HomeMy WebLinkAbout01-20-11BUREAU OF INDIVIDUAL TAXES ~ ~31~pERITANCE TA
INHERITANCE TAX DIVISION ~
Po Box 2so6o1 _ S~TAT~MENT OF ACCOUNT
HARRISBURG PA 17118-0601 -
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ANTHONY C GULO~TA ~ - '
AG TAX LAW ,. ,
1110 N MOUNTAIN RD
HBG PA 17112
pennsy~van~a
DEPARTMENT OF REVENUE '
REV -1607 EX: AFP (12-10)
DATE 01-10-2011
ESTATE OF DAVIS CUR~TIS G
DATE OF DEATH 06-07-2009
FILE NUMBER 21 09-0667
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REhtl:'f PE\YMENT 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 ~
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REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:DAVIS CURTIS G FILE N0.:21 09-0667 ACN: 101 DATE: D1-10-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTAI"E. BELOW IS A SUMMARY OF' THE PRINCI:PAL_
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED IIJTE=RESIf FIC,URE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-13-2010 __ _,
PRINCIPAL TAX DUE::
10,263.38
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+~ AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-~
08-25-2009 C'DOllb69 513.17 13,000.00
12-21-2010 REFUND .00 3,249.79-
TOTAL TAX PAYMENT I 10,263.38
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 RE=FL.ECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF' THIS FORM
FOR INSTRUCTIONS.