HomeMy WebLinkAbout02-02-15 I -�• pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
STATEMENTPO BOX 280601 OF ACCOUNT
HARRISBURG PA 17128-ORE O'O R O E OFFICE O F
REGIS T F-'.,' 317 11_LS DATE 01-26-2015
FEBESTATE OF DEMY FAYE K
1015 B 2 FI r�i 1 21. DATE OF DEATH 09-18-2013
FILE NUMBER 21 13-1066
GI {—{ -- OF COUNTY CUMBERLAND
HUGHES ESQ L '- "AMES D ACN 101
354 ALEXA HH§14IN ''-R'DIt 11
Amount Remitted
CARL ISLECUM2, -FJ—'PA'17015l-`7',451
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 C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:DEMY FAYE K FILE NO. : 21 13-1066 ACN: 101 DATE: 01-26-2015
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: 12-15-2014
PRINCIPAL TAX DUE: 16,758.22
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-12-2013 CDO18522 578.95 11 ,000.00
06-03-2014 CDO19236 .00 5,789.20
01-07-2015 REFUND .00 609.93-
TOTAL TAX PAYMENT 16,758.22
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. \