HomeMy WebLinkAbout03-10-14 �� ' pennsylvanE
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO BOX
HARRISBURG URG PA PA 17128-0601
DATE 03-03-2014
ESTATE OF EDRIS MARVIN J
DATE OF DEATH 10-28-2012
FILE NUMBER 21 12-1186
WILLIAM G DONICKER COUNTY CUMBERLAND
ACN 14101434
9 WALNUT LN
Amount Remittetl
MECHANICSBURG PA 17050-2875
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 (12-13J *-** INHERITANCE -fAY STATEMENT OF ACCOUNT N;■
ESTATE OF:EDRIS MARVIN J FILE NO. : 21 12-1186 ACN: 14101434 DATE: 03-03-2014
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: 01-13-2014
PRINCIPAL TAX DUE: 16,875.00
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
r.a
0
O xi
S rr n
C;7 C)
c.!.. C7 r CD
Cdr" O
O � `n
C -<_ C:
p — f— f
CID
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INTEREST IS CHARGED THROUGH 03-18-2014 TOTAL TAX PAYMENT . 00
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.X BALANCE OF TAX DUE - 16,875.00
INTEREST AND PEN. 322.41
TOTAL DUE
17,197.41
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.
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