HomeMy WebLinkAbout06-20-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
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j'~~~,~~'r~;.~~~ f/~[[1~"/j~NCE TAX
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BRIDGET L BAILEY
31 HICKORY ROAD PA 19540
MOHNTON
pennsylvan~a ~ • ;
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 06-13-2011
BAILEY NICOLE M
ESTATE OF
DATE OF DEATH 06-11-2010
FILE NUMBER 21 10-0672
COUNTY CUMBERLAND
ACN 11001806
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ccount, submit the upper Portion of this form with your tax payment.
NOTE: To ensure proper credit to your a
YOUR RECORDS ~
LINE ~ RETAIN LOWER PORTION FOR ***
.........................ATEMENT~OF ACCOUNT '.........................
CUT ALONG THIS *** INHERITANCE TAX ST
REV X1607 SEX AFP C 12 10) ~~~~ ~~~
N0.:21 10-0672 ACN: 11001806 DATE: 06-13-2011
-~rrfll F M FILE .,~, ,,,., Te a SUMMARY •F THE PRINCIPAL
ESTATE OF:BAILEY
IS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAME -
H TS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FI
T ~~.,.~ nc el L rAYMEN
TAX DUE, APPLI~A~ l~~` "' "--
LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-2011
DATE OF 342.00
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
PAYMENT
DATE
05-06-2011
06-10-2011
RECEIPT
NUMBER
CD014437
SBADJUST
DISCOUNT C+) AMOUNT PAID
INTEREST/PEN PAID C-)
1.49_ 343.49
.08
.00
~- 342.00
TOTAL TAX PAYMENT
----' . 0 0
BALANCE OF TAX DUE
----- . 0 0
INTEREST AND PEN.
AL DUE .00
TER THIS DATE, SEE REVERSE SIDE FOR CALCULATIONDUE ADREFUNDALSEET REVERSE SIDE OF THIS FORM
* IF PAID AF
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
FOR INSTRUCTIONS.