HomeMy WebLinkAbout03-10-15 pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION RE, -NI 4F ACCOUNT
PO BOX 280601 �� v
HARRISBURG PA 17128-0601
n �r DATE 03-02-2015
?015 0 pt , TOFDEATH 12
OFADRIANBETTY J
DATE
FILE NUMBER 21 14-1223
C _Lr'_ � _
COUNTY CUMBERLAND
DEBORAH A BURD ORPHAN � , ACN 15108404
105 HIRSCHMANN RD '",-,r--„
C U��v�-� -f I Amount Remitted
BIGLERVILLE PA 17307-9007
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 F-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:ADRIAN BETTY J FILE NO. : 21 14-1223 ACN: 15108404 DATE: 03-02-2015
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: 02-23-2015
PRINCIPAL TAX DUE: 415.74
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-30-2015 CD020197 20.79 415.74
02-27-2015 REFUND .00 20.79-
TOTAL TAX PAYMENT 415.74
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.
V