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HomeMy WebLinkAbout06-20-11BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ~FC~ '"~ti..~~;'..~`'~~W~~ANCE TAX ~~ ~ ~ ~~ tai ; ~~~T~-'~E1~',~,I~,, OF ACCOUNT f,, ^ h x T' c~~~ ~~ R~ SC H M I TT a~~~~~~ ~Q" PA DAVID 6 EAST GREENHOUSE ROAD DILLSBURG PA 17019 pennsylvan~a • ~~4 DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 06-13-2011 CALVER ELIZABETH ESTATE OF DATE OF DEATH 04-15-2011 FILE NUMBER 21 11-0558 COUNTY CUMBERLAND ACN 11129176 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 edit to your account, submit the upper portion of this form with your tax payment. NOTE: To ensure proper cr _ INE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -~ CUT ALONG THIS L ~^~~~~~~~~,^^^^...........•~^CE TAX STATEMENT~OF ACCOUNT ~~~~~~~~~~~•••^••• ••••• •^ ~~~^^^^ ............... ~** INHERITAN REV-1607 EX AFP C12-10~ ___ ciT70gETH FILE N0.:21 11-0558 ACN: 11129176 DATE: 06-13-2011 ... . c~IYMARV nF THE PRINCIPAL ESTAI t ur : ~„~ ~ ~^ ---- THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN T .r,n~rreTTnN OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIG fAX LUt, r~rr ~.~--• DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-06-2011 3.79 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): RECEIPT DISCOUNT C+) PAYMENT NUMBER INTEREST/PEN PAID C-) DATE .19 05-05-2011 CD014431 ,00 06-06-2011 SBADJUST AMOUNT PAID 3.60 3.79 7.58 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. 3.79CR .00 TOTAL DUE ~ 3.79CR * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULAyTgENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU M FOR INSTRUCTIONS.