HomeMy WebLinkAbout02-28-11 (3)BUREAU OF INDIVIDUAL TA~$5~ ~ ~ ~ ~. j~~NHERITANCE TAX
INHERITANCE TAX DIVISION ~
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HARRISBURG PA 17128-0601
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3017 NORTHWEST 62ND TER
GAINESVILLE FL 32606
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 02-22-2011
ESTATE OF UPHOLD MYRTLE Y
DATE OF DEATH 11-07-2010
FILE NUMBER 21 10-1270
COUNTY CUMBERLAND
ACN 11500036
Amount Remitted --~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
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:UPHOLD MYRTLE Y FILE NO.: 21 10-1270 ACN: 11500036 DATE: 02-22-2011
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: 02-07-2011
PRINCIPAL TAX DUE:
81?_lA
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
01-15-2011 CD013914 40.61
AMOUNT PAID
TOTAL DUE
* 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.
771.55
TOTAL TAX PAYMENT 812.16
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
.00
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