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HomeMy WebLinkAbout05-30-14 (2) j pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFT (12-13) INHERITANCE TAX DIVISION STATEMENT PO BOX 280601 OF ACCOUNT HARRISBURG PA 17128-0601 DATE 05-27-2014 ESTATE OF CIGARAUSKAS KATHERINE DATE OF DEATH 05-10-2013 FILE NUMBER 21 13-0854 COUNTY CUMBERLAND HELENA C RATCLIFF ACN 14124823 38 SUNFIRE AVE Amount Remitted CAMP HILL PA 17011-1020 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 7AX STATEMENT OF ACCOUNTx ESTATE OF:CIGARAUSKAS KATHERINE FILE NO. : 21 13-0854 ACN: 14124823 DATE: 05-27-2014 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: 05-19-2014 PRINCIPAL TAX DUE: 22.63 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-18-2013 CDO17984 1 .13 226.36 ry 0 c s a rn m r c? o m —c n �:O > n - o m m CD CD � o G? - -r] N t�1 CIO Cr) C) TOTAL TAX PAYMENT 227.49 BALANCE OF TAX DUE 204.86CR INTEREST AND PEN. •00 TOTAL DUE 204.86CR 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. V