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HomeMy WebLinkAbout09-08-15 � 1pennsyLvania , DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14) INHERITANCE TAX DIVISION PO BOX 280601 STATEMENT OF ACCOUNT HARRISBURG PR E70-FROC- D OFFICE OF R E C,15 1"'--,R `0F 111.11 L L S DATE 08-31-2015 ESTATE OF MILLER PEGGY A NIS *,3EP 8 PM 12 92 DATE OF DEATH 03-02-2015 FILE NUMBER 21 15-0591 (;Lk_ ,`; "F COUNTY CUMBERLAND RUTH M GARDNER. ACN 15124714 bWk "' 'U�,l - CT' Amount Remitted 7 WE "t, i ,T -7612 CAQV hii R L PA 1'17015 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 - ---- --- - - ---- - - --- -f --f W�* (I i-17 - CX 4) INHERITANCE i ffA E TAX fEAE�f O� CONf X;; ESTATE OF:MILLER PEGGY A FILE NO. : 21 15-0591 ACN: 15124714 DATE: 08-31-2015 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: 12.57_ PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 05-26-2015 CD020756 .65 53.39 05-26-2015 CD020735 .00 38.09 08-17-2015 REFUND .00 79.54- TOTAL TAX PAYMENT 12.57 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\