HomeMy WebLinkAbout05-24-13 Pennsylvania
" DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-12)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
RECORDED n)!'f . cl GR' DATE 05-20-2013
REGISTER O ESTATE OF HERCHELROATH REJANE Y
)� DATE OF DEATH 09-13-2011
M1J t9 FIR 2Li hil C2 07 FILE NUMBER 21 11-1006
COUNTY CUMBERLAND
LINDA J OLSEN ACN 101
2000 LINGLESTOWN RD CLERK C�'�
HARRISBURG P 1
�U-AA�7CGURI I Amount Remitted
�UMBERLANID Co., rti
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 --I� RETAIN LOWER PORTION FOR YOUR RECORDS +—REV-1607 EX AFP C12-12) Xx� INHERITANCE TAX STATEMENT OF ACCOUNT ■*a
ESTATE OF:HERCHELROATH REJANE Y FILE NO. : 21 11-1006 ACN: 101 DATE: 05-20-2013
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: 04-25-2013
PRINCIPAL TAX DUE: 6,411.48
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-) -
06-08-2012 CDO16096 . 00 7,029.75
04-30-2013 REFUND 00 618.27-
TOTAL TAX PAYMENT 6,411 .48
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.