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HomeMy WebLinkAbout05-20-15 pennsylvania __r DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX f REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION r E N T O F ACCOUNT PO BOX 280601 RECORDED G,FrI ,E _PENT HARRISBURG PA 17128-0601 R G C O R L U RiL G.IJTEL-R i.F V!!L ..S DATE 05-11-2015 �� Qm �i �,� ESTATE OF JONES AGNES T ��I t; AM l DATE OF DEATH 03-05-2014 CLEI, OF FILE NUMBER 21 14-0246 COUNTY CUMBERLAND WALLETBA,}�' K^" ACN 101 24 N 32ND ST CWABEi ^ - 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 4--- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX AFP (12-14) *;* INHERITANCE fAX STATEMENT OF ACCOUNT *** ESTATE OF:JONES AGNES T FILE NO. : 21 14-0246 ACN: 101 DATE: 05-11-2015 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 (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) *** SUMMARY OF ALL 005 PAYMENTS *** 04-20-2015 62.94 1,195.83 TOTAL TAX PAYMENT 1,258.77 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.