HomeMy WebLinkAbout08-31-15 pennsyLvania
t ('� DEPARTMENT OF REVENUE
BUREAU OFR���--rr QP6W ECl-A`� — ��� �� INHERITANCE TAX REV-1607 EX AFP (12-14)
POHBOXTANCE 280601I ;P` OF Y'J91_1_S STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
?GIS AIN' 31 GM 12 DATE 08-24-2015
_ ESTATE OF BOLLEN VIOLET L
C LET, , ' DATE OF DEATH 01-23-2014
0RP11 tkP�' FILE NUMBER 21 14-0116
�-� '- �' 'DAVID H COUNTY CUMBERLAND
ST( 8
ACN 101
414 BRIDGE ST
Amount Remitted
NEW CUMBERLAND PA 17070-1927 -
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 E-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---------- - - - - - - - - - - - - - - - - - - - -- - - - - -
REV-1607 EX AFP C12-14) ** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:BOLLEN VIOLET L FILE NO. : 21 14-0116 ACN: 101 DATE: 08-24-2015
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: 07-20-2015
PRINCIPAL TAX DUE: 26,307.35
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-22-2014 CDO19051 1,315.37 40,000.00
08-07-2015 REFUND .00 15,008.02-
TOTAL TAX PAYMENT 26,307.35
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. 0