HomeMy WebLinkAbout03-22-13 r penn�ylvan�a
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUA� TAXES ����� �,,. N ERIT�ANCE TAx REV-1607 EX AFP C12-12}
INHERITANCE TAX DTVISION ';�;����17��� � ACCOUNT
PO BOX 280601 �������.� �� �,i,����
fiARRISBUR6 PA 17128-Ob01
#� �} DATE 03-18-2013
���� �#�� L� �� �. ��� ESTATE CIF BOHhI JEAN M
DATE OF DEATH O$-04-2di2
�L��� �� FILE NUMBER 21 12-1013
�}�F��"�A�S' ���3��` Ct�UNTY CUMBERLAND
BETSY H SPROW ��B�R�.�I�� �{�,� �� ACN 101
522 WASFIIIVGTCJN STREE� Amount Remitted
PD BQX 1179
READING PA I9603-1179
MAKE CHECK PAYABLE AND REMiT PAYMENT TC►;
REGISTER OF WILLS
1 CCIURTHQUSE S6�UARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper po�tion of this form with your tax payment.
CUT ALONG TNIS LINE �i RETAIN La1�lER PORTItiN FOR YC?UR RECQRDS 4--�
__ _______ ______ _________,.__..___ ____ __-- ------------ --------- -- --- ------ ----
REV-1b07 EX AFP C12-12� *�� INHERITANCE TAX STATEMENT OF ACCOUNT �**
ESTATE dF:BDNN JEAN M FILE NQ. : 21 12-ltll3 ACN: 1Q1 DATE: 03-18-2Q13
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 APP�ZGAB�Es A PROJECTED INTEREST FI6URE.
DATE 4F �AST ASSESSMENT dR RECORD ADJUSTMENT; 03-04-2013
PRINCIPA� TAX DUEc 11,492.68
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCCIUNT C+� AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-�
10-19-2012 CD0166b5 574.63 11,q00.00
03-04-2013 REFUND .00 81.95-
TOTAL TAX PAYMENT 11r492.68
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.OD
� IF PAZD A�TER `CHIS DATE, SEE REYERSE SIi�E F�R CA�.CULATION OF ADDI720NAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. 5EE REVERSE SIDE OF 7HIS FQRM
FOR INSTRUCTIONS.