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HomeMy WebLinkAbout01-07-15 lkpennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISION AT E M E N T O F AC C O U N T PO BOX RECORDED OFFICE b� HARRISBURGURG PPA A 17128-0 REGIS T ER 0; VilLLS DATE 12-29-2014 7015 gNi. 7 RM 1 'f `9 ESTATE OF BLACK JOYCE K t1 J '1 i�l li 1 DATE OF DEATH 11-07-2013 FILE NUMBER 21 13-1253 LE �+* F COUNTY CUMBERLAND MCKNIGHT In, PHVk*C'U$nTAT ACN 101 60 W P O M F,.R��U L.i� `' �`� '^-'. i+�t CARLISLE�C+�t�� PA 17013-3243 Amount Remitted 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:BLACK JOYCE K FILE NO. : 21 13-1253 ACN: 101 DATE: 12-29-2014 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: 11-24-2014 PRINCIPAL TAX DUE: 6,364.01 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 02-07-2014 CDO18743 318.20 7,000.00 12-12-2014 REFUND .00 954. 19- TOTAL TAX PAYMENT 6,364.01 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. ( \ V