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HomeMy WebLinkAbout07-14-14 Q7pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISION STATEMENT OF ACCOUNT PD BOX 280601 HARRISBURG PA 17128-0601 DATE 07-07-2014 ESTATE OF HOCKENBERRY TYLER D DATE OF DEATH 07-25-2012 FILE NUMBER 21 12-0945 GLEASON ESQ THOMAS p COUNTY CUMBERLAND ACN 101 49 W ORANGE ST SHIPPENSBURG PA 17257-1813 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 REV-1607 EX AFP (12-13) �( INHERITANCE TAX STATEMENT OF ACCOUNT * ESTATE OF:HOCKENBERRY TYLER D FILE NO. : 21 12-0945 ACN: 101 DATE: 07-07-2014 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: 1 ,559.44 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-17-2014 CDO18666 .00 1,559.44 06-20-2014 CDO19332 34. 14- 34. 14 o-.^3 m ] C= j W c c_; d 3 TOTAL TAX PAYMENT 1,559.44 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.