HomeMy WebLinkAbout01-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
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DEPARTMENT OF REVENUE
REY-160] E% AFP Q2-1ZJ
DATE 01-14-2013
ESTATE OF SHUMAN WILLIAM R
DATE OF DEATH 09-21-2011
FILE NUMBER 21 11-1036
COUNTY CUMBERLAND
ACN 101
Amount Remittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WLLLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper cretlit 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 (12-12) ^** INHERITANCE TAX STATEMENT OF ACCOUNT **~
ESTATE OF:SHUMAN WILLIAM R FILE N0.: 21 11-1036 ACN: 101 DATE: 01-14-2013
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: 12-17-2012
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-21-2012 CD016417 .00 31,097.86
01-04-2013 CD017010 155.55- 155.55
31,097.86
TOTAL TAX PAYMENT 31,097.86
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" (CRT, YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. i,;
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