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HomeMy WebLinkAbout09-24-15 : . w. pennsyLvania r DEPARTMENT OF REVENUE REV-1607 EX AFP EVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE TAX DIVISION STATEMENTPO BOX 280601 OF ACCOUNT HARRISBURG PA 17128-0601 DATE 09-14-2015 RECORDED OFFICE OF ESTATE OF URANI LORETTA M REG1STE O 'WILLS DATE OF DEATH 06-12-2013 , � FILE NUMBER 21 13-0761 GIORDANO MICHA9 �(j 6Eip 29 pj 112 58COUNTY CUMBERLAND 221 W MAIN ST ACN 101 Amount Remitted MECHANICSBURG PA 17055-69iG!,., 0RPHA� CUMBERI !',I') FAMAKE 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 --1 RETAIN LOWER PORTION FOR YOUR RECORDS F- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX AFP C12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT * ESTATE OF:URANI LORETTA M FILE NO. : 21 13-0761 ACN: 101 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: 08-17-2015 PRINCIPAL TAX DUE: 893. 17 PAYMENTS (TAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-11-2014 CDO18891 .00 975.00 08-31-2015 REFUND .00 81 .83- TOTAL TAX PAYMENT 893. 17 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