HomeMy WebLinkAbout04-13-15 Pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION}
IVISION STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-060iRECORDED OFFICE OF
REGISTER OF WILLS DATE 04-06-2015
ESTATE OF HOUSEAL JEAN M
?01S RFR 13 FM 12 00 DATE OF DEATH 05-03-2013
FILE NUMBER 21 13-0583
CLERK OF COUNTY CUMBERLAND
HOUSEAL A. ACN 101
172 MEADOW t Remitted
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HARRISBURG T-5a '8
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 4— - -- -- - --- --- - -
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ESTATE OF:HOUSEAL JEAN M FILE NO. : 21 13-0583 ACN: 101 DATE: 04-06-2015
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: 03-02-2015
PRINCIPAL TAX DUE: 15,574.62_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-23-2014 CDO19829 326.94- 15,901.56
03-16-2015 CD020370 7.67- 7.67
TOTAL TAX PAYMENT 15,574.62
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.