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HomeMy WebLinkAbout07-07-14 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 17120-0601 DATE 06-30-2014 ESTATE OF BLANK NORMA DATE OF DEATH 03-06-2010 FILE NUMBER 21 11-1283 COUNTY CUMBERLAND GODFREY DONNA L ACH 101 1122 FLEETWOOD DR Amount Remitted CARLISLE PA 17013-3512 .. 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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS 4-- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 7 - _ _ _ . . _ _ _ - _ . _ _ _ _ . . _ _ _ _ . - _ _ _ _ . . . _ _ _ . . _ _ _ _ _ . - -_ _ - - - __ _ - - - _ REV-1607 EX AFP (12-13) *x* INHERITANCE TAX STATEMENT DF ACCOUNT NV■ ESTATE OF:BLANK NORMA FILE NO. : 21 11-1283 ACN: 101 DATE: 06-30-2014 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: 2,417. 14 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-15-2014 CDO18660 110.75- 2,527.89 06-13-2014 CDO19300 116. 10- 116. 10 0 n X, al f I'1 TOTAL TAX PAYMENT 2,417.14 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. U