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HomeMy WebLinkAbout06-09-14 lupennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISION STATEMENT PO BOX 2BO601 OF ACCOUNT HARRISBURG PA 17128-0601 DATE 06-02-2014 ESTATE OF BLANK NORMA DATE OF DEATH 03-06-2010 FILE NUMBER 21 11-1283 COUNTY CUMBERLAND AL BLANK ACN 10171338 7 MCCOY LANE Amount Remitted CARLISLE PA 17013 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 H REV-1607 X AFP C12-13) x INHERITANCE TAX STATEMENT OF ACCOUNT X;; ESTATE OF:BLANK NORMA FILE NO. : 21 11-1283 ACN: 10171338 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: 05-12-2014 PRINCIPAL TAX DUE: .00 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-11-2012 CDO15963 .00 91 .88 05-19-2014 REFUND .00 91 .88- . .v C= c rn c m m co �_ o p G -._ r In cn o �rj 17 ) O -10 'ri '7T C? -n 3 -n ' CJ N F m r D C (n n co TOTAL TAX PAYMENT .00 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