HomeMy WebLinkAbout02-08-13~ Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION REY-1607 EX AFP C12-12)
PD sox zso6ol STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601 R E C O R g E D OFFIC E O F
REGISTER OF ~~1~l5 DATE 02-04-2013
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JESSICA L FISHER CLERK CF
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MECHANICSBURG PA 17055-5204
ESTATE OF RILEY PATRICK E
DATE OF DEATH 12-28-2011
FILE NUMBER 21 12-0375
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:RILEY PATRICK E FILE N0.:21 12-0375 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:
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PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
03-28-2012 CD015755 14.54 410.70
01-16-2013 REFUND .00 134.44-
TOTAL TAX PAYMENT 290.80
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.