HomeMy WebLinkAbout06-20-11 (3)BNHERITANCE TAX DIVISION TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
~~ TANCE TAX
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`CLERK ~~ URT
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NORMAN C BAILE~~~~=`~ ~~., PA
31 HICKORY ROAD PA 19540
MOHNTON
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DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-10)
DATE 06-13-2011 NICOLE M
ESTATE OF BAILEY
DATE OF DEATH 06-•11-2010
FILE NUMBER 21 10-0672
COUNTY CUMBERLAND
ACN 11001804
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQ70R3
CARLISLE PA
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 ~'~' ......................... TEMENT~OF .....................................
CUT ALONG THIS *** INHERITANCE TAX STA
REV X1607 SEX AFP C12 10~ ~~~~~~~~•
21 10-0672 ACN: 11001804 DATE: 06-13-2011
.~Trn~ F M FILE NO • : ~, ,,,., rc a SUMMARY •F THE PRINCIPAL
ESTATE OF:BAILEY
IS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAM -
H TS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FI
T ~,..,.~ nr el I_ rAYMEN
TAX DUE, APPLtcv~il~^ ~' "--
AST ASSESSMENT OR RECORD ADJUSTMENT: 04-18-2011
DATE OF L 720.00
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS:
PAYMENT
DATE
05-06-2011
06-10-2011
RECEIPT
NUMBER
CD014438
SBADJUST
DISCOUNT t+) AMOUNT PAID
INTEREST/PEN PAID C-~ ---
3.13- 723.13
.18
.00
720.00
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE
.00
INTEREST AND PEN. __
TOTAL DUE .00
TER THIS DATE, SEE REVERSE SIDE FOR CALCULATIDNDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
* IF PAID AF
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY B
FOR INSTRUCTIONS.