HomeMy WebLinkAbout09-09-14 (2) f Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ,', r �y IN=NyERITANCE ,TAX REV-1607 EX AFP (12.13)
INHERITANCE TAX DIVISION RECORI)g3q } NT OF ACCOUNT
PO HARRISBURG6PA 17128-0601 REG i' c E OF
111 �+ "TER OF WILLS DATE 09-02-2014
Zd1q SEP 9 Il ESTATE OF HIPPENSTEEL JOHN H
1 U,� DATE OF DEATH 05.27-2013
CLEr(K OF. FILE NUMBER 21 13-0767
$�OP� HA#S CGURT COUNTY CUM
GOLDBERG CUMBERLAND
STE 106UM�ER��IIL C PQ Amou
nt Remitted
2080 LINGLESTOWN RD -
HARRISBURG PA 17110-9670
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 4—
REV-1607 EX AFP (12-13) ■R*INHERITANCE TAX STATEMENT Vice 1E:E*
ESTATE OF:HIPPENSTEEL JOHN H FILE NO. : 21 13-0767 ACN: 101 DATE: 09-02-2014
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: 04-21-2014
PRINCIPAL TAX DUE: 33,619.28
PAYMENTS (TAX CREDITS) ;
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-23-2013 CDO18059 11680.96 32,000.00
08-18-2014 REFUND .00 61 .68-
TOTAL TAX PAYMENT 33,619.28
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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