HomeMy WebLinkAbout04-27-11BUREAU of INDIVIDUAI{~~pXr,~~~ ;, INHERITANCE TAX
INHERITANCE TAX DIVISION ~~- ~~'
Po Box zaocol t "~ ~ c` STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601 _ - ~ '
CLEPK CF
P~r"i~~ ~' r.ni nT
,R, i J 'v.li.,lfl l
WM D SCHI~(~ns(EP~T-`„ a ~,, PA
124 W HARRISBURG ST
DILLSBURG PA 17019
Pennsylvania i
DEPARTMENT OF REVENUE -
REV-1607 EX AFP (12-10)
DATE 04-11-2011
ESTATE OF SHIVELY DAVID G
DATE OF DEATH 05-19-2010
FILE NUMBER 21 10-0537
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:SHIVELY DAVID G FILE NO.: 21 10-0537 ACN: 101 DATE: 04-11-2011
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: 03-21-2011
PRINCIPAL TAX DUE: 28,672.93
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
08-02-2010 CD013164 1,433.65 28,500.00
03-24-2011 REFUND .00 1,260.72-
TOTAL TAX PAYMENT ~ 28,672.93
BALANCE OF TAX DUET .00
INTEREST AND PEN. I .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. ~~