HomeMy WebLinkAbout01-20-11BUREAU OF INDIVIDUAL TAXES - I~I~RITANCE TAX
INHERITANCE TAX DIVISION S T A 1 ~'M E N T G F A C G O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
r`_, __
JOAN K CLOO~~t
87 NORTFiVIEW DR
MECHANICSBURG PA 17050
pennsylvania ~i
DEPARTMENT OF REVENUE `
REV-1607 EC AFF' 012-10)
DATE 01-10-2011
ESTATE OF CLOGS TIMOTHY N
DATE OF DEATH 03-25-2010
FILE NUMBER 21 10-0626
COUNTY CUMBERLAND
ACN 10152131
Amount Remitted _
MAKE CHEGK PAYABLE AND RER'I:[T 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 012 10~~~ ~ r *** INHERITANCE TAX STATEMENT~OIF ACCOUNTs~***nen~~~u~~~~~~~~~~~~~~
ESTATE IOF:CLOOS TIMOTHY N FILE N0.:21 10-0626 ACN: 10152131 _DATE: 01-10-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF= THE PRINC:[PAIL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTI=REST FIf~URE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-15-2010
PRINCIPAL TAX DUES:
34.55
PAYMENTS (TAX CRE:DITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-08-2010 CD013476 .00 34.55
12-1.0-2010 CD013781 .00 34.55
TOTAL TAX PAYMENT I b9.10
BALANCE OF TAX DUE 34.55CR
INTEREST AND PEN. .00
TOTAL DUE
34.55CR
~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDr OF THIS FORM
FOR INSTRUCTIONS.