HomeMy WebLinkAbout03-22-13 � pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP C12-12)
INHERITANCE TAX DIYISION ������Q� �COUNT
PO BOX 28D601 ������;�
HARRISBURG PA 17128-0601
����ST�� �F �}��L�.S
DATE 03-18-2013
�_ �� ��� �� �� � �TATE OF HINER MARY J
;ys(
DATE UF DEATH 09-15-2011
����� ��: FILE NUMBER 21 11-1021
DAVID J LENOX 4RPHA�iS� �i�URT COUNTY CUMBERLAND
3 N BALTIMORE ST �( t,� �N 101
�U������i'� ��•' � Amount Remitted
DILLSBURG PA 17019-1287
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:HINER MARY J FILE NO. : 21 11-1021 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: 01-14-2013
PRINCIPAL TAX DUE: 5,069.60
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-29-2012 CD016718 .00 5,069.60
02-20-2013 CD017262 56.54- 56.54
TOTAL TAX PAYMENT 5,069.60
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.