HomeMy WebLinkAbout05-14-15 pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX T REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280 6R'1 1( 0r6) -i U OFFICE
ri( i V C
STATEMENT OF ACCOUNT
HARRISBURG
REGISTER C-F WILLS DATE 05-04-2015
70�� i ' U �� �� 12 �0 ESTATE OF VERBOS ELLEN M
i ' DATE OF DEATH 03-26-2012
FILE NUMBER 21 12-0622
Cl L�.`� COUNTY CUMBERLAND
KAR KP �i' -E,CKE'RT"
r,�f1- li -.- i ACN 12157175
9 t ryEMA�IILY, DR „k
M C� CS$URG PA '17055-5707 Amount Remitted
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 (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:VERBOS ELLEN M FILE NO. : 21 12-0622 ACN: 12157175 DATE: 05-04-2015
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: 337.88
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
12-31-2013 CDO18593 10.25- 1,151 .40
04-09-2014 CDO19002 .00 9.05
04-16-2015 REFUND .00 812.32-
TOTAL TAX PAYMENT 337.88
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. r
V \