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HomeMy WebLinkAbout04-06-15 a1wpennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUA*TVfS s F- INHERITANCE TAX REV-1607 EX AFP (12-140 INHERITANCEg[]TA.Xr0iVISId 1 w S TAT E M E N T OF ACCOUNT PO BOX 280601 • HARRISBURG PA-.1L7128=06'01#; �j t_ 93DATE 03-30-2015 2015 P°R 6 1 1 ESTATE OF KISER ERIC J OF DATE OF DEATH 12-28-2013 � ` t FILE NUMBER 21 14-0444 R1HANS' C-0U T COUNTY CUMBERLAND DANI L �K1,SE-R•, V xa 550 2leWW& �6' `(2UN RD ACN 14501 Amount Remitted tted RUSSELL PA 16345-7445 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 PORTI +_EV _ON FOR YOUR R _RECORDS R - 1607 EX AFP C12-14)_ ** INHERITANCE TX ST AATEMENT OF ACCOUNT *** - - - - - - - — — — — — — —_ _ _ _ _ _ ESTATE OF:KISER ERIC J FILE NO. : 21 14-0444 ACN: 14501550 DATE: 03-30-2015 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: 02-09-2015 PRINCIPAL TAX DUE: 2,788.14 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-11-2015 CD020350 34.07- 2,822.21 03-27-2015 SBADJUST .00 3.42 TOTAL TAX PAYMENT 2,788. 14 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. NN\ V-