HomeMy WebLinkAbout01-03-11BUREAU OF INDIVIDUAL 1~-~{; ~, ; ~,~- INHERITANCE TAX
INHERITANCE TAX DIVISION ,~tr l{ ,-,~ , - , ,~~~ ~ ~ATEMENT OF ACCOUNT
PO BOX 280601 ~~, ~„ ~ ; ~ ;,,;
HARRISBURG PA 17128-0601 `'"' ''""'~
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TERRENCE ,~1~'~~W~~',; ~.'ti'.,
27 NORTH FRONT STREET
HARRISBURG PA 17101
Pennsylvania ~j ,
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10]
DATE 12-27-2010
ESTATE OF LEESE WILMA S
DATE OF DEATH 01-17-2010
FILE NUMBER 21 10-0070
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 10~ ~~~~~ *** INHERITANCE TAX STATEMENT~OF ~ACC~UNT ~ *** ~ ~~ ~ ~ ~~~~~~~~~
ESTATE OF:LEESE WILMA S FILE N0.:21 10-0070 ACN: 101 DATE: 12-27-2010
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: 12-13-2010
PRINCIPAL TAX DUE:
3,750.00
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-10-2010 CD012599 187.50 3,570.00
12-13-2010 REFUND .00 7.50-
TOTAL TAX PAYMENT f 3,750.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE I .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.
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