HomeMy WebLinkAbout01-12-15 Ipennsytvania
rl DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 FX AFP (12-13)
INHERITANCE TAX DIVISION
PO BOX 280401 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 01-05-2015
ESTATE OF DEMMA RHEA N
DATE OF DEATH 11-05-2013
FILE NUMBER 21 14-0030
COUNTY CUMBERLAND
DIEHL ESQ CPA CRAIG A ACN 101
3464 TRINDLE RD
Amount Remitted
CAMP HILL PA 17011-4436
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
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EX AFP lcii:iY)-----;;-fkN i i fTANCE-TAX STATEMENT 1)�-AUNTffio
ESTATE OF:DEMMA RHEA N FILE NO. : 21 14-0030 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: 1,181 .28
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID C_rl M
rn n
C-
12-04-2014 CDO19995 .00
12-22-2014 CD020063 11.72- 1
v--1 M M
:3
C'>
W M
TOTAL TAX PAYMENT 1,181.28
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.