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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
STATEMENT PO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 12-30-2013
ESTATE OF VANCE HOMER R
DATE OF DEATH 07-26-2012
FILE NUMBER 21 12-0862
COUNTY CUMBERLAND
WILEY JAN M ACN 101
3 N BALTIMORE ST
Amount Remitted
DILLSBURG PA 17019-1287
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 4-
REV-1607 EX AFP (12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:VANCE HOMER R FILE NO. : 21 12-0862 ACN: 101 DATE: 12-30-2013
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: 5,884.61
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-26-2013 CDO18066 .00 5,884.& = M
12-09-2013 CDO18503 58.87- 58.VJ p `� M �
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TOTAL TAX PAYMENT 5,884.61
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 matle payable to the name and address
Printed an the reverse side.
If payment is for a resident decedent, make check or money order payable to: Register of Wills, Agent
If payment is for a non-resident decedent, make check ar 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 CPYnty, 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 Tex" (REV-1313). Applications are available from
department's web sita at ww.revanua.state.oa.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 Takes,
ATTN: Past Assessment Review Unit, PO Box 280601, Harrisburg, PA 17128-0601, or c011 (717) 787-6505.
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.
PENALTY: The 15 percent tax amnesty non-participation Penalty Is computed on the total of the tax and interest assessed,
and net Paid before Jan. 18, 1996, Cthe first day after the and of the tax amnesty Period.)
INTERESTx interest is charged beginning with first day of delinquency, or nine months and ane 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 per annum calculated at a daily rate of 0480164. 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 Nan-resident Instruction Booklet (REV-1736) or on the Department of
Revenue Web site ww.revenue.state.pa.us. The applicable interest rates for 2000 through 2014 are:
I. Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
2000 BY .000219 2001 9% .000247 2802 47 .000164
2003 57 .000137 2004 4: .000110 2005 57 .800137
2006 7Y. .000192 2007 By .000219 2008 7Y .000192
2009 57 .000137 2010 48 .000110 20I1-2614 3Y .000062
Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Any notice issued after the fax 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 calc.l.tod.