HomeMy WebLinkAbout04-08-11BUREAU OF INDIVIDUAL TA~,i, ;~~ ;'I;~[. `'rINHERITANCE TAX
INHERITANCE TAX DIVISION " a~ l'.~ATEMENT OF ACCOUNT REV 1607 E.X AFP (12-10)
PO BOX 280601 ~
HARRISBURG PA 17128-06D1 `
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619 WEST MAIN STREET
MECHANICSBURG PA 17055
DATE 03-28-2011.
ESTATE OF FERNBAUGH ANNA M
DATE OF DEATH 12-10-2005
FILE NUMBER 21 09-1183
COUNTY CUMBERLAND
ACN 10102329
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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pennsylvan~a E. ~
DEPARTIMEIVT OF REVENUE
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) *~E~ INHERITANCE TAX STATEMENT OF ACCOUNT *~~:
ESTATE OF:FERNBAUGH ANNA M FILE NO.: 21 09-1183 ACN: 10102325 DATE: 03-28-2011
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUIMMARY 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: 03-08-2011
PRINCIPAL TAX DUE:
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PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
01-26-2010 CD012280 .00
03-08-2011 REFUND .00
147.28
147.28-
TOTAL TAX PAYMENT .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.
AMOUNT PAID
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