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HomeMy WebLinkAbout05-03-13 pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12) INHERITANCE TAX DIVISION STATEMENT PO BOX 280601 OF ACCOUNT HARRISBURG PA 17128-0601 R E C 0`' '"" - DATE 04-29-2013 A E 1-1-�tr , ' 'J ESTATE OF COOPER EVA K f ��pp DATE OF DEATH 04-01-2012 i� (rIr1� �II l ( � FILE NUMBER 21 12-0458 COUNTY CUMBERLAND ROBERT G RABDEBACH L.L ;,� C ACN 101 912 N RIVER RD ��� � Amount Remitted HALIFAX PA 1'7d� N4�3 Ciup;3ER1 A D ._.- r MAKE CHECK PAYABLE AND REMIT PAYMENT TO: 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 4-- REV-1607 EX AFP 012-12) * * INHERITANCE TAX STATEMENT OF ACCOUNT _ ** ESTATE OF:000PER EVA K FILE NO. : 21 12-0458 ACN: 101 DATE: 04-29-2013 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: 03-18-2013 PRINCIPAL TAX DUE: 13,204.79 PAYMENTS (TAX CRE:DITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-25-2012 CDO16173 660.24 13,550.00 04-09-2013 REFUND .00 1 ,005.45- TOTAL TAX PAYMENT 13,204.79 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.