HomeMy WebLinkAbout04-20-15 CLERK OF'
!ORPNAhIS' cOiIRT pennsylvania
`C U N1 B R L,} DEPARTMENT OF REVENUE
BUREAU OF INDpI,V,,lJ\9'4SI�DUA{pL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX1YE' DED OFFICE OF- STATEMENT OF ACCOUNT
PO BOX 280601 {� h [
HARRISBURG PA 17fFP@CS i^�En OF V1I[ LS
APR
04-13-2015
?015 APR 20 PM i 20 ESTATE OF JONES AGNES T
DATE OF DEATH 03-05-2014
CLE P,lK OFILE NUMBER 21 14-0246
WALL(( 0RPtHAN ' DE jl2A s K COUNTY CUMBERLAND
24 M g2NDtE ST-11 T I-- ACN 101
Amount Remitted
CAMP HILL PA 17011-2900
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
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REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT(*
ESTATE OF:JONES AGNES T FILE NO. : 21 14-0246 ACN: 101 DATE: 04-13-2015
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: 04-06-2015
PRINCIPAL TAX DUE: 1 ,258.77
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C—)
06-02-2014 CDO19239 6.76 128.49
06-02-2014 CDO19240 56. 18 2,798. 18
06-02-2014 CDO19241 .00 340. 10
06-02-2014 CDO19242 .00 79.49
TOTAL TAX PAYMENT 3,409.20
BALANCE OF TAX DUE 2,150.43CR
INTEREST AND PEN. .00
TOTAL DUE
2,150.43CR
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. ��