HomeMy WebLinkAbout02-22-13BUREAU OF INDIVIDUAL TAXES "I"NHERITANCE TAX REV-1607 EX AFP C12-12)
INHERITANCE TAX DIVISION STATEMENT O F A C C O U N T
HARRISBURG6PA 17128-0601 RECOR~~~ (~F~'l~'~ n~
RE~~s~~~ ~C ~~-~-$ DATE 02-19
~i3 FEH 22 p~ ~.? `i
Ci.ERK ~~~
STEVEN W FAHNESTQfj~~~~, ~~~~.g.
1513 CEDAR CLI~~~~~Y7`02~~~2't• ~~
CAMP HILL Rt1~,
-2013
ESTATE OF ADRAGNA LUCREZIA
DATE OF DEATH 12-27-2010
FILE NUMBER 21 11-0243
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 _ _~_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _ ~-
REV-1607 EX AFP C12-12~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:ADRAGNA LUCREZIA FILE NO.: 21 11-0243 ACN: 101 DATE: 02-19-2013
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: 12-24-2012
PRINCIPAL TAX DUE:
22,222.03
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT t+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
03-26-2011 CD014201 1,052.63 20,000.00
09-26-2012 CD016594 .03- 1,169.43
02-07-2013 CD017157 34.97- 34.97
TOTAL TAX PAYMENT ~ 22,222.03
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
I 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. u
rV
~ Pennsylvania
DEPARTMENT OF REVENUE