HomeMy WebLinkAbout06-02-15 r` pennsylvania
DEPARTMENT OF REVENUE
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HARRISBURG PA1 928 0601'` L �1 �—1—
S
Ct DATE 05-26-2015
ESTATE OF BROSNAN MAVIS
DATE OF DEATH 01-18-2015
CLU FILE NUMBER 21 15-0180
0 RP t:.'.i COUNTY CUMBERLAND
Mir
.'sE KILEY ACN 15120842
104 LITTLE RUN RD
Amount Remitted
CAMP HILL PA 17011-2000 —
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— — - --- —
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REV-1607 EX AFP C12-143 *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BROSNAN MAVIS FILE NO. : 21 15-0180 ACN: 15120842 DATE: 05-26-2015
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: 05-26-2015
PRINCIPAL TAX DUE: 109.65
PAYMENTS CTAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C—) AMOUNT PAID
04-24-2015 CD020569 .00 104.16
05-22-2015 WRITEOFF .00 5.49
TOTAL TAX PAYMENT 109.65
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.