HomeMy WebLinkAbout04-25-14 pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 04-21-2014
ESTATE OF MIXELL DOROTHY M
DATE OF DEATH 09-02-2012
FILE NUMBER 21 12-1273
COUNTY CUMBERLAND
GRIFFIE BRADLEY L
ACN 101
200 N HANOVER ST
CARLISLE PA 17013-2423 Amount Remitted
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
ESTATE OF:MIXELL DOROTHY M FILE NO. : 21 12-1273 ACN: 101 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: 03-14-2014
PRINCIPAL TAX DUE: 1,072.83
PAYMENTS (TAX CREDITS) :
6; 11
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID c
n s = rn
rrl
04-03-2014 CDO18972 26.66- 1,099.49 Co E p
04-11-2014 SBADJUST .00 .17 rn N ;:0
�) I– IV --A O
(TT
r rri m
O T
C —) d D -*1 TI
O — A
r . r- m
r
,y N Cn O
Co
TOTAL TAX PAYMENT 1,072.83
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.
V