HomeMy WebLinkAbout06-20-11 (2)BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
BRIDGET L BAILEY
31 HICKORY ROAD
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Ut ~~~~~~~~ t TAX
~~~~~~y`!~~ ACCOUNT
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ennsylvan~a ~ ~ ~~
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
~~c +~~ ^-.s t~-;. ~="' DATE 06-13-2011 M
~ji i ~ .~~i~ ~~ ~ ; - 1."'-' ~~ BAILEY NICOLE
ESTATE OF
DATE OF DEATH 06~-11-2010
C~~~K ~~ FILE NUMBER 21 10-0672
QRP'1--~A~f'S ~~}URT CUMBERLAND
COUNTY
~~~~+~~'~ ~'~~° PA ACN 11001805
~. Amount Remitted
MOHNTON PA 19540
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
RETAIN LOWER PORTION FOR YOUR R ACCOUNT
LINE ~'` .........................ATEMENT~OF.....................................
CUT ALONG THIS *** INHERITANCE TAX ST
REV X1607 EX AFP C12 10) ~~~~~~~~
E N0.:21 10-0672 ACN: 11001805 DATE: 06-13-2011
NICOLE M FIL
ESTATE OF :BAILEY E STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPA
IS THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGUR .
STATEMENT PROVIDES CURRENT STATUS OF TH
TH _,,,, ~r e~ ~ rAYMENTS,
TAX DUE, Arr~l~~~ ~~~~ -~
LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-2011
DATE OF 1,920.00
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+~
PAYMENT NUMBER INTEREST/PEN PAID C-)
DATE
8.34-
05-06-2011 CD014436 ,00
06-10-2011 SBADJUST
AMOUNT PAID
1,928.34
.48
1,920.00
TOTAL TAX PAYMENT
----- . 0 0
BALANCE OF TAX DUE
----- . 0 0
INTEREST AND PEN. ~_
AL 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.