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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 260601 S TAT E M E N T OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 01-06-2014
ESTATE OF JEFFREYS HERMA J
DATE OF DEATH 02-06-2012
FILE NUMBER 21 13-1045
COUNTY CUMBERLAND
AURORA M LEHMAN ACN 12153483
260 BARNSTABLE RD
Amount Remitted
CARLISLE PA 17015-9412
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 ---1 RETAIN LOWER PORTION FOR YOUR RECORDS 4—
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REV-1607 EX AFP C12-13) *** INHERITANCE fAx STATEMENT OF ACCOUNT ***
ESTATE OF:JEFFREYS HERMA J FILE NO. : 21 13-1045 ACN: 12153483 DATE: 01-06-2014
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: 11-22-2013
PRINCIPAL TAX DUE: 147. 13
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID rn
TZ 1
12-26-2013 CDO18576 4.81- 15 1 AC4 p 0-
01-03-2014 SBADJUST .00 40 5
p d
7�- p C>
-n -z't
G> M
—0
TOTAL TAX PAYMENT 147.13
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.
i
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 for a resident decedent, make check or money order payable tat Register of Wills, Agent
If payment is for a non-resident decedent, oke 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, am 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,
ATTNz Post Assessment Review Unit, PO Box 280601, Harrisburg, PA 17128-060I, ar call (717) 787-6505.
OISCOUNT: 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.
PENALTY: The 15 percent tax amnesty non participation penalty is computed on the total of the tax and interest assessed,
and not paid before Jan. 18, 1996, (the first day after the and of the tax amnesty period.)
i NTEREST: Interest is charged beginning with first day of delinquency, or nine months and one day from the data of
death, to the data of payment. Taxes which became delinquent before Jan. 1, 1982, bear interest at the 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 sit. 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 8% .000219 2001 9% .000247 2002 6: .000164
2003 57 .000137 2004 4Y. .000110 2005 57 .000137
2006 7% .00DiF2 2007 an .008219 2008 77 .000192
2009 SY, .000137 2010 47 .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 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.