HomeMy WebLinkAbout05-14-15 7015 F!ay 19 Pj� 12 20 pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T-AX:ES% INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION -k ,�/Ia`�^�-1 i //��r-S TAT E M E N T OF ACCOUNT
PO BOX 280601 GIF^c`�pr �F �t€(,'fel 10E UC
HARRISBURG PA 1/7�1�2``gti[`�b,'r�t+'( _
C 11.fILLIS
DATE 05-04-2015
!iRy 14 PI 112 20ESTATE OF GALBRAITH JAMES C
DATE OF DEATH 02-06-2014
FILE NUMBER 21 14-0130
JOHNSON CEj$Qjj,",NRb L'D. i E COUNTY CUMBERLAND
ACN 101
78 W P(qd, F.RfT"S T° " ' - -
h, Amount Remitted
CARLISLE PA 17013-3216 -
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:GALBRAITH JAMES C FILE NO. : 21 14-0130 ACN: 101 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: 03-23-2015
PRINCIPAL TAX DUE: 21,902.61
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-17-2014 CDO19917 .00 21,902.61
04-13-2015 CD020533 19.76- 19.76
TOTAL TAX PAYMENT 21,902.61
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.