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HomeMy WebLinkAbout07-20-15 pennsylvania DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION STATEMENT BOX O F ACCOUNT HARRISBURG �}} bnOFFICE OF REGISTER OF 1WIj LS DATE 07-13-2015 ?015 t�� �O p� �� O ESTATE OF BUFFLAP MADELEINE R U DATE OF DEATH 08-08-2014 FILE NUMBER 21 14-0812 C LERK, F COUNTY CUMBERLAND GRIIYRPW Q - CSLI,ZANNE H ACN 101 IOA M ETD C A Amount Remitted YORK PA'k`17401 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 fAx STATEMENT OF ACCOUNT *** ESTATE OF:BUFFLAP MADELEINE R FILE NO. : 21 14-0812 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: 2,266.61 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-07-2014 CDO19888 113.33 2,750.00 06-29-2015 REFUND .00 596.72- TOTAL TAX PAYMENT 2,266.61 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. V \