HomeMy WebLinkAbout06-20-11~' ,,.~,r ~"'"; i ~` ~,E C~~'I N H E R I T AN C E TAX
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BUREAU OF INDIVIDUAL T~ ~ t ,.,~ , ..~ ;;,!t;~~ATEMENT OF ACCOUNT
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INHERITANCE TAX DIVISION [11~i.., : L ~ ~;~ ~~~,. .
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pennsylvan~a ~. •
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-10)
PO BOX 280
uerzrtiSBURG PA 17128-0601 06_13-2011
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MICHAEL A ~~E~~
106 S 18TH STREET
CAMP HILL PA 17011
DATE ROSEALIE
ESTATE OF ANDREOLI
DATE OF DEATH 04-20-2011
FILE NUMBER 21 11-0599
COUNTY CUMBERLAND
ACN 11130290
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
our account, submit the upper Portion of this form with your tax payment.
NOTE: To ensure proper credit to Y
RETAIN LOWER PORTION FOR YOUR R ACCOUNT
G THIS LINE ~ .......................... STATEMENT~OF•••••................................
CUT ALON *** INHERITANCE TAX
REV X1607 SEX AFP C12 10) ~~
FILE NO.: 21 11-0599 ACN: 11130290 DATOF OH PRINCIPAL
ROSEALIE
ESTATE OF:ANDREOLI
S CURRENT STATUS OF THE STATED ACN INANDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGURE.
THIS STATEMENT ~ROVI)E
~~.,.~ nr ei I PAYMENTS, THE CURRENT EALANCE,
TAX DUE, arr~l~~~ Lam,. _. __
OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-06-2011
DATE 44.91
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+)
PAYMENT NUMBER INTEREST/PEN PAID C-)
DATE
2.25
05-19-2011 CD014493
AMOUNT PAID
44.91
47.16
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
2.25Ck
.00
TOTAL DUE ~ 2.25C'
PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATgENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
* IF
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MA
FOR INSTRUCTIONS.