HomeMy WebLinkAbout09-14-15 I. ` pennsylvania
i DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX 6DIVISIONPO BOX nn r .STATEMENT OF ACCOUNT
HARRISBURG PA 17121MIW1C R C L D OFFICE Q
DATE 09-08-2015
?0155 SEP 19 {'Il 1' .'2 ESTATE OF YOHE REGINA A
I'II DATE OF DEATH 02-22-2015
FILE NUMBER 21 15-0550
CLE'\ � � COUNTY CUMBERLAND
HATCH QRFHrI*
ACN 301
HAL BRU(� TCH,&-,GUI•SE -
2109 MA � -ST FL rl Amount Remitted
CAMP HILL PA 17011-4723
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
-E3(-WF;' C12-14) *** INHITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:YOHE REGINA A FILE NO. : 21 15-0550 ACN: 301 DATE: 09-08-2015
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: 08-31-2015
PRINCIPAL TAX DUE: 8,730. 09
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-14-2015 CD020686 429.70 8,164.37
PAYMENT MUST BE MADE BY 11-22-2015*. TOTAL TAX PAYMENT 8,594.07
BALANCE OF TAX DUE 136.02
INTEREST AND PEN. .00
TOTAL DUE
136. 02
* 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. \