HomeMy WebLinkAbout03-15-11 (2)BUREAU OF INDIVIDUAL TA~~s. „~ ~`~!~NHERITANCE TAX
INHERITANCE TAX DIVISION '_ $ TA T E M E N T O F A C C O U N T
PO BOX 280601 _
HARRISBURG PA 17128-0601
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J EANNE C~~OI~E'RS .. , ..' , ; ,:a.
619 WEST MAIN STREET
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE l`
REV-1607 EX AFP (12-10)
DATE 03-07-2011
ESTATE OF FERNBAUGH ANNA M
DATE OF DEATH 12-10-2009
FILE NUMBER 21 09-1183
COUNTY CUMBERLAND
ACN 10102330
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 ~
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REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:FERNBAUGH ANNA M FILE NO.: 21 09-1183 ACN: 10102330 DATE: 03-07-2011
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: 03-04-2011
PRINCIPAL TAX DUE: 67.25
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
INTEREST IS CHARGED THROUGH 03-22-2011 TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 67.25
INTEREST AND PEN. 1.28
TOTAL DUE
68.53
* 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.