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HomeMy WebLinkAbout06-23-14 VaPennsylvania l DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-33) INHERITANCE TAX DIVISION Pb BOX 280603 STATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 DATE D6-16-2014 ESTATE OF WARCHOLA BETTY L DATE OF DEATH 03-21-2013 FILE NUMBER 21 13-0877 COUNTY CUMBERLAND LYNDE K BLYMIER ACN 13124716 132 REX DR CARLISLE PA 17015-8844 Amount Remitted 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 f— REV-1607 EX AFP C12-13) *sae INHERITANCE TAX STATEMENT OF ACCOUNT ■;; ESTATE OF:WARCHOLA BETTY L FILE NO. : 21 13-0877 ACN: 13124716 DATE: 06-16-2014 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: 02-21-2014 PRINCIPAL TAX DUE: 29.46 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) ry 0 CO M C-) c c> o co z n a-3 M c.3 -M Kz� :Z - x r o L C- m T c C'O M ;> rn -rl INTEREST IS CHARGED THROUGH 07-01-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM. * BALANCE OF TAX DUE 29.46 INTEREST AND PEN. .46 TOTAL DUE 29.92 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. , \(�