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HomeMy WebLinkAbout02-06-13~ ~~ pennsylvan~a T~ /~ DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES RECjQRDED O'~~t1~16ERifTANCE TAX INHERITANCE TAX DIVISION REV-1607 EX AFP C12-12) PD Box zeosol REGIS~'~~t~~'~~.E9~T OF ACCOUNT HARRISBURG PA 17128-0601 }} yy CC p r~ CQ13 fEU ~ ~t t 1 C~ DATE 01-28-2013 ESTATE OF WELLS FRANKLIN C ~,(„ERj( Q~' DATE OF DEATH 01-03-2012 ORPHANS' CiV~f~T FILE NUMBER 21 12-0028 ELIZABETH H FEATg~~ERLANa CQ., ~'A COUNTY CUMBERLAND ACN 101 3631 N FRONT ST Amount Remitted HARRISBURG PA 17110-1533 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: 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:WELLS FRANKLIN C FILE N0.:21 12-0028 ACN: 101 DATE: 01-28-2013 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: 09-24-2012 PRINCIPAL TAX DUE: 4,827.33 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) D DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAI 04-02-2012 CD015782 234.00 4,446.00 06-20-2012 CD016150 .00 181.26 01-14-2013 REFUND .00 33.93- TOTAL TAX PAYMENT 4,827.33 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.