HomeMy WebLinkAbout01-20-11_ pennsyllvan~a ~ i~~
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BUREAU OF INDIVIDUAL I ~ INHERITANCE TAX DEPARTMEN~TOFRE=VENUE
'TA~CES -" REV-1607 EX: AFP (12-1Ci) ~'"
INHERITANCE TAx olvlsloN ~ T AT E M E N T O F A C C O U N T
PO BOX 280601 -
HARRISBURG PA 17128-0601
DATE 01-10-2011
ESTATE OF FISHEL SHIRLEY L
_ _.. DATE OF DEATH 03-07-2008
,..,._,._' .. FILE NUMBER 21 08-0354
-, COUNTY CUMBERLAND
JOHN D MILER JR ACN 101
MILLER ETAL. Amount Remitted __
137 E PHILA ST
YORK PA 17401 __
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 wii:h your tax. payment.
CUT ALONG THIS LINE __~- RETAIN LOWER PORTIDN FOR YOUR RECORDS _~ _ __
REV X1607 EX AFP fI2 10) nrrnn*** nINHERITANCE TAX STATEMENTnOFrACCOUNT ***nrnr rnn r~rnrrrrnrr^
ESTATE OF:FISHEL SHIRLEY L FILE N0.:21 08-0354 ACN: 101 DATE: 01-10-2iD11
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMAF'Y OF~ THE: PRINC[PAI_
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED IN"fE=REST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-10-2008
PRINCIPAL TAX: DUE:
:5,075.81
PAYMENTS CTAX CRE~DITS~:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-08-2008 JCD010116 .00 3,134.50
12-15-2008 REFUND .00 58.69-
12-03-2010 {:D013743 .00 2,192.78
TOTAL TAX PAYMENT 5,268.59
BALANCE OF TAX DUE 2,192.78CR
INTEREST AND PEN. .00
TOTAL DUE
2,192,.78CR
* 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 01= l-HIS FORM
FOR INSTRUCTIONS.