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HomeMy WebLinkAbout03-16-15 pennsyLvania DEPARTMENT OF REVENUE BURET - UAC OF REV-1607 EX AFP (12-14) A T�XE�S INHERITANCE TAX INHER C PO BOX 11"''.)MISION— STATEMENT OF ACCOUNT HARR I SB PkPkA 17128-0601 rl �� DATE 03-09-2015 7011S MR IU ESTATE OF PEFFER 2ND WILLIAM K CLEI-'. DATE OF DEATH 09-29-2009 FILE NUMBER 21 09-0936 0 RP H COUNTY CUMBERLAND Wvgff L'S WILLIAM S ACN 101 STE 205 Amount Remitted I W HIGH ST CARLISLE PA 17013-2951 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS I 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 E-- REV-1607 - -- -- - ---- - - --- I -W�*-ii:176 INHERITANCE -f Hi kEFV--liif 6X X;; WH i i ffA E TAX TiE;itif OF ACCOUNT ESTATE OF;PEFFER 2ND WILLIAM K FILE NO. : 21 09-0936 ACN: 101 DATE: 03-09-2015 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: 02-02-2015 PRINCIPAL TAX DUE: 27,960 .00 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 12-23-2009 CDO12140 1,398.00 28,000.00 02-20-2015 REFUND .00 1,438.00- TOTAL TAX PAYMENT 27,960.00 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.