HomeMy WebLinkAbout01-25-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
TERRY CLAY
1485 HUNTLEY CT
YORK
INHERITANCE TAX
STATEMENT OF ACCUUNT
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-12)
DATE 01-22-2013
ESTATE OF SIMMONS CAROLINE R
DATE OF DEATH 10-16-2011
FILE NUMBER 21 11-1140
COUNTY CUMBERLAND
ACN 11170329
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 P_ORTI_ON FOR YOUR RECORDS _ ~-- _ _ _ _ _ _ _ _ _ _ _ _ _ _
REV-1607 EX AFP C12-12~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SIMMONS CAROLINE R FILE N0.:21 11-1140 ACN: 11170329 DATE: 01-22-2013
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: 12-28-2012
PRINCIPAL TAX DUE:
1,948.86
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-17-2011 CD015220 97.44 1,948.86
01-07-2013 REFUND .00 97.44-
TOTAL TAX PAYMENT 1,948.86
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .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. V~