HomeMy WebLinkAbout06-30-14 (2) pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 06-23-2014
ESTATE OF RILEY JOSEPHINE
DATE OF DEATH 12-21-2012
FILE NUMBER 21 13-0127
COUNTY CUMBERLAND
RILEY JOHN
ACN 101
161 N MIDDLESEX RD
CARLISLE PA 17013-8442 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 -i RETAIN LOWER PORTION FOR YOUR RECORDS t—
REV-1607 EX AFP (12-13) **■ INHERITANCE TAX STATEMENT qF ACCOUNT
ESTATE OF:RILEY JOSEPHINE FILE MO. : 21 13-0127 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: 06-16-2014
PRINCIPAL TAX DUE: 212.40
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-7
01-07-2014 CDO18615 .00 212.40 ti
06-16-2014 SBADJUST .00 1.BBC= -�
0
A �rj 0
c3
o M t D m r1l
C� T S)a
G7 C7 �T -3 ^TI
F., r In
H 'rT
TOTAL TAX PAYMENT 212.40
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.