HomeMy WebLinkAbout02-07-11' ~ '~I°` -` ` ~ i ' ~ • INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES-
INHERITANCE TAX DIVISION ;'~ ';~, ~ ~~ S~~t~-TEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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JERRY A WEIG ~'~~$Q r ~_.. , P~.
126 E KING ST
SHIPPENSBURG PA 17257
Pennsylvania
DEPARTMEINT OF REVENUE
REV-1607 EX AFP C12-10) ~ ~~~~~~~
DATE 01-31-2011
ESTATE OF MELLOTT DOROTHY H
DATE OF DEATH 12-05-2009
FILE NUMBER 21 09-114b
COUNTY CUMBERLAND
ACN 101
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 ~ __ _ _ __ _
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~ *** INHERITANCE TAX STATEMENT~OF ACCOUNT ~~*** ~ ~ ~ ~~~ ~~~~~~ ~~
REV-1607 EX AFP C12-10)
ESTATE OF:MELLOTT DOROTHY H FILE N0.:21 09-1146 ACN: 101 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 :[NTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-03-2011
PRINCIPAL TAX DUE:
36,197.49
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-17-2010 CD012371 1,809.87 40,000.00
01-12-2011 REFUND .00 5,612.38-
TOTAL TAX PAYMENT 36,197.49
BALANCE OF TAX DUE .00
INTEREST AND PEN. .DO
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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