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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT
EX AFP VENN)
INHERITANCE TAX DIVISION
PO BOX 280601 S TAT E M E N T OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 12-16-2013
ESTATE OF FRY RUTH R
DATE OF DEATH 03-27-2013
FILE NUMBER 21 13-0453
OSZUSTOWICZ JOHN C COUNTY CUMBERLAND ACN 101
104 S HANOVER ST
CARLISLE PA 17013-3420 Amount Remitted
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 _ �_ _ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ F— _ _ _ _ _ _
REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT x*;
ESTATE OF:FRY RUTH R FILE NO. : 21 13-0453 ACN: 101 DATE: 12-16-2013
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: 11-12-2013
PRINCIPAL TAX DUE: 3,525.77
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) C7
w X M
06-11-2013 CDO17723 168.42 3,200.08 G-)
08-29-2013 CDO18086 .00 148.7Fn S C-) C Ct) =�
12-06-2013 CDO18491 .00 8.5 b r" N M M
r• M wrn
U= PIc C> c�
CY
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CZ C>
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TOTAL TAX PAYMENT 3,525.77
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE 7 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. �\
PAYMENTi Detach the top Portion of this notice and submit with Your Payment nade payable to the name and address
printed on the reverse side.
If Payment is for a resident decedent, make check or money order payable tae 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 lion of record in the
appropriate county, or the isSUSnCE of an Orphan's Court citation.
REFUND (CR)t 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 ww..r.v.nue.stat..Pa.us, any Register of Wills 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: 1-800-447-3020 (TT only).
REPLY TO: Questions regarding errors should be addressed to: PA Department of Revenue,Bureau of Individual Taxes,
ATTN: Post Assessment Review Unit, PD Box 280601, Harrisburg, PA 17128-0601, or call (717) 787-6505. !
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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.
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PENALTY, The 15 Percent tax amnesty non-participation Penalty is computed on the total of the tax and interest assessd,
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 data of Payment. Taxes which became delinquent before Jan. 1, 1982, beer interest atthe rate of
six percent Per 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 1999 can be found in the Pennsylvania 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."s. The applicable interest rates for 2006 through 2014 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 8% .000219 2001 98 .000247 2002 6'4 .000164
2003 5Y .000137 2004 4Y. -000110 2005 By .000137
2006 78 .000192 2007 BY .000219 2008 7X .000192
2009 5% .000137 2010 4Y. .000110 2011-2014 3Y. .000082
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Interest is calculated as follows, i
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Any notice issued after the tax becomes delinquent will reflect an interest calculation to 15 days '
beyond the date of the assessment- If payment is made after the interest computation date shown on the
notice: additional interest must be calculated.