HomeMy WebLinkAbout01-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD Box zsobBl
HARRISBURG PA 17128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
RECORDED r;-,rf~ 0~~
RECIS7E;~ Or: i'.`i'-'.S
JERRY A WEIGLE E3Q~ ~~~'~ ~U i11~ ~y ~~
126 E KING ST ~~++''
SHIPPENSBURG PA 17P3~'~~;~
ORPHAf~g• cL,unr
CUMBERLq,~r~ C7 ~A
~ Pennsylvania
DEPARTMENT OF REVENUE
REV-160] EX AFP (12-12)
DATE 01-14-2D13
ESTATE OF BRUNDZO EVELYN
DATE OF DEATH 10-15-2011
FILE NUMBER 21 11-1289
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 ~
REV-1607 EX AFP (12-12) ^~^ INHERITANCE TAX STATEMENT OF ACCOUNT ^*~
ESTATE OF:BRUNDZO EVELYN FILE N0.: 21 11-1289 ACN: 101 DATE: 01-14-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ALN 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 DF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-10-2012
PRINCIPAL TAX DUE:
2,452.37
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-21-2012 CD016531 .00 2.452.37
01-02-2013 CD017000 13.67- 13.67
TOTAL TAX PAYMENT I 2.452.37
BALANCE OF TAX DUE .DD
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" (C R), YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS. ~~.,~