HomeMy WebLinkAbout05-13-14 � pennsylvania
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES �{��y��Fa��"���� TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION ��j�����ri�p� p C C 0 U N T
PO BOX 280601 � '„ji„ ,� � '�, „"t� �,J
HARRISBURG PA 17126-0601 �
l;��i����, � � �y� ��: �,DATE 05-05-2014
� �STATE OF HARVEY SR LARRY E
DATE OF DEATH 04-07-2013
:.�;::`., FILE NUMBER 21 13-0675
OI�PI"1r`�'��� u�1tJ�S! COUNTY CUMBERLAND
CONFAIR SUSAN la-,J�[3��(,��} (�Q �A ACN 101
2331 MARKET ST Amount Remitted
CAMP HILL PA 17011-4642
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
RE6ISTER 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 C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HARVEY SR LARRY E FILE NO. : 21 13-0675 ACN: 101 DATE: 05-05-2014
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: 03-17-2014
PRINCIPAL TAX DUE: 18,141 . 10
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
09-25-2013 CD018172 .00 17,552.04
04-22-2014 CD019049 4.40- 593.46
05-02-2014 SBADJUST .00 .67
TOTAL TAX PAYMENT 18,141 . 10
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.