HomeMy WebLinkAbout09-24-15 (2) pennsylvania
f DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP VENN)
INHERITANCE TAX DIVISION T E N,E NT �y ACC 0 U N T
PO BOX URG601 �E C (( ._�l U t f G P F' F
HARRISBURG PA 17126-0601
REG{SiE-R, OF ,`!ILLS
;� {DATE 09-14-2015
?015 SEP 29 � 112 .91STATE OF WAGNER RICHARD J
DATE OF DEATH 01-23-2015
OF FILE NUMBER 21 15-0308
RAMAH L FULTON CRPHAll;' (;��;�� COUNTY CUMBERLAND
ACN 15107337
2002 PRINCETON AVE CUMBERL",!l`- C�., �' `,
Amount Remitted
CAMP HILL PA 17011-5442
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 LINEAF - - - - -
_—_ _ RETAIN LOWER PORTION FOR YOUR RECORDS _� _ _ _ _ _ _ _ _
REV-1607 EX P C12-14) *** INHERITANCE TAX STATEMENT OF AOUNT ***
ESTATE OF:WAGNER RICHARD J FILE NO. : 21 15-0308 ACN: 15107337 DATE: 09-14-2015
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: 1,954.31
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
03-24-2015 CD020399 97.72 1,954.31
08-27-2015 REFUND .00 97.72-
TOTAL TAX PAYMENT 1,954.31
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. \�