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HomeMy WebLinkAbout03-21-14 pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL.TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE I" DIVISION STATEMENT 0 F ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 DATE 03-17-2014 ESTATE OF KOST II R N DATE OF DEATH 11-21-2012 FILE NUMBER 21 13-0199 COUNTY CUMBERLAND HALBRUNER ESQ MARK E ACN 101 STE 100 Amount Remittetl 1013 MUMMA RD LEMOYNE PA 17043-1144 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 * ESTATE OF:KOST II - R N FILE NO. : 21 13-0199 ACN: 101 DATE: 03-17-2014 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: 11-04-2013 PRINCIPAL TAX DUE: 10,718.97 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) ry 02-15-2013 CD017187 426.32 8,100.0qn 02-16-2013 CD017189 109.63 2,100.0 rn t?1 03-03-2014 3G- O rn r\) rn m CO .r �Io 7C O p T )-A K) rn TOTAL TAX PAYMENT 10,718.97 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. a