HomeMy WebLinkAbout12-29-14 �apennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
M- REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVIS
Po BOX 280601 tC01�DED OFFICE ffATEMENT OF ACCOUNT
HARRISBURG PA 17128-06';EGISTE O �` ILLS
��SS17t DATE 12-22-2014
2019 OEC 29 FM 12 22 ESTATE OF KELLY HELEN I
DATE OF DEATH 05-03-2013
CLERK OF FILE NUMBER 21 13-0673
CONNELL ORPH� I' ARbnu�l COUNTY CUMBERLAND
2303 MAR&Wif- <L�'�t! ' i n PA ACN 101
Amounun
t Remitted
CAMP HILL PA 17011-4627
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 --I� RETAIN LOWER PORTION FOR YOUR RECORDS E-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -
REV-1607 EX AFP C12-13) *** - A -STA - A -
T - TEMENTOFCONT- NHETAC ***
ESTATE OF:KELLY HELEN I FILE NO. : 21 13-0673 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: 05-05-2014
PRINCIPAL TAX DUE: 18,540.64
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-17-2013 CDO17892 927.03 18,000.00
12-01-2014 REFUND .00 386.39-
TOTAL TAX PAYMENT 18,540.64
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. \