HomeMy WebLinkAbout10-15-10BUREAU OF INDIVIDUAL TAXES ! ~_' ~f`1!H~~~TAiNCE TAX
INHERITANCE TAX DIVISION ~-TAT~ME`N'T"'~OF ACCOUNT
PO BOX 280601 ;, _
HARRISBURG PA 17128-0601
., ~:_. .
~'` ~' J,'
SCOTT M DINNER ESQ ~~
3117 CHESTNUT ST
CAMP HILL PA 17011
pennsylvania ~~~
DEPARTh1ENT OF REVENUE
REV-160i' EX AFP C12-09) r
DATE 10-12-2010
ESTATE OF BACHLEDA MARION L
DATE OF DEATH 05-09-2009
FILE NUMBER 21 09-0519
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 ~1b07 SEX AFP C12 09~~ ~~~ *** INHERITANCE TAX 3TATEMENT~OF ACCOUNT ~~*** ~~ ~~ ~~~~~~ ~~~ ~~
ESTATE OF:BACHLEDA MARION L FILE N0.:21 09-0519 ACN: 101 DATE: 10-12-2010
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: 08-30-2010
PRINCIPAL TAX DUE:
5,1b5.95
PAYMENTS tTAX CREDITS):
PAYMENT RECEIPT DISCOUNT t+)
DATE
NUMBER
INTEREST/PEN PAID (-) AMOUNT PAID
07-30-2009 CD011549 238.16 4,525.00
06-16-2010 CD012931 .00 402.79
09-08-2010 CD013331 5.63- 5.63
TOTAL TAX PAYMENT 5,165.95
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" CCR), YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.