HomeMy WebLinkAbout01-07-13BUREAU OF INDIVIDUAL TAXES INHERITANCE
INHERITANCE TAX DIVISION STATEMENT O F
PO BOX 280601
HARRISBURG PA 17128-0601
RECOPC`~'~ ``~~~~~~ CE
~. -~ j ~~
REG15T~ Cr '`'' ~` ~'
~ui3 ~~i~~ ? ~'~ :~ t~
SAMUEL L ANDES CLE~~ ~-
525 N 12TH ST OR~~,"~. ~~~~~
LEMOYNE A~
~y
ry~~~ ~V pennsyLvania
DEPARTMENT OF REVENUE
TAX REV-1607 EX AFP (12-12)
ACCOUNT
DATE 12-24-2012
ESTATE OF DICK MARY S
DATE OF DEATH 09-26-2011
FILE NUMBER 21 11-1048
COUNTY CUMBERLAND
ACN 101
Amount Remitted
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 C12-12~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:DICK
MARY S FILE N0.:21 11-1048 ACN: 101 DATE: 12-24-2012
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: 11-19-2012
PRINCIPAL TAX DUE:
476,706.93
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-31-2011 CD015145 18,421.05 350,000.00
07-11-2012 CD016239 .00 108,285.88
12-11-2012 CD016900 133.19- 133.19
TOTAL TAX PAYMENT I 476,706.93
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I .00
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FDR INSTRUCTIONS.
ice,