HomeMy WebLinkAbout07-03-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(t 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 171280601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019377
GILROY HUBERT XAVIER
TEN EAST HIGH STREET
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ' $6,224.87
ESTATE INFORMATION: SSN: 124-22-7962
FILE NUMBER: 2113-0551 i
DECEDENT NAME: NAGY WILLIAM A
DATE OF PAYMENT: 07/03/2014
POSTMARK DATE: 07/03/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 04/22/2013
TOTAL AMOUNT PAID: $6,224.87
REMARKS: RCPT TO ATTY
CHECK# 16440
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
k pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT REV-1607 E% AFP c12-137
PO BOX 280691
HARRISBURG PA 17128.0601
DATE 06-23-2014
ESTATE OF NAGY WILLIAM A
DATE OF DEATH 04-22-2013
FILE NUMBER 21 13-0551
COUNTY CUMBERLAND
GILROY HUBERT X ACN 101
10 E HIGH ST ,Amount Remittal
CARLISLE PA 17013-3015
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 +—
REY-1607 EX AFP C12-13) x;■ ZNHERZTANCE 74k STATEMENT OF ACCOUNT
ESTATE OF:NAGY WILLIAM A FILE NO. : 21 13-0551 ACN: 101 DATE: 06-23-2014
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: 10,815.93
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID r'.a
DATE NUMBER INTEREST/PEN PAID C-) o
07-16-2013 CDO17883 540.80 15,000.E G
02-06-2014 CDO18737 .00 1,500.0(! C:'
06-04-2014 REFUND , 00 6,224.§ --+- --�
r1TM
-rI
70 �, m
CO CD r-- IIT
.0 o Cn o
TOTAL TAX PAYMENT 10,815.93
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
r 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.