: 12-23-2013
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 PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-18-2013
PRINCIPAL TAX DUE: 5,897.86
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
CIO rTi
r
04-17-2013 CDO17460 294.89 9,00+.& -"- M
12-04-2013 REFUND .00 3,44. 3-
M = C'>
'Pb A r-" rn M
r— M C7) C71
Q C= F-+
> W -*7
TOTAL TAX PAYMENT 5,897.86
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 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 payment is far a resident decadent, make check .r money order payable tat Register of Wills, Agent
If payment is for a non-resident decedent, make check or money order Payable 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 Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available from
department's web site at www.revenue.state.pa.us, any Register of Wills or Revenue District Office or from the
department's 24-hour answering service: 1-BOD-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-BOD-447-3020 (IT only).
REPLY TO: Questions regarding errors should be addressed tot 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 tlue 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-participatio0 penalty is computed on the total of the tax and interest assesxd,
and not paid before Jan'. 18, 1996, (the first day 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 par annum calculated at a daily rate of 0_000164. All taxes which became delinquent on and after
Jan. 1, 1982, will bear interest at a rate which varies from year to year with the rate announced by the PA
Department of Revenue. Rates for 1982 through 199$ can be found in the Pennsylvania Resident Instruction
Booklet (REV-I5D1), 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 2014 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 eS .800219 2001 98 .000247 2002 6X .000164
2003 5% .000137 2004 4/. .000110 2005 5Y. .000137
2006 77 .000192 2007 BY .000219 2008 7% .0001$2
2009 5% .000137 2010 4% .000110 2011-2014 3% .000082
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Any ..tics issued after the tax becomes delinquent will reflect an interest calculation to 15 days
beyond the data of the assessment. If payment is made after the interest computation date shown an the
notice, additional interest must be calculated.