HomeMy WebLinkAbout03-04-13
i pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
RECCf~~ r)
REC , a~ , ATE 02-25-2013
STATE OF COLLINS LOIS S
.`013 112 DATE OF DEATH 03-09-2012
~ 3~ khE NUMBER 21 12-0384
THERESA L SHADE WIX C L E ;ti t COUNTY CUMBERLAND
ACN 101
WIX WENGER & WEIDNER ORPHANS' C.0 F± -
4705 DUKE ST Amount Remitted
CUMBERLAND
HARRISBURG PA 17109-3041
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 PORTION FOR YOUR RECORDS _ F--
REV-1607 EX AFP (12-12) INHERITANCE TAX STATEMENT OF 36;;
ESTATE OF:COLLINS LOIS S FILE NO.:21 12-0384 ACN: 101 DATE: 02-25-2013
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: 02-11-2013
PRINCIPAL TAX DUE: 3,661.82
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
05-31-2012 CDO16054 183.09 3,500.00
02-11-2013 REFUND .00 21.27-
TOTAL TAX PAYMENT 3,661.82
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.
1