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HomeMy WebLinkAbout02-22-13 ~ Pennsylvania BUREAU OF INDIVIDUAL TAXES I NHER I T INHERITANCE TAX DIVISION ANCE TAX DEPARTMENT OF REVENUE Po Box 280601 HARRISBURG PA 17128-0601 STATEMENT O F ACCOUNT REV-1607 IX AFP C12-12) ~~c~R~~~ Q~~~~~ o~ ~F{x`f~~~~ ~~ ~~ ~ ~ DATE EST I3 .. .. ATE OF HENSCHEN LEAH R ~~~~ FE~ ~2 ~~ ~~ ~~ DATE OF DEATH FILE NUMB 01-30-2012 ER 21 12-0218 ROBERT C SAID IS ESQ COUNTY CUMBERLAND 26 W HIGH ST CLE~~(,~F ACN 101 CARLISLE ~,~f~~,~,'~~R~- Amo t C~f.B:E~LAHO C4 un Remitted ., PA 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 _ _y -RETAIN LOWER P_ORT_ION FOR_ _Y_0_UR RECORD REV-1607 EX AFP C12-12~ - *~* INHERITANCE TAX STAT - - - S ' E-~ - - - - - - EMENT OF ACCOUNT * * * - - - - - - - - ESTATE OF:HENSCHEN LEAH R FILE NO.: 21 12-0218 ecN. ini THIS STATEMENT PI?nvrnre~ ,.~~.,......._ _ --------~~ a+VRRGnI sIATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOM1vIS A SUMMARY'OF• THE PRINC PA3 TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJEC TE1 INTFRGCr rrc~~~r,.- DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-14-2013 PRINCIPAL TAX DUE: 40,687.23 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) 04-25-2012 CD015891 10-29-2012 1,315.79 CD016704 .00 02-01-2013 REFUND .00 TOTAL DUE AMOUNT PAID 25,000.00 14,592.03 220.59- TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. 40,687.23 .00 .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 FOR INSTRUCTIONS. THIS FORM .00