HomeMy WebLinkAbout03-15-11BUREAU of INDIVIIIUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIV1S1oN S T AT E M E N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
PAUL BI~~IiDFORD ORR .
50 E HIGH ST
CARLISLE PA 17013
Pennsylvania ~ ~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10) ~~~~~~~~~
DATE 02-28-2011
ESTATE OF GOUSE DELL H
DATE OF DEATH 11-23-2009
FILE NUMBER 21 09-1119
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 C12 10~~~ ~~ *** INHERITANCE TAX STATEMENT OF ACCOUNT ~*** ~~~~~~~ ~~~ ~~
ESTATE OF:GOUSE DELL H FILE NO.: 21 09-1119 ACN: 101 DATE: 02-28-2011
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:
1,524.54
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-24-2010 CD013704 15.60- 1,5b7.22
02-14-2011 REFUND .00 27.08-
TOTAL TAX PAYMENT 1,524.54
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.