HomeMy WebLinkAbout09-03-10BUREAU OF INDIVIDUAL TAXES. ~;~" 'INHERITANCE TAX
INHERITANCE TAX DIVISION - ,.5 TAT E M E N T O F A C C O U N T
PO BOX 280601 -
HARRISBURG PA 17128-0601
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WILLIAM M SU~E`B'ERGER' ``'` ''~'
1311 WOODWARD DR
CARLISLE PA 17013
Pennsylvania ~ r
DEPARTMENT OF REVENUE
REV-160i' EX AFP C12-09) ?
DATE 08-30-2010
ESTATE OF SHUFFLEBARGER MARTHA J
DATE OF DEATH 09-04-2009
FILE NUMBER 21 09-0860
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 -+~
REV X1607 SEX AFP C12 09~~~~~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~~** ~~~~~~~~~~~~~~~~~~~~~
ESTATE OF:SHUFFLEBARGER MARTHA J FILE NO.: 21 09-0860 ACN: 101 DATE: 08-30-2010
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: 08-09-2010
PRINCIPAL TAX DUE:
15,b70.71
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
10-28-2009 CD011907 783.54 17,000.00
08-13-2010 REFUND .00 2,112.83-
TOTAL TAX PAYMENT ~ 15,670.71
BALANCE OF TAX DUET .00
INTEREST AND PEN. ~ .00
TOTAL DUE
* 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.
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