HomeMy WebLinkAbout11-17-14 Q'i, pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
REV-1607 EX AFP (12-13)
INHERITANCE rax DIVISION
STATEMENTPO BOX
OF ACCOUNT
HARRISBURG PA R5„ CCEDCFff
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rJ "'j �` DATE 11-10-2014
2 14 I U 17 11 �� ESTATE OF LINE HENRY
DATE OF DEATH 02-25-2014
CC FILE NUMBER 21 14-0349
CL F n . vi
COUNTY CUMBERLAND
PROCTO "MJPH�.h Fl ,JAMES:'j L ACN 101
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STE 2rr0l!���+�� , •,� Amount Remitted
35 E `�IYGH�FSTLr . -
CARLISLE PA 17013-3052
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:LINE HENRY FILE NO. : 21 14-0349 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: 10-20-2014
PRINCIPAL TAX DUE: 3,902.61
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-23-2014 CDO19206 173.45 3,295.54
PAYMENT MUST BE MADE BY 11-26-2014*. TOTAL TAX PAYMENT 3,468.99
BALANCE OF TAX DUE 433.62
INTEREST AND PEN. .00
TOTAL DUE
433.62
* 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.