HomeMy WebLinkAbout02-07-11 (5)}} rr~~ Pennsylvania ~
BUREAU OF INDIVIDUAL TA~X'@3~~'~~ttr•~' ~ ~~~~F ~~'INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION {,.,~~ `,~~. ;' ~ ! ~'r ?•
Po Box 280601 ~?.•~ ~ ~ ;`:~~,~ATEMENT OF ACCOUNT REV-1607 EX AFP clz-lo)
HARRISBURG PA 17128-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-31-2011
ANTONICELLI HELEN
01-23-2010
21 10-0208
CUMBERLAND
10109128
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5805 STEPHEN'S CROSSING
MECHANICSBURG PA 17050
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: 10109128 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:
15.00
PAYMENTS CTAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
04-01-2010 CD012568 .75
AMOUNT PAID
14.25
TOTAL TAX PAYMENT 15.00
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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF' THIS FORM
FOR INSTRUCTIONS.
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