HomeMy WebLinkAbout09-28-12BUREAU OF INDIVIDUAL TAX99Cf'n~L~~~j`1FR~E~HERITANCE TAX
PON80XT288681AX DIVISION T ~GU1~'~~~~ (~,C ~~11~EMENT OF ACCOUNT
HARRISBURG PA 17128-8601 ~
2012 SEP 28 PH 12122
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CARLISLE PA 17013-2423
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DEPARTMENT OF REVENUE
REV-1687 EX AFP (12-1ll
DATE 09-24-2012
ESTATE OF WOLF HAZEL K
DATE OF DEATH 01-04-2012
FILE NUMBER 21 12-0059
COUNTY CUMBERLAND
ACN 101
Amount Remittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
NOTE: To ensure proper <retlit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F
REV-1607 EX AFP C12-11J ^** INHERITANCE TAX STATEMENT OF ACCOUNT ^~~
ESTATE OF:WOLF HAZEL K FILE N0.: 21 12-0059 ACN: 101 DATE: 09-24-2012
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: 08-20-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-28-2012 CD015754 1,171.95 25,000.00
09-04-2012 REFUND .00 2,732.94-
23.439.01
TOTAL TAX PAYMENT 23,439.01
BALANCE OF TAX DUE .00
INTEREST ANO PEN. .00
TOTAL DUE .00 I
+~ 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.
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