HomeMy WebLinkAbout04-13-15 (2) .�� pennsyLvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION S T T E M E N T OF ACCOUNT
PO BOX URG PA RECORDED OFFICE OF
HARRISBURG PA 17128-06RECORDED L\ li V
REGISTER OF !'BILLS DATE 04-06-2015
�S tt1 J1 13 i l i 12 0ft ESTATE OF OSIF HELEN J
�
U J M UU DATE OF DEATH 12-26-2014
FILE NUMBER 21 15-0242
CLERK OF COUNTY CUMBERLAND
ROBERT ORMA NS' COURT ACN 15109585
11 EASTGgb9E `Pt it) Amount Remitted
CAMP HILL17011-11 1 �l
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 --)I RETAIN LOWER PORTION FOR YOUR RECORDS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:OSIF HELEN J FILE NO. : 21 15-0242 ACN: 15109585 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: 03-30-2015
PRINCIPAL TAX DUE: 86.01
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-02-2015 CD020307 4.02 76.45
04-03-2015 WRITEOFF .00 5.54
TOTAL TAX PAYMENT 86.01
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.
A�\