HomeMy WebLinkAbout11-16-12BUREAU OF INDIVIDU,-I-~p~~f'., ` i~!;;C QF INHERITANCE TAX
INHERITANCE TAX pIVISI •
HARRISBURG6PA nlza-osol r"-~- --' _: ~ _ s.~'. I C STATEMENT OF ACCOUNT
~Iy~U~1N~ 1-t. v i5 l ~,. i~ ~.
310AW KCHOC OI E~~AVDE `'~~ PA
HERSHEY PA 17033-1635
DATE
ESTATE OF
DATE OF DEA
FILE NUMBER
COUNTY
ACN
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (1z -11)
11-13-2012
BREZINA WINIFRED R
IH 01-08-2012
21 12-0084
CUMBERLAND
101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper cre tlit to your account, submit tha u
pper portion of this form with your tax payment.
CUT ALONG THIS LINE _~__ RE_TAIN LOWER P_OR TION FOR YOUR RECORDS (~
___________________________
REV-1607 EX AFP (12-11) r~~ INHERITANCE TAX STATEMENT OF ACCOUNT ^*~
ESTATE OF:BREZINA WINIFRED R FILE N0.: 21 12-0084 ACN: 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARIVTOF• THE P INCU q2
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, q PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-01-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT DISCOUNT (+)
NUMBER INTEREST/PEN PAID (-)
03-02-2012 CD015658 2,105.26
05-24-2012 CD016022
10-26-2012
REFUND .0.0
.00
48,080.97
AMOUNT PAID
40,000.00
6,082.61
106.90-
TOTAL TAX PAYMENT 48,080.97
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" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
Hq