HomeMy WebLinkAbout12-13-13 7 pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12.72)
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INHERITANCE STATEMENT OF ACCOUNT
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HARRISBURG PA 17128-0601
RECORDED OFFICE OF DATE 12-09-2013
REGISTER OF TWILLS ESTATE OF SCAMBIA DANIEL V
DATE OF DEATH 01-18-2012
,0113 DEC 13 PII(� 3 24 FILE NUMBER 21 12-0093
WALTERS III " A COUNTY CUMBERLAND
'OF ACN 101
54 E MAIN S�jRS q7- Remitted
MECHANICSBUR6'PHAVR' 1905)9'3851 Amount
CUMBERLAND CO., PA
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 --0, RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV_-_1657 _EX_AP__ _2 _12_)_____x_ _ _ _N_HER _TA_NC _TAX ST _T_E
MENT OF ACCOUNT NiEe
ESTATE OF:SCAMBIA DANIEL V FILE NO. : 21 12-0093 ACN: 101 DATE: 12-09-2013
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: 10.03-2013
PRINCIPAL TAX DUE: 101,553.79
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C*> AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-17-2012 CDO15855 41631.58 88,000.00
10-26-2012 CDO16699 5.85- 13,193.98
11-18-2013 REFUND . 00 4,265.92-
1
TOTAL TAX PAYMENT 101,553.79
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.