HomeMy WebLinkAbout09-09-13 � pennsylvania
", DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-16D7 E% AFP c12-12)
INNERIT�NCE TA% DIVISION STATEMENT OF ACCOUNT
PO BOX 280601
NARNISlURG PA 17128-0601 � . .,
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'-" � -, - . .. � DATE 09-03-2013
ESTATE OF B06ART SHIRLEY I
�- � -. � � 'i�'i '� � ^ DATE OF UEATH 03-13-2012
�� FILE NUMBER 21 13-0223
�L ; �, �,�� COUNTY CUMBERLAND
ELLEN B 4�F��I�ERS
811 ANTHONI� QJ� " � �, ����.i�;1 ACN �13090077
MECHANICSB�"'-'�`-�lbi4?U��iA.?.?��E�$ Aeount Raxittaa
MAKE CHECK PAYABLE AND REMIT PAYMEN7 T0:
REGISTER OF WILLS
1 COURTHOUSE SqUARE
CARLISLE PA 17013
NOTE: To ansure proper credlt to your account, subeit the uoaar portion of this form with your taz payn�ent.
CUT ALON6 THIS IINE --► RETAIN LOWER PORTION FOR YOUR RECORDS F
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REV-1607 EX AFP C12-12) ■�■ INHERITANCE TAX STATEMENT OF ACCOUNT ■�■
ESTATE OF:BOGART SHIRLEY I FILE N0. : 21 13-0223 ACN: 13D90077 DATE: 09-03-2013
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN TXE N11MED ESTATE. BELOW IS A SUMMARY OF TXE PRINCIPAL
TAX DUE. APPLICATION OF ALL PAYMENTSi TXE CURRENT BALANCEr AND, IF APPLICABLE� A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: OS-26-2013
PRINCIPAL TAX DUE: .00
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) pMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-22-2013 CD017221 .00 272.71
OS-26-2013 REFUND .00 272.71-
TOTAL TAX PAYMEN7 .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
� IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF AD�ITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A •'LREDIT•' (CR). VDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF TH25 FORM \
FOR INSTRUCTIONS. �