HomeMy WebLinkAbout02-02-15 7 pennsylvania
? DEPARTMENT OF REVENUE
BUREAU OF IN v D11ALx- sFI E OF INHERITANCE TAX
INHERITANCE lVtU0ibNt- REV-1607 EX AFP (12-14)
PO Box 28060I STATEMENT OF ACCOUNT
HARRISBURG PA
?GIC FEB pm 21 DATE 01-26-2015
tJJ ESTATE OF LINE SHELBY E
CLU" OP DATE OF DEATH 02-23-2014
}f� ��„ ? FILE NUMBER 21 14-0235
ORPHAlk � T COUNTY CUMBERLAND
DUN ,�PFPtiL ,"_WItLIA�1', A ACN 101
1 I�e ROW
Amount Remitted
CARLISLE PA 17013-3019
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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS F-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP C12-14) * * INHERITANCE TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:LINE SHELBY E FILE NO. : 21 14-0235 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: 12-22-2014
PRINCIPAL TAX DUE: 6,023.24
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-26-2014 CDC19605 .00 6,465.56
01-07-2015 REFUND .00 442.32-
TOTAL TAX PAYMENT 6,023.24
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.