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HomeMy WebLinkAbout04-08-11~. ~ _ penn~ylvania ~ ~~ R BUREAU OF INDIVIDUAL f!~_X7=S '. i ~,~' ~" INHERITANCE TAX DEPARTh~IENTOFREVENUE j INHERITANCE TAX DIVISION ,~:, REV-1607 EX AFP C12-10) Po Box 280601 r-~~ ~ ,. ~ ' !STATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 t ~~ "'~ ~" - ~ -` ~.+ a ,. LISA MAR I ~ ~~~ ~--~`ry~~ ~ !, ' , ~S -Q - -~ ~- ~ ~1~: 3901 MARKET ST CAMP HILL PA 17011-4227 DATE 04-04-2011 ESTATE OF BAILEY WARREN F DATE OF DEATH 03-23-2009 FILE NUMBER 21 09-0331 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-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:BAILEY WARREN F FILE NO.: 21 09-0331 ACN: 101 DATE: 04-04-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUhIMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED :[Nl'EREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-28-2011 PRINCIPAL TAX DUE: 8,339_SR PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) 06-23-2009 CD011395 157.89 12-30-2010 CD013849 .00 03-07-2011 CD014098 224.16- AMOUNT PAID 3,000.00 3,188.29 2,220.01 TOTAL TAX PAYMENT 8,342.03 BALANCE OF TAX DUE 2.45CR INTEREST AND PEN. .00 TOTAL DUE 2.45CR * 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 01= 1"HIS FORM FOR INSTRUCTIONS. ,..,Y' \ / i~ /