HomeMy WebLinkAbout12-29-14 Ipennsytvania
t DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION C�T&-TEMENT OF ACCOUNT
PO BOX 280601 RECORDED OFF1
HARRISBURG PA 17128-060.
REGISTER OF WILLS DATE 12-22-2014
ESTATE OF COOMBS EDGAR D
niq OrLC 29 FM 12 22 DATE OF DEATH 06-06-2012
CLERK OF FILE NUMBER 21 12-0675
COUNTY CUMBERLAND
SEEBER CRF MM C-OPIRT ACN 101
STE 0400I D �l I, PA
CUMBERLAI; Amount Remitted
555 GETTYSBURG PIKE
MECHANICSBURG PA 17055-5207
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 -— - --- ------- - --
- -iW lli:1735- - - -- INHERITANCE i6F-Iiif CX *;; WHiiffAiNE AX STATEMENT OF ACCOUNT *
ESTATE OF:COOMBS EDGAR D FILE NO. : 21 12-0675 ACN: 101 DATE: 12-22-2014
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: 09-22-2014
PRINCIPAL TAX DUE: 9,780.59_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
06-12-2013 CDO17743 .00 6,268.30
10-11-2013 CDO18249 .00 50.37
04-16-2014 CDO19039 166.54- 3,706.87
12-04-2014 REFUND .00 78.41-
TOTAL TAX PAYMENT 9,780.59
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.