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HomeMy WebLinkAbout06-23-14 [ Ji pennsylvania 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 06-16-2014 ESTATE OF UBER RICHARD B DATE OF DEATH 08-14-2013 FILE NUMBER 21 13-0910 COUNTY CUMBERLAND KELLY JACQUELINA ACN 101 STE 12 Amount Remitt¢d 845 SIR THOMAS CT HARRISBURG PA 17109-4843 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)- - - - --�■ INHERITANCE TAX STATEMENT OF ACCOUNT N;; ESTATE OF:UBER RICHARD B FILE NO. : 21 13-0910 ACN: 101 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: 05-27-2014 PRINCIPAL TAX DUE: 53,241 .90 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-29-2014 CDO18712 .00 54,602.05 05-30-2014 REFUND .00 1,360. 15 n `o c � m m 3'. _ C� C ? M 7D r ry m r M w o L G> X1 X © O t� C n �7 :3 n r M v 1 s (j) O `Y Cn T7 TOTAL TAX PAYMENT 53,241 .90 BALANCE OF TAX DUE .DO 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