HomeMy WebLinkAbout01-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 288601
HARRISBURG PA 1]128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
~ pennsylvania
DEPARTMENT OF REVENUE
REV-168] EX AFP U2-12)
RECQR~g,n n:- ,~ DATE o1-14-zo13
REGlST;- ~'~ ~~STATE OF OTT MARIE E
-~~ Gh ' : S DATE OF DEATN 12-24-2010
9 ~ J p FILE NUMBER 21 12-0769
GERALD J SHEKLETSKI ESaJ JAI, i8 fr~ 1, ~(fOUNTY CUMBERLAND
"'ACN 101
414 BRIDGE ST (~`(-EMj( ~ I~-- Amount Remitted
PO BOX E UR P~{~S, ~`
NEW CUMBERLAND PA 17~p7 4t1~"
VU~B Lbi~i ~ ~,'~;~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, suomit the upper portion of this form with your kaX payment.
CUT ALONG THIS LINE __._~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1607 EX AFP (12-12) ^~~ INHERITANCE TAX STATEMENT OF ACCOUNT ^~^
ESTATE OF:OTT MARIE E FILE NO.: 21 12-0769 ACN: 101 DATE: 01-14-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ALN IN THE NAMED ESTATE. HELDW IS A SUMMARY DF 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: 12-03-2012
PRINCIPAL TAX DUE: 246.78
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-04-2012 CD016466 7.00- 259.29
12-31-2012 REFUND .00 5.51-
TOTAL TAX PAYMENT 246.78
BALANCE OF 7AX DUE .00
INTEREST AND PEN. .00
I TOTAL DUE I .DO I
~ 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 OUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
,:I