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HomeMy WebLinkAbout06-20-11~~ ~~`~~ ~~ ~'~`ECE ~~~f,. ~~~.~..~ t~-'~ ~' NHERITANCE TAX BUREAU OF INDIVIDUAL TAX ~~.~ ;~,}~ -~~' ~`~,~: `.:{~~~ TEMENT OF ACCOUNT INHERITANCE TAX DIVISION ~~,',,~IJ ~ ~_• ~ '~wri , k..-. • ~~ i~, ennsylvan~a ~ ~ • DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) PO BOX 280601 HARRISBURG PA 17128-0601 0 6 - 13 - 2011 P, ~'~ "`' DATE ATHRYNE E i ~ v,4~~ L~ ~ j"~ ~w..' t.~' 1 Ci~ER~t 4~ RT ~~~~~I..A~lD ~~., pA, DAVID H STON 414 BRIDGE ST NEW CUMBERLAND PA 17070 OHARA K ESTATE OF DATE OF DEATH 05-16-2010 FILE NUMBER 21 10-0627 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SAUARE CARLISLE PA 17013 account, submit the upper Portion of this form with your tax payment. NOTE: To ensure proper credit to your RETAIN LOWER PORTION FOR YOUR R ACCOUNT IS LINE ~'~' ..........................TATEMENT~OF•••••................................ CUT_ALONG TH **~ INHERITANCE TAX S REV 1607 SEX AFP C12 10~ ~~~~~~ 101 DATE: 06-13-2011 vwTUQVIJE E FILE NO.: 21 10-0627 ACN: „~.~ rc n c11MMARY OF THE PRINCIPAL ESTATE OF:OHARA TS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGUR . THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ...r~.~ nG el_L LAYMEN TAX DUE, APF'i-1~N~ •"" "' ""-- F LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-2011 DATE 0 10,086.52 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE 08-14-2010 02-14-2011 RECEIPT NUMBER CD013223 CD014017 DISCOUNT C+) AMOUNT PAID INTEREST/PEN PAID C-) ~- 368.42 7,000.00 .00 2,718.10 10,086.52 TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. TOTAL DUE .00 AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIONDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM * IF PAID IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY B FOR INSTRUCTIONS.