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HomeMy WebLinkAbout04-08-11~, I -,,~~ .., -- BUREAU OF INDIVIDUAL l~~S INHERITANCE TAX DIVISION {"r' PO BOX 280601 ` HARRISBURG PA 17128-0601 YF ~ ..' ~_ pennsylvan~a ~: ~ "`~~ ~~ INHERITANCE TAX DEPARTIHENTOFREVENUE ~''+ ~ REV-1607 E:X AFP (12-10) r :~. t_~.; STATEMENT OF ACCOUNT - ' ' `'' `' ~' ~ . _. _ -, DATE 0 3 - 28 - 2 01 1 ~'_~F~K ~~~' .., ~ ~` SCOTT W ~0~~~~~~~~4~'~~~1` ,'~~'a 6 W MAIN ST PO BOX 232 NEW BLOOMFIELD PA 17068 ESTATE OF MCLAUGHLINI GROVER H DATE OF DEATH 02-21-2010 FILE NUMBER 21 10-0232 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 w:ithi your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~n~w~~~~~~~~~~~~~~~~~~^ REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:MCLAUGHLIN GROVER H FILE NO.: 21 10-0232 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: ~i_~ PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) 05-15-2010 CD012759 575.77 03-10-2011 REFUND .00 AMOUNT PAID 12,000.00 1,Ob0.34- TOTAL TAX PAYMENT 11,515.43 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE * 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 01= THIS FORM FOR INSTRUCTIONS. .00