HomeMy WebLinkAbout01-18-13BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
~ Pennsylvania
DEPARTMENT OF REVEN UE
REV-1607 EX AFP (12-12)
DATE 01-14-2013
REOORD'y ,^,~rult~~ ~EISCTATE OF LIDDLE SAMUEL D
REGlST~;q ~~ i ~~i~~ HATE OF DEATH 10-25-2011
f~q 1 ~-L BILE NUMBER 21 12-1343
VIRGINIA T LIDDLE L~113 .iM~V i8 qlp ~ G~NTY CUMBERLAND
I ~ I OCI• 12106381
3 W SHORE DR q
~~ L(1 Amount Remitted
CAMP HILL PA 17011-77
0
ORPHANS' Ci;{,~;
CUMBERL~PSD ';(~, p~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 7HIS LINE ~'- RETAIN LOWER PORTION FOR YOUR RECORDS (-
REV-1607 EX AFP (12-12) ^~^ INHERITANCE TAX STATEMENT OF ACCOUNT ~~^
ESTATE OF:LIDDLE SAMUEL D FILE N0.: 21 12-1343 ACN: 12106381 DATE: OL-14-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW 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: 12-17-
PRINCIPAL TAX DUE: 26.27
PAYMENTS (TAX CREDITS):
P DAT ENT NEUMBER (INTEREST/PEN PAID (-)I AMOUNT PAID
12-29-20121 CD016987 I .34-
26.62
70TAL TAX PAYMENT 26.28
BALANCE OF TAX DUE .OLCR
INTEREST AND PEN. .00
TOTAL DUE
.O1CR
+~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR7, VOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM ,~'Y+.
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