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HomeMy WebLinkAbout02-07-11 (3)BUREAU OF INDIVIDUAL TAXES !'.E..~~~~ ~~~!~~ +~~~"~'F~~pERITANCE TAX INHERITANCE TAX DIVISION ,° ,;-,- ~ ~ .1- Po Box 2so6o1 ?~ ,, ~ ~ _S~A~T~EMENT OF ACCUUNT HARRISBURG PA 17128-0601 "~ ~-~ n ~t'i l~y~ V ~~ .,.,~~..1~, 5805 STEPHEN'S CROSSING MECHANICSBURG PA 17050 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN pennsylvania~- ~ ~ DEPARTh1ENT OF REVENUE REV-1607 EX AFP C12-10) 01-31-2011 ANTONICELLI HELEN 01-23-2010 21 10-0208 CUMBERLAND 10109124 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-1607 EX AFP C12-10~ *~~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:ANTONICELLI HELEN FILE NO.: 21 10-0208 ACN: 10109124 DATE: 01-31-2011 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: 01-10-2011 PRINCIPAL TAX DUE: 16.13 PAYMENTS (TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+~ DATE NUMBER INTEREST/PEN PAID (-~ 04-01-2010 CD012568 .81 AMOUNT PAID 15.32 TOTAL TAX PAYMENT 16.13 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * 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 OF THIS FORM FOR INSTRUCTIONS. ~~