HomeMy WebLinkAbout10-15-10`'~' "~~' ` `~ NHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~~ ~`
INHERITANCE TAX DIVISION - $ T AT 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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R MARK THOMAS!~~~`Q' "~'
101 S MARKET ST
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09) ~~~ ~~~
DATE 10-12-2010
ESTATE OF BERNARD JOHN A
DATE OF DEATH 04-0$-2010
FILE NUMBER 21 10-0453
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 EXw AFP C12 09~ ~ ~~ ~** INHERITANCE TAX STATEMENT OF ACCOUNT ~~*** ~~~ ~ ~~~ ~~~ ~~ ~~
ESTATE OF:BERNARD JOHN A FILE N0.:21 10-0453 ACN: 101 DATE: 10-12-2010
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUhIMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED [NTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-30-2010
PRINCIPAL TAX DUE:
23,081.20
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-]
07-06-2010 CD013031 1,154.06 21,980.00
09-27-2010 REFUND .00 52.86-
TOTAL TAX PAYMENT ~ 23,081.20
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 OAF THIS FORM
FOR INSTRUCTIONS.
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