HomeMy WebLinkAbout02-08-13BUREAU OF INDIVIDUAL TAxES INHERITANCE TAX
POHBOXT280601~ DIVISION TAT E M E N T O F A C C O U N T
HARRISBURG PA 17128-PPB1C ~ R ~ ~ ~ ~ ~ r~ C E ~~
RFG15Tr 0~'''~S LS
?0~3 FEB 8 ~~ 2 ~?
CLERK C
GREGORY M~~ ~ ~~_)~~
4245 STAT {~
EL IZABE~~~ ~i'~ 1'~/~2'3~433
~ pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-12)
DATE 02-04-2013
ESTATE OF GARDOSIK ELIZABETH M
DATE OF DEATH 09-28-2011
FILE NUMBER 21 11-1103
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 L INE - - - - y_ RETAIN LOWER PORTION FOR YOUR RECORDS _ ~
REV-1607 EX AFP C12-12) *** INHERITANCE TAX STATEMENT OF ACCOUNT **~ ---
ESTATE OF:GARDOSIK ELIZABETH M FILE N0.:21 11-1103 ACN: 101 DATE: 02-04-2013
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::
7 . riRl. 47
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-19-2011 CD015366 379.32 8,200.00
01-16-2013 REFUND .00 992.90-
TOTAL TAX PAYMENT 7,586.42
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.