HomeMy WebLinkAbout09-24-15 W'T'71 pennsyLvania
� DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP (12-14)
INHERITANCE TAX DIVISIONGF CPUNT
PO BOX 280601 ATE gNTOF rjc -�
HARRISBURG PA 17128-0601 tt
REGISTEt
DATE 09-14-2015
29 P
tSTbTEOF ODEATH 08-01-F ROSENB2014ERGER THOMAS I
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FILE NUMBER 21 14-0832
COUNTY CUMBERLAND
BOGAR JAMES D ORPHAN IS' C 01"�ACN 101
1 W MAIN ST _�yABIRLIND CO- F& Amount Remitted
SHIREMANSTOWN PA 17011
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—
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REV-1607 ckiW Ci-14) * * INHERITANCETAX STATEMENT0F ACCOUNT * *
ESTATE OF:ROSENBERGER THOMAS I FILE NO. : 21 14-0832 ACH: 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: 763. 19
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID
10-31-2014 CDO19861 38.16 822.05
08-31-2015 REFUND .00 97.02-
TOTAL TAX PAYMENT 763.19
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.