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HomeMy WebLinkAbout05-26-15 pennsylvania Q7 a DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION PO BOX 280601 RECORD STATEMENT` O F ACCOUNT �iED HARRISBURG PA 17128-0601 CFFICE OF f�Cl� E., Cr' VrlILLS DATE 05-18-2015 C ESTATE OF LAUVER PAUL H 2015 PRYU 26 Pi im 12 �,2 DATE OF DEATH 06-01-2014 _ FILE NUMBER 21 14-0589 C%E'" .� (Jt COUNTY CUMBERLAND SMILEY VP 04"'�gS A,-),,--,- ACN 101 M&T BANK CUMDE.-Ij 1 W HIGH ST ,` a Amount Remitted CARLISLE PA 17013-2951 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:LAUVER PAUL H FILE NO. : 21 14-0589 ACN: 101 DATE: 05-18-2015 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: 47,002.76 PAYMENTS CTAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 09-01-2014 CDO19623 526.32 10,000.00 09-01-2014 CDO19624 1,052.63 20,000.00 11-18-2014 CDO19932 .00 15,502.76 04-30-2015 REFUND .00 78.95- TOTAL TAX PAYMENT 47,002.76 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'