HomeMy WebLinkAbout10-15-14 i DEPARTMENT OF REVENUE
pennsylvania
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX J REV-1607 EX AFP VENN)
INHERITANCE TAX DIVISION
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 10-06-2014
ESTATE OF HESS A A
DATE OF DEATH 08-31-2013
FILE NUMBER 21 13-1014
COUNTY CUMBERLAND
BOGAR JAMES D
ACN 101
1 W MAIN ST
Amount Remitted
SHIREMANSTOWN PA 17011-6327
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 _ 4- _ _ _ _ _ - - - - -
_ _ _ _ _ _ _ _
REV-1607 EX AFP C12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:HESS A A FILE NO. : 21 13-1014 ACN: 101 DATE: 10-06-2014
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: 09-15-2014
PRINCIPAL TAX DUE: 56,545.22
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-21-2013 CDO18437 2,827.26 59,248.46
02-14-2014 CDO18757 .00 701 .22
09-16-2014 REFUND .00 6,231 .72-C7
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TOTAL TAX PAYMENT 56,545.22
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. �\