HomeMy WebLinkAbout08-03-15 Is '7pennsytvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION
PO BOX 280601[3 STATEMENT OF ACCOUNT
HARRISBURG PAFk-ZAQFqPED OFFICE OF
REGISTER OF WILLS DATE 07-27-2015
ESTATE OF SIEG MARTHA L
HIS AUG 3 FM 12 04 DATE OF DEATH 08-04-2010
FILE NUMBER 21 10-0836
C L E fl, F COUNTY CUMBERLAND
SIEG f�q N A,;�D P
0 R P H A NS" ACN 101
373 Vj��'�t i"T D C Amount Remitted
HAN PA' 0111-1949
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 E— - -- --- ------ --
-
gfi*
REV-1607'- Cx- -AFP (12^14)---- -*;; -ilNHiiffA:N TAX TiE;&if OF iCCHif
ESTATE OF:SIEG MARTHA L FILE NO. : 21 10-0836 ACN: 101 DATE: 07-27-2015
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: 06-29-2015
PRINCIPAL TAX DUE: 19,562.84
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
SUMMARY OF ALL 006 PAYMENTS ***
07-13-2015 968.42 .00
07-13-2015 177.31- 18,771 .73
TOTAL TAX PAYMENT 19,562.84
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.