HomeMy WebLinkAbout09-24-15 (2) --rKl- pennsytvania
Uv DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISION STATEMENT ACCOUNT
PO BX
HARRIOSBURG280601 PA 17128-0601 RIEC'ORDED OFFTE OF
REGISTEP OF WILL01
GATE 09-14-2015
ITATE OF VERDEKAL MARIA
TI-9
MIS SEP 29 PA 12DA-TE OF DEATH 05-30-2014
FILE NUMBER 21 14-0644
C L E 0 COUNTY CUMBERLAND
ALBERT VERDEKAL 0 R P III A-,"j' C1-j1' ACN 14144006
747 MOUNT ROCK RD "-' , �D r A Amount Remitted
CARLISLE PA 1701 -Lk'i7-'�"--
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
-igF cli:i747)----I*; ifkfi;ilif !)F ACCOUNT iii--liif 6X HiiffAE TAX
ESTATE OF:VERDEKAL MARIA FILE NO. . 21 14-0644 ACN: 14144006 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: 06-29-2015
PRINCIPAL TAX DUE: 20.21_
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-29-2015 CD021200 .23- 20.44
09-11-2015 SBADJUST .00 .07
TOTAL TAX PAYMENT 20.21
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. #�