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HomeMy WebLinkAbout04-13-15 pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION STATEMENTPO BOX 280601 OF ACCOUNT /� HARRISBURG PA 17128-0,R E C O R D E D OFFICE O fi REGISTER OF V1ILL5 DATE 04-06-2015 p ESTATE OF GOTTSHALL BETTY J A HIS PPR 13 i 11 59 DATE OF DEATH 02-08-2014 FILE NUMBER 21 14-0367 CLj Sv P.F J COUNTY CUMBERLAND TREGO COI ^^}} ! ACN 101 p 1337 KINE LVb C0UlRT PISEt�Iv.i`��/A`:1,H1,5PA733 Amount Remitted CARLISLECU 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX AFP C12-14) * * INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:GOTTSHALL BETTY J FILE NO. : 21 14-0367 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: 03-09-2015 PRINCIPAL TAX DUE: 7,870.71 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 04-30-2014 CDO19082 393.54 7,500.00 03-23-2015 REFUND .00 22.83- TOTAL TAX PAYMENT 7,870.71 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.