HomeMy WebLinkAbout11-17-14 Zi,
pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISIONPO BOX 01 S M E N T OF ACCOUNT
HARRISBURG 6PA 17128-0601 RECORDED G F FiC L-
REGISTr_f, OF WILLS DATEBYS
11-10-2014
2014 NOU 17 [:i� 11 23 DATETOFODEATH 01E15-2014 SARA G
FILE NUMBER 21 14-0089
CLER ` CF COUNTY CUMBERLAND
CAMERON Dr�MMES;- rD,t„ ACN 101
1325 N FRON B f Amount Remitted
HARRISBURG 'OA"17102-2629 '
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 E-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP (12-13) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BYERS SARA G FILE NO. : 21 14-0089 ACN: 101 DATE: 11-10-2014
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: 10-14-2014
PRINCIPAL TAX DUE: 10,546.63
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-14-2014 CDO19025 526.32 10,000.00
06-06-2014 CDO19265 .00 2,000.00
10-22-2014 REFUND .00 1,979.69-
TOTAL TAX PAYMENT 10,546.63
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. \