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HomeMy WebLinkAbout04-25-14 pennsyLvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 DATE 04-21-2014 ESTATE OF MILLER DOROTHY DATE OF DEATH 09-25-2008 FILE NUMBER 21 09-0959 COUNTY CUMBERLAND CHARLES L. MILLER ACN 08148864 45 SOUTH WEST AVEN Amount Remitted SHIREMANSTOWN PA 17011 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 F REV-1607 EX AFP (12-13) INHERITANCE TAX STATEMENT OF ACCOUNT X;; ESTATE OF:MILLER DOROTHY FILE NO. : 21 09-0959 ACN: 08148864 DATE: 04-21-2014 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: 01-01-2010 PRINCIPAL TAX DUE: 116.46 PAYMENTS (TAX CREDITS) : PAYMENT 'RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) - 05-07-2010 CDO12723 4.64- 122.00 F rV R� O c m 3 73 n m -v � O rn C') =:0 W A M n ^3 m m o n C -T1 -Ti � — A F'' r m r n N (n o TOTAL TAX PAYMENT 117.36 BALANCE OF TAX DUE .90CR INTEREST AND PEN. .00 TOTAL DUE .90CR IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. \r1nJ' V \