HomeMy WebLinkAbout01-07-13 (2)BUREAU OF INDIVIDUAL rnxES INHERITANCE TAX REV-1607 EX AFP clz-1zI
INHERITANCE TAX DIVISION _S TA_T_E M E N T O F AC C O U N T
PO BOX 280601 n~y ~a
HARRISBURG PA 17128-0601 RECtii`~t:e~ y~''i~y~-, ~~
REGIS r~.R ~~" sr='~~.~~ DATE 12-31-2012
X013 ~P,1! ? P~ 3 37
CLERK Q
SETH T MOSEBEY ORIaHANS' CC~;R~'
MARTSON LAW OFFICE.
10 E HIGH ST GU:~tBERLAt~D CC., I'~1
CARLISLE PA 17013-3093
ESTATE OF GRIFFIE MARLIN J
DATE OF DEATH 01-09-2012
FILE NUMBER 21 12-0091
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 F-'
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REV-1607 EX AFP C12-12) *~* INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:GRIFFIE MARLIN J FILE N0.:21 12-0091 ACN: 101 DATE: 12-31-2012
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: 12-24-2012
PRINCIPAL TAX DUE:
29,648.29
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-30-2012 CD015768 1,482.41 35,000.00
12-17-2012 CD016931 .00 3,421.84
TOTAL TAX PAYMENT I 39,904.25
BALANCE OF TAX DUES 1D,255.96CR
INTEREST AND PEN. ~ .00
TOTAL DUE
10,255.96CR
* 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.
~ Pennsylvania
DEPARTMENT OF REVENUE