HomeMy WebLinkAbout03-22-13 � pennsylvania
� DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP C12-12)
INHERITANCE TAX DIVISI�N S TAT E M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
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���,��-��� �� �`�� �� DATE 03-18-2013
ESTATE OF VERNER GREGORY A
��f�� ��� �� �rn � �� DATE OF DEATH 08-05-2012
! � FILE NUMBER 21 12-0879
MARY A ETTER DISSINGE��,.���( �; COUNTY CUMBERLAND
ACN 101
400 S STATE RD Q�P�A�s,' (r'�i���' Amount Remitted
MARYSVILLE ���������1�2�.� �A
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 RECDRDS �
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REV-1607 EX AFP C12-12� *** INHERITANCE TAX STATEMENT OF ACCUUNT ***
ESTATE OF:VERNER GREGORY A FILE N0. : 21 12-0879 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: 18,876.02
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+� AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-29-2012 CD016710 943.80 17,932.22
03-04-2013 CD017265 .00 2,547.61
T�TAL TAX PAYMENT 21,423.63
BALANCE OF TAX DUE 2,547.61CR
INTEREST AND PEN. .00
TOTAL DUE
2,547.61CR
* 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.