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HomeMy WebLinkAbout04-08-11-F-.- .~ - BUREAU OF INDIVIDUAL TAXES ~''' ~ ''C' INHERITANCE TAX INHERITANCE TAX DIVISION ~.,~~. ' + O Po Box z8o6o1 ~ ~~-.- ~ ._..... STATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 s^. r! r i ~ ... ~ p CLERK CF (~~QRFHP~.^,''~ C'~~ Ir' MARK A MATEYA ~„ a~,;-.--,; ~"'t~_'' ~~'`^~ Ph 55 W CHURCH AVE~ CARLISLE PA 17013 ' ~.$ penn~ylvan~a ~.~ ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) ~ DATE 03-28-2011 ESTATE OF LAIRD EVA M DATE OF DEATH 05-04-2010 FILE NUMBER 21 10-0489 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND RE:M;IT 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 w:ithi 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:LAIRD EVA M FILE NO.: 21 10-0489 ACN: 101 DATE: 03-28-2011 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: 03-07-2011 PRINCIPAL TAX DUE: ~.44n_4~ PAYMENTS CTAX CREDITS: PAYMENT RECEIPT DISCOUNT C+~ DATE NUMBER INTEREST/PEN PAID C-) 07-30-2010 CD013135 372.02 03-10-2011 REFUND .00 AMOUNT PAID 8,205.00 1,136.60- TOTAL TAX PAYMENT 7,440.42 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" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~-.~., l J/