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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 02-03-2014
ESTATE OF BAKER MADELYN V
DATE OF DEATH 01-03-2012
FILE NUMBER 21 13-0171
COUNTY CUMBERLAND
BLEECHER ESQ ROB ACN 101
STE 200
Amount Remitted
1205 MANOR DR �9
MECHANICSBURG PA 17055-4926
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
REV-1607 EX AFP (12-13)- -- - I*; INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BAKER MADELYN V FILE NO. : 21 13-0171 ACN: 101 DATE: 02-03-2014
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: 12-23-2013
PRINCIPAL TAX DUE: 4,382.60
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
rn
04-02-2013 CDO17387 .00 4,04 VO9 M
01-23-2014 CDO18694 73. 11- 41 M6 G> Q
01-31-2014 SBADJUST .00 W250 03
M G> --i C:7
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TOTAL TAX PAYMENT 4,382.60
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 too portion of this notice and submit with your payment made payable to the name and address
Printed on the rev.rse side.
If Payment is for a resident decedent, make check or money order payable tot Register of Wills, Agent
If payment is for a ..p-resident decedent, make check at money order payable tot 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 as 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.revenue.state.pa.us, arty Ropister of Wills or Revenue District Office or fro. the
deeertment's 24-hour answering service: 1-800.362.2050; services for taxpayers with spacial hearing and/or
speaking needs: 1.800-4473020 (TT only).
REPLY 70s Questions regarding errors should be addressed to, 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 due is Paid within three calendar months after the decoddht's death, a five Percent discount
of the tax paid is allowed.
PENALTY: The 15 Percent tax amnesty non-participation penalty Is computed an the total of the tax and interest assestod,
and not Paid,before Jan. 18, 1996, (the first day after the end of the tax amnesty PeNbd.)
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INTEREST, Clhtgr�est 0charp.d(bpBi inp with first rst day of delinquency, or nine rvo mooths and one day from the data of
(� ri ply, to t e deS M pPent. Taxes which became delinquent before Jan, 1, 1982, bear interest at the rate of
�5£a�ercd.opa r lannuQc ItUlatad at a daily rate of 0.000164. All taxes which became delinquent on and after
of 1982. v� pA4.terest at a rate which varies from year to year with the rate announced by the PA
R a
Tpeoartmet�of R6"�r nue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction
ao431 et [f�R6yY-75O U.-thafannsylrania Non-resitlent Instruction Booklet (REV-1736) or on the Department of
QRiRnuo Web site ww.reVbnue.stata.pa.es. The applicable interest rates for 2000 through 2014 are:
N ..
C/1 rc
Interest Daily Interest Daily Interest Daily
Yeat Rate Factor Year Rate Factor Year Rate Factor
2000 as .000219 2001 9X .000247 2002 By .000164
2003 S% .000137 2004 4% .000110 20D5 SX .000137
2006 7% .000192 200? ex .000219 2008 7X .480192
2009 5% 1000137 2010 4% .000110 2011-2014 5% .000082
Interest is calculated as follow.z
INTEREST - BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
Am notice 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 on the
notice, additional interest must be calculated.