HomeMy WebLinkAbout04-07-14 IDDEPARTMENT OF REVENUE
pennsylvania
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT
PO Box 280601
HARRISBURG PA 17128.0601
DATE 03-31-2814
ESTATE OF NELSON THELMA G
DATE OF DEATH 03-28-2012
FILE NUMBER 21 12-0426
DAVIS OUNTY CUMBERLAND
AYIS HAMILTON C
ACN 101
STE 6 Amount Remitted
20 E BURD ST
SHIPPENSBURG PA 17257-1328 -`_-_-_-
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 E—
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REY-1607 EX AFP C12-13) xx INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:NELSON THELMA G FILE NO. : 21 12-0426 ACN: 101 DATE: 03-31-2014
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: 03-07-2014
PRINCIPAL TAX DUE: 12,147.07
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID t-)
09-04-2013 CDO18116 .00 12, 147.07
03-17-2014 CDO18906 70.26- 70.26
03-17-2014 CDO18907 178.75- 178.75 C-> rn
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TOTAL TAX PAYMENT 12,147.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. . 00
TOTAL DUE
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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. \\\'