HomeMy WebLinkAbout08-25-14 Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE REV-1607 EX AFP (12-13)
PO BOX 290601AX DIVISION STATEMENT O F ACCOUNT
N T
HARRISBURG PA 17128-0601
DATE 08-18-2014
ESTATE OF HUMPHREYS CAROLYN G
DATE OF DEATH 05-19-2013
FILE NUMBER - 21 13-0711
RHOADS ESp ANN E
COUNTY CUMBERLAND
� ACN 101
244 W MAIN ST
HUMMELSTOWN PA 17036-1422 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 4--
REV-1607 EX AFP C12-13) r INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF:HUMPHREYS CAROLYN G FILE NO. : 21 13-0711 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: 06-30-2014
PRINCIPAL TAX DUE: 766.99
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-) ^�
08-02-2013 CDO17976 38.35 1 ,000 . 0 p o rn n
07-30-2014 REFUND . 00 271 .3 X — O
U � Cn =
�0 t? IV ^i O
r- gym un rnrn
x cn � ao
n o
•,� G.
_1 M
V r
yy C.J CO
I a
TOTAL TAX PAYMENT 766.99
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.