HomeMy WebLinkAbout08-25-14 i] DEPARTMENT OF REVENUE pennsylvania
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BUREAU OF INDIVIDUgL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-13)
PO BOX 2BOA01 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 08-18-2014
ESTATE OF WACHDWSKI LORRAINE
DATE OF DEATH 11-10-2012
FILE NUMBER 21 12-1241
JAMES ESQ GARY L COUNTY CUMBERLAND
134 SIPE AVE ACN 101
HUMMELSTOWN PA 17036-9162 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 F
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REV-1607 EX AFP (12-13> *x INHERITANCE TAX STATEMENT OF ACCOUNT a*
ESTATE OF:WACHOWSKI LORRAINE FILE NO. : 21 12-1241 ACN: 101 DATE: 08-18-2014
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: 07-07-2014
PRINCIPAL TAX DUE: 16,593.55
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
02-10-2013 CD017162 829.68 16,000.00
07-30-2014 REFUND .00 236. 13-
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TOTAL TAX PAYMENT 16,593.55
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.
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