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HomeMy WebLinkAbout08-29-14 pennsylvania 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 08-25-2014 ESTATE OF MILLER MARY V DATE OF DEATH 05-19-2013 FILE NUMBER 21 13-0889 COUNTY 21CUMBERLAND ROGERS ESQ ELYSE E ACN 101 STE 400 Amount Remitted 635 N 12TH ST LEMOYNE PA 17043-1247 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 N; ESTATE OF:MILLER MARY V FILE NO. : 21 13-0889 ACN: 101 DATE: 08-25-2014 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: 94,007.79 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 08-13-2013 CDO18020 4,700.39 90,000.00 08-08-2014 REFUND - .00 692.60- m c o (0 m c G-), o rTI = c C 0 .ter. C.0 m m C O f7 O yT n r-� r m TOTAL TAX PAYMENT I 94,007.79 BALANCE OF TAX DUEL .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.