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HomeMy WebLinkAbout01-21-14 s pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP t12-137 INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 RECORDED OFFICE OF REGISTER OF WILLS ESTATE 01-13-2014 ESTATE OF JEFFREYS HERMA J ail �q� �� t 2 �� DATE OF DEATH 02-06-2012 i ( FILE NUMBER 21 13-1045 COUNTY CUMBERLAND AURORA M LEHMAN CLERK OF - 'ACM 12153483 260 BARNSTABLE RD ORPHANS' COURT -- 1 Amount Re CARLISLE PA mitted 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 --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-- REY-1607 EX AFP Cl2-133 **; INHERITANCE TAX STATEMENT OF ACCOUNT *A■ ESTATE OF:JEFFREYS HERMA J FILE NO. : 21 13-1045 ACN: 12153483 DATE: 01-13-2014 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: 11-22-2013 PRINCIPAL TAX DUE: 147. 13 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 12-26-2013 CDO18576 4.81- 151.44 01-03-2014 SBADJUST .00 .20 TOTAL TAX PAYMENT 147. 13 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.