HomeMy WebLinkAbout02-08-13p,~c~s- ~{~ ~~ ~,~~~ ~.s
BUREAU OF INDIVIDUAL. S ~ INHERITANCE TAX
INHERITANCE TAX DIVIg~aN~, ~~ 8 ~~~ Z ~~,q T E M E N T O F A C C O U N T
PO BOX 280601 UU
HARRISBURG PA 17128-0601
CLARK 4~
OR';~A~IS' ^~~;RT
CNMB~RLA~~C' ~0., ~'~!
STEVE C NICHOLAS EXEC
STE 37
2215 FOREST HILLS DR
HARRISBURG PA 17112-1099
"~~i Pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-12)
DATE 02-04-2013
ESTATE OF PROKOPVLADYKA FREDA
DATE OF DEATH 10-03-2011
FILE NUMBER 21 11-1196
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 - - - _ ~_ RE_TAIN LOWER PORTION FOR YOUR RECORDS _ ~
REV-1607 EX AFP ~C12-12) *~~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ---~
ESTATE OF:PROKOPVLADYKA FREDA FILE N0.:21 11-1196 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:
21.144.76
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
12-29-2011 CD015398 1,057.21 21,500.00
O1-1b-2013 REFUND .00 1,412.95-
TOTAL TAX PAYMENT 21,144.26
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
Y ~~