HomeMy WebLinkAbout03-22-13 � pennsylvania
� DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16o7 EX AFP C12-12)
INHERITANCE TAX DIVISION S TAT E M E N T O F A C C O U N T
PO BOX 280601 R������� ������ ��
HARRISBURG PA 17128-0601 i
�E����=� �� '����.S DATE 03-18-2013
ESTATE OF MCLANE ROZELLA M
����� 1 illi� �� �� 1 ��ATE OF DEATH 08-05-2011
FILE NUMBER 21 11-0902
CLERK �� COUNTY CUMBERLAND
KEITH 0 BRENNEMAN Q���Q(�S' C4URT ACN 101
44 W MAIN ST Amount Remitted
MECHANICSBURG PA 1�����9�A�D �Q., �Q
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 �
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REV-1607 EX AFP C12-12� *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MCLANE ROZELLA M FILE N�. : 21 11-0902 ACN: 101 DATE: 03-18-2013
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: 02-06-2013
PRINCIPAL TAX DUE: 22,499.80
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-07-2012 CD015937 3.69- 22,584.74
03-04-2013 REFUND .00 81.25-
TOTAL TAX PAYMENT 22,499.80
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" CCR?, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.