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HomeMy WebLinkAbout03-10-14 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 17128.0681 DATE 03-03-2014 ESTATE OF FULLERTON WENDY L DATE OF DEATH 01-30-2013 FILE NUMBER 21 13-0208 COUNTY CUMBERLAND FULLERTON ADAM P ACN 101 APT 9 5312 OXFORD CIR Amount Remikted MECHANICSBURG PA 17055-4421 MAKE CHECK CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper oredit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --I� RETAIN LOWER PORTION FOR YOUR RECORDS 4— REV-1607 EX AFP 012-13) *x* INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:FULLERTON WENDY L FILE NO. : 21 13-0208 ACN: 101 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: 11-01-2013 PRINCIPAL TAX DUE: 2,644.13 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 0-) 05-01-2013 CDO17529 .00 2,464. 13 rn^a 70 02-18-2014 CDO18779 1.59- 181.59 02-28-2014 SBADJUST .00 .05 fir- ED r � }- 3c �t W J TOTAL TAX PAYMENT 2,644.13 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. O\