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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 FX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-07-2014
ESTATE OF CALHOUN HAZEL R
DATE OF DEATH 03-31-2011
FILE NUMBER 21 11-0573
COUNTY CUMBERLAND
WINSLOW ESQ ANGELA R ACN 101
1500 ONE GATEWAY CENTER Amount Remitted
PITTSBURGH PA 15222
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 (H:173)-
12-13) ■ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:CALHOUN HAZEL R FILE NO. : 21 11-0573 ACN: 101 DATE: 04-07-2014
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: 02-10-2014
PRINCIPAL TAX DUE: 10,152.63
PAYMENTS (TAX CREDITS) :
O
PAYMENT RECEIPT DISCOUNT (+) C> s ;0 rn
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID C l n
O
10-28-2011 CDO15140 .00 9,356.9603 p
10-14-2013 CDO18274 .00 795.67 r— F-1 m M
03-20-2014 CDO18922 42.60- 42.60D M ~-' -0 0
o 0
V �D `n l
l 1
O C�
F
ru r m
r
s N
cn
TOTAL TAX PAYMENT 10,152.63
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 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 or money order payable to: Commonwealth of Pennsylvania
Failure to pay the tex, 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 cam plating 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, arty 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, 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 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 snot 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 Per annum calculated at a daily rate of 0.000164. All taxes which became delinquent on and after
Jan. ;I, 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.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 8Y, .000219 2001 97 .000247 2002 6% .000164
2003 5Y. .000137 2004 4% .000110 2005 SY. .000137
2006 7Y, .000192 2007 BY .000219 2008 7Y, .000192
2009 5% .000137 2010 4Y. .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.