HomeMy WebLinkAbout03-15-11BUREAU OF INDIVIDUAL TAx~s ~- ~-~~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~ T AT 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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KATHRYN VA"SIMMONS -~
65 SUSSEX RD
CAMP HILL PA 17011
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 03-07-2011
ESTATE OF SHANKS JANE M
DATE OF DEATH 02-03-2010
FILE NUMBER 21 10-0447
COUNTY CUMBERLAND
ACN 10111153
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:SHANKS JANE M FILE N0.:21 10-0447 ACN: 10111153 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: 01-24-2011
PRINCIPAL TAX DUE:
802.16
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
04-28-2010 CD012668 27.51 522.66
02-03-2011 CD013980 2.31- 254.40
TOTAL TAX PAYMENT 802.26
BALANCE OF TAX DUE .lOCR
INTEREST AND PEN. .00
TOTAL DUE
.lOCR
* 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.
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