HomeMy WebLinkAbout08-17-15 l7j
pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TA V SIGN STATEMENT OF ACCOUNT
PO BOX 280601tG�ORDED OFFICE OF
HARRISBURG PA 17.128-0601
RECISTEP; OF
V ILLS
DATE 08-10-2015
?015 AIJG 17 PFI 12 ,)8 ESTATE OF ZEIGLER FREDA M
DATE OF DEATH 12-07-2013
Clr-r" - FILE NUMBER 21 13-1311
SNELBfiIfkH1, , RICHARD C COUNTY CUMBERLAND
� P` rsT c
ACN 101
44
- �•. t Amount Remitted
MECHANICSBURG PA 17055-6249
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--
REV-1607 EX AFP C12-145 *** INHERITANCE TAX STATEMENT OF ACCOUNT N;;
ESTATE OF:ZEIGLER FREDA M FILE NO. : 21 13-1311 ACN: 101 DATE: 08-10-2015
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: 07-13-2015
PRINCIPAL TAX DUE: 22,360.58
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-24-2014 CDO18805 1 ,052.63 20,000.00
03-05-2015 CD020311 19.20- 1,360.58
07-27-2015 REFUND .00 33.43-
TOTAL TAX PAYMENT 22,360.58
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.