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HomeMy WebLinkAbout01-12-15 r pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13) INHERITANCE TAX DIVISION PO BOX 280601 STATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 DATE 01-05-2015 ESTATE OF HALL MARIE L DATE OF DEATH 07-26-2013 FILE NUMBER 21 13-1180 COUNTY CUMBERLAND GACKI THOMAS P ACN 101 FL 8 Amount Remitted 213 MARKET ST �l HARRISBURG PA 17101-2141 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 REV-1607 EX AFP C12-13} ** -fNHERITANCE -fAX STATEMENT OF ACCOUNT ** ESTATE OF:HALL MARIE L FILE NO. : 21 13-1180 ACN: 101 DATE: 01-05-2015 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: 12-08-2014 PRINCIPAL TAX DUE: 41,767.78 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT {+} AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 05-01-2014 CDO19112 17.12- 43,000.00 c5 ; 12-19-2014 REFUND .00 1,215. 10 C7 rel r M r\ r-lI m --1'3 C:) :o-, CZ1 rn E—+ va r> TOTAL TAX PAYMENT 41,767.78 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .0Q 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.