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HomeMy WebLinkAbout06-20-11r,~ ~~~ ,-~ ~ F?,~~~~ IHERITANCE TAX BUREAU OF INDIVIDUAL TAx~. ;~ ,~,~" Y ~-'`._ ,~~~~TEMENT OF ACCOUNT INHERITANCE TAX DIVISION __.. ennsylvan~a ~t. • :" DEPARTMENT OF REVENUE ` REV-1607 EX AFP C12-10) 7 PO BOX 280601 HARRISBURG PA 171zs-o6o1 DATE 0 6 -13 - 2011 RGARET R CPt~ S ~ ., P~ FRANKL I N L F~~~~~ 534 ELLENCROFT RDPA 17339 LEWISBERRY FAILING MA ESTATE OF DATE OF DEATH 02-12-2011 FILE NUMBER 21 11-0314 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE 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 ~' ........................ STATEMENT~OF'••.................................. CUT ALONG TH *** INHERITANCE TAX REV X1607 SEX AFP C12 10~ ~~~~~~ 101 DATE: 06-13-2011 21 11-0314 ACN: ESTATE OF:FAILING MARGARET RFILE NO.: THE STATED ACN IN THE NAMED ESTATE. BpLPR ECTED INTEREST FIGUREINCIPA THIS STATEMENT PROVIDES CURRENT STATUS OF .~ .,~ nii PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABL , TAX DUE, APPLlt-H~ l"~~ ~~ "-- LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-09-2011 DATE OF 282'83 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): DISCOUNT t+) AMOUNT PAID PAYMENT RECEIPT NUMBER INTEREST/PEN PAID C-~ DATE 14.04 266.80 03-07-2011 CD014100 ,00 1,99 05-09-2011 SBADJUST .00 1.99 05-17-2011 CD014484 ~- 284 .82 TOTAL TAX PAYMENT --- 1.99C BALANCE OF TAX DUE --- .00 INTEREST AND PEN. TOTAL DUE 1.99 D AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM * IF PAI IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY FOR INSTRUCTIONS.