HomeMy WebLinkAbout04-25-14 [ J pennsylvania
ill DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REV-1607 IX AFP (12-13)
INHERITANCE TAX D1v1s1DN
PD BOX STATEMENT OF ACCOUNT
HARRISBURG URG PA PA 17128-0681
DATE 04-21-2014
ESTATE OF DORN NELLIE M
DATE OF DEATH 07-11-2013
FILE NUMBER 21 13-0820
WALTERS III MURREL COUNTY CUMBERLAND
ACN 101
54 E MAIN ST
M ECHANICSBURG PA 17055-3851 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 (—
REV-1607 EX AFP (12-13) ■■* INHERITANCE TAX STATEMENT OF ACCOUNT *x
ESTATE OF:DORN NELLIE M FILE NO. : 21 13-0820 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: 03-10-2014
PRINCIPAL TAX DUE: 42,445.58
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) rl
o
10-01-2013 CDO18194 2,105.26 40,000.00 (= -`_ � IY1 rrI 11-13-2013 CDO18392 . 00 445.58 -` ) ]
n
CID 17 ( O
04-01-2014 REFUND . 00 105.264-n - C�,
r rn cNil rn m
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t o 0
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� N Cn CD i
TOTAL TAX PAYMENT 42,445.58
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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.