HomeMy WebLinkAbout01-03-11n[} pennsylvania ~
~ .~' ~ ~. , .~ ~ r ~ DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA «rs s,- ;- ~,c, , INHERITANCE TAX
INHERITANCE TAX DIVISION ~""~ ~ ~ -"` rti.i REV-1607 EX AFP C12-10)
~~- ' ••~,E ut =~~-ATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
~.~~~ ~ ~ R "'~ ~; ~° ~ ~ DATE 12-27-2010
ANDREW C SH~E`L~f' `_., '',,r L.•~.: ,
127 S MARKET ST
PO BOX 95
MECHANICSBURG PA 17055
ESTATE OF FITZGERALD ESTHER M
DATE OF DEATH 04-19-2009
FILE NUMBER 21 09-0552
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 STATEMEIVT~OF ACCOUNT ~~*** ~~~~~~~~~~~ ~~~ ~~~~~
ESTATE OF:FITZGERALD ESTHER M FILE NO.: 21 09-0552 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: 11-23-2009
PRINCIPAL TAX DUE:
2,955.51
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-12-2009 CD011354 147.78 2,808.00
11-26-2010 CD013709 .00 31.95
TOTAL TAX PAYMENT I 2,987.73
BALANCE OF TAX DUE 32.22CR
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" OCR): YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
32.22CR