HomeMy WebLinkAbout02-07-11 (2)BUREAU OF INDIVIDUAL TAXE~-C`~~F~ ~HERITANCE TAX
INHERITANCE TAX DIVISION ~{~ E M E NT O F ACCOUNT
1" (*'"
PO 60X 280601 ~~~~ ~ f ~ `.i~ ', ~~J
HARRISBURG PA 17128-0601
2~(I FEB -7 AM 9~ ! ~
CLERK OF
ORPHA~J'S COURT
SUZANNE H GRI~,~~ ~„
6RIEST HIMES ETAL
129 EAST MARKET ST
YORK PA 17401
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1607 EX AFP 112-10)
DATE 01-03-201
ESTATE OF SMITH FRANCES G
DATE OF DEATH 12-01-2008
FILE NUMBER 21 08-1285',
COUNTY CUMBERLAND
ACN 101
Amount Remittp
HAKE CHECK PAYABLE ANDi REMIT PAYMENT T0:
REGISTER OF 4lILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form r~il~th your tax payment.
CUT A!-ON6. jiTNI$~iLitI~N~E a[i~f! ~ RET+~AIN_ LOW~Et~R PO~RTJ~IOrN3 F~OaR~ YOUR~pREC~OpRD~S~
K~Yi~~~~~JC AFP C1~~lUJ~m times**~~ll'1~~~~~N~m IAJC`SI~lE17~~~h~~l.UUlrl o3EE ^m~~~or~eu~rorm~
ESTATE OF:SMITN FRANCES G FILE NO.: 21 08-1285 ACN: 101 DATE: 01-03-2011
T14iS 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 II,NTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-20-2010
PRINCIPAL TAX DUE: 11,096.75
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-28-2009 CD010971 526.32 10,000.00
01-20-2010 CD012261 .00 570.43
BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-21-2010 TOTAL TAX PAYMENT 11,096.75
BALANCE OF TAX DUE .00
INTEREST AND PEN. 10.71
f TOTAL DUE I 10.71
* 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 Ofd THIS FORM
FOR INSTRUCTIONS.