HomeMy WebLinkAbout02-28-11..,.a
- ' ~~ _r_ Pennsylvania ~~
BUREAU OF INDIVIDUAL TAXES I,M'H~RITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION i"° '' ~ ~~
REV-1607 EX AFP (12-10)
Po Box 2BO6o1 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
._ _ ~ ..
DATE 02-22-2011
r~( r--; ~ ~,~~- ESTATE OF BLACKWELDER CLAIRE G
+J -~ ~ ~ ~ DATE OF DEATH 02-28-2010
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~~ i~:~;~~~ r~~ ~ .~i {~ ~;~ , ~t FILE NUMBER 21 10-0245
~ ~ ~~~ ~ r ~ ~` COUNTY CUMBERLAND
CHARLES E PETRIE
3528 BRISBAN ST ACN 101
HARRISBURG PA 17111 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:BLACKWELDER CLAIRE G FILE NO.: 21 10-0245 ACN: 101 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: 11-26-2010
PRINCIPAL TAX DUE: 16,945.09
PAYMENTS (TAX CREDITS):
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
06-22-2010
01-27-2011
02-18-2011 CD012966
CD013950
SBADJUST .00
.00
.00 16,097.84
847.25
4.95
TOTAL TAX PAYMENT 16,945.09
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.