HomeMy WebLinkAbout03-15-11BUREAU OF INDIVIDUAL ~az~s ~ - _- - INHERITANCE TAX
INHERITANCE TAX DIVISION " - STATEMENT OF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
STEPHEN D rTIL~-Y: -"
5 S HANOVER~ ST ~ " J`am'
CARLISLE PA 17013
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 03-07-2011
ESTATE OF WAGNER THOMAS R
DATE OF DEATH 07-29-2009
FILE NUMBER 21 09-0751
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 ~ ____
REV X1607 SEX AFP (12 10~~~ ~~~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~** ~~~~~~~~~~~~~~~~~
ESTATE OF:WAGNER THOMAS R FILE NO.: 21 09-0751 ACN: 101 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: 08-16-2010
PRINCIPAL TAX DUE:
1,517.00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-26-2009 CD011902 75.85 1,550.00
02-17-2011 REFUND .00 108.85-
TOTAL TAX PAYMENT 1,517.00
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.
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