HomeMy WebLinkAbout07-20-15 -T-9"T— pennsytvania
Uv DEPARTMENT OF REVENUE
BUREAU OF I5AQjq5AQEAxQFFICE OF INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAIREMTTER OF WILLS STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
?015 AlL 20 PM 12 40 DATE 07-13-2015
ESTATE OF SCHOLZ HENRY i
CLERK OF DATE OF DEATH 05-13-2014
ORPHANS' MURT FILE NUMBER 21 14-0524
sCAqyBERLAll&lr ,;�ESPA COUNTY CUMBERLAND
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ACN 101
40 ARGALI LN Amount Remitted
MECHANICSBURG PA 17055-4863
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
I 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 ---- ----- -- -- - - - --
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ESTATE OF:SCHOLZ HENRY J FILE NO. : 21 14-0524 ACN: 101 DATE: 07-13-2015
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: 06-15-2015
PRINCIPAL TAX DUE: 4,389.08_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
08-08-2014 CDO19520 219.45 5,000.00
06-29-2015 REFUND .00 830.37-
TOTAL TAX PAYMENT 4,389.08
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.
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