HomeMy WebLinkAbout08-13-12
~ pennsylvania
~FCCr~ ~ a F►tC ~ 0~.
BUREAU OF INDIVIDUAL TAXES (C(~iti c ,,";;j IkNHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ( lE` REV-1607 EX AFP (12-11)
PO BOX 280601 S'f ktEMENT OF ACCOUNT
HARRISBURG PA 17126-0601
,nji !3 A 13 F1 ~A 4/p1 rl
a.,ic? A U' EL' LJ DATE 08-06-2012
ESTATE OF PREDMORE BERNICE M
DATE OF DEATH 07-24-2011
ORP'rlbu FILE NUMBER 21 11-0847
JAMES W APPEL CUMBER -D CG., PA COUNTY CUMBERLAND
ACN 101
33 N DUKE ST Amount Remitted
LANCASTER PA 17602-2842
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 C12-11) INHERITANCE TAX
STATEMENT OF ACCOUNT*
ESTATE OF:PREDMORE BERNICE M FILE NO.: 21 11-0847 ACN: 101 DATE: 08-06-2012
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: 06-18-2012
PRINCIPAL TAX DUE: 7,467.76
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-20-2011 CDO15103 373.39 7,267.50
07-20-2012 REFUND .00 173.13-
TOTAL TAX PAYMENT 7,467.76
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.