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HomeMy WebLinkAbout06-09-14 [aJ pennsytvania 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 17128-0601 DATE 06-02-2014 ESTATE OF OWENS GLADYS M DATE OF DEATH 11-12-2011 FILE NUMBER 21 11-1255 COUNTY CUMBERLAND SHEELY ESQ ANDREW C ACN 101 127 S MARKET ST Amount Remitted PO BOX 95 MECHANICSBURG PA 17055-0095 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 1 RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1607 EX AFP (12-13) INHERITANCE TAX STATEMENT OF ACCOUNT ■ ESTATE OF:OWENS GLADYS M FILE NO. : 21 11-1255 ACN: 101 DATE: 06-02-2014 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: 04-21-2014 PRINCIPAL TAX DUE: 5,158.36 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) o DATE NUMBER AMOUNT PAID m M n 01-31-2012 CDO15528 257.92 6,000.00 0 -4 c C3 05-16-2014 REFUND .00 1,099.56-rn C: C-) z V) --i o rrl> = m cn o n ~v m r v s (n o cn TOTAL TAX PAYMENT 5, 158.36 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. V