HomeMy WebLinkAbout01-12-15 (3) 17 pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-13)
INHERITANCE TAX DIVISION
STATEMENTPO Box 260601 OF ACCOUNT
HARRISBURG PA 17126-0601
DATE 01-05-2015
ESTATE OF HARRY EDWARD F
DATE OF DEATH 01-02-2014
FILE NUMBER 21 14-0057
COUNTY CUMBERLAND
JESSICA S WENGER ACN 14106958
224 KEY WEST BLVD
CARLISLE PA 17015-$546 •_°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
R -1607 EXFP AC12-133 *** INHERITANCE TAX STATEMENT OF AC
EV COUNT ***
ESTATE OF:HARRY EDWARD F FILE NO. : 21 14-0057 ACN: 14106958 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: 01-05-2015
PRINCIPAL TAX DUE: 148.69
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT {+} AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-11-2014 CDO19017 .00 141.26
01-02-2015 WRITEOFF .00 7.49
{C=3 sin
C-- G) C?
G. r 71 -r1
TOTAL TAX PAYMENT 148.69
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.DO
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.