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COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
P.O. BOX 8327
HARRISBURG, PA 17105
INHERITANCE TAX
STATEMENT OF ACCOUNT
ACN
101
REV. 1607 (EX) (11-84)
ESTATE OF ERTEL
DATE OF DEATH 03~29-78
NOTE: TO INSURE ~ROPER CREDIT TO YOUR ACCOUNT, SU8MIT THE
TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE
LAWRENCE
E
DATE 07-08-
FILE NO. 21 78-0196
COUNTY CUMBERLAND
UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
CHECKS PAYABLE TO: REGISTER OF WILLS, AGENT.
RONALD
PO ;BOX
HBG
M KATZMAN ESg
1268
PA 17108
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
Amount Remitted to Register of Wills
~I,J-r: _A_L9!'1~ _ -r:HJ~ ~L!~E_ _ _ _ _-:-_ _ _ _ ,!EJ!,~N_ J,.()~'3 _P_O_R!~O_N_ ~()'3 _Y_O_U_R_ ~IJ,.~~ _ _ _ _ _~ _ _ _ _ _ _ _ _ _ _ _
REV. 1607EX (11-84), .. INHERITANCE TAX STATEMENT OF ACCOUNT ..
I
ESTATE OF ERTEL I LAWRENCE E FILE NO. 21 78-0196 ACN 101 DATE 07-08-85
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN
BELOW IS A SUMMARY' OF THE PRINCIPAL TAX DUE. THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND,
IF APPLICABLE, A PROuECTED INTEREST FIGURE.
DATE OF LAST ASSES'SMENT OR RECORD ADJUSTMENT: 06-12-85
PRINCIPAL T AX DUE:....c..............................................................................................................................................
3D4.23
,
PAYMENTS (TAX CRErnITSI:
,
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
02-11-85 120864 111.56- 304.22
02-11-85 , 89.21
ABATED .00
06-18-85 147:148 .47- 22.86
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TOTAL TAX CREDITS
304.26
BALANCE OF TAX DUE
.03CR
INTEREST
.00
TOTAL DUE
.D3CR
,
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR). NO PAYMENT IS REQUIRED)
. IF PAID AFTER THIS DATE SEE REVERSE SIDE FDR CALCULATION OF ADDITIONAL INTEREST
,
PAYMENT:
REFUND ICRI:
REPLY
TO:
DISCOUNT:
INTEREST:
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Detach the top portion of this Notice .nd submit with your p.lyment to the Register of Wills.
--Address information is listed on page , 3 of the booklet. "Instructions for Inheritance Tax Return for I Resident
Decedent"
--Make check or money order payoble to: REGISTER OF WILLS, AGENT.
A refund of a tax credit which was not requested on the Tax Return, may be requested by completing ., "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV- 1313). Applications.. h'aillble It the Office
of the Register of Wills. ."y of the 24 Revenue Field Offices. or from the Oep..-tment's Forms Service Unit 24
hour Forms Ordering telephone lines in Harrisburg - (717) 233-3443. in Philodelphll - (215) 351-2065.
or In Pittsburgh - (412) 565-3601.
Questions regarding .rrors contained on tnis notice should be addressed to: PA Oepartment of Revenue. Bureau
of Examination. P.O. Box 8327. Harrisburg. PA 17105. ATTN: Post Assessment Review Unit
If any tax due is paid within three (3) calendlir months after the decedent's death. I five percent (5%) discount of
the tax paid is allowed.
Interest is calculated on I dlily basis at
Delinquent Date
5/27/43 to ..,d including 12/31/81
1/1/82 to ..,d including 12/31/82
111/83 to ..,d including 12/31/83
1/1/84 to and including 12/31/84
1/1/85 to ..,d including 12/31/85
the follOWIng rates:
Interest Rite
Dlily Interest Factor
,000164
.000548
,000438
,000301
,000356
6%
20%
16%
11%
13%
--T,xes that became delinquent on or before December 3 1. 1981 will maintain a consant interest flte until the
delinquent bllance is plid in full.
--T,xes thlt became delinquent on or Ifter January 1.1982 .e subject to a variable interest rate that chlnges
each calend. year.
--Interest is calculated IS follows:
INTERESt . BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued Iftef the Uix becomes delinquent will reflect an interest calculation to fifteen (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.