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HomeMy WebLinkAbout12-21-12 pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12) INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 4 DATE 12-17-2012 ESTATE OF SINGER WILLIAM J c DATE OF DEATH 06-30-2011 IE' 21 [ *I,-, It ~ FILE NUMBER 21 11-0974 COUNTY CUMBERLAND BRIDGETTE THOMAS„L3~ ACN 11156379 1242 BLACK GAP E5~ v Qr ~J 0% i Amount Remitted FAYETTEVILLE CUMD., IP A 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 4- ----------------------------N----------------------------------------------- REV-1607 EX AFP C12-12) IHERITANCE TAX STATEMENT OF ACCOUNT ESTATE OF:SINGER WILLIAM J FILE NO.: 21 11-0974 ACN: 11156379 DATE: 12-17-2012 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: 10-19-2012 PRINCIPAL TAX DUE: 37.97 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 09-03-2011 CDO14965 .60 11.39 11-29-2012 CDO16849 .47- 26.45 12-14-2012 SBADJUST .00 .05 TOTAL TAX PAYMENT 37.97 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.