HomeMy WebLinkAbout02-06-13BUREAU OF INDIVIDUAL raxES INHERITANCE TAX
INHERITANCE TAX DIVISION S TAT E M E N T O F AC C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED OFFICE OF
REG;S7ER OF MILS
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GERALD J SHEKLETSK~L~K OF
414 BRIDGE ST ORPHANS' COURT
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-12)
DATE 01-28-2013
ESTATE OF SELLERS DOROTHY M
DATE OF DEATH 08-22-2012
FILE NUMBER 21 12-0964
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 C12-12~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:SELLERS DOROTHY M FILE NO.: 21 12-0964 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: 01-14-2013
PRINCIPAL TAX DUE: 6,314.18
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-02-2012 CD016725 315.71 6,001.75
01-14-2013 REFUND .00 3.28-
TOTAL TAX PAYMENT 6,314.18
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.
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