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HomeMy WebLinkAbout07-05-11BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 s~F~,,i~~ r~'I_` ~.~~~~ ANCE TAX ~; ,,; . 'rE~I~, ~ OF ACCOUNT A S, ~ f ~`~r"r _ V F ~ ~ ~ W c~E~K a~ ORPNAl~'S ~~~JR ELAINE A OHARA 715 E WINDING HILPAR0~055 MECHANICSBURG ., pennsylvan~a n ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) DATE 06-20-2011 OHARA MICHAEL L ESTATE OF DATE OF DEATH 03-09-2010 FILE NUMBER 21 10-0587 COUNTY CUMBERLAND ACN 10116649 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 HIS LINE ~" ......................... STATEMENT~OF'.................................... CUT_ALONG T *** INHERITANCE TAX REV 1607 SEX AFP C12 10~ ~~~~~ ILE NO .: 21 10 - 0587 ACN : 10116649 DATEF OH PRINCIPAL MICHAEL L F ESTATE OF:OHARA CURRENT STATUS OF THE STATED ACN IN NDE IFMAPPLICABLE,BALPROJECTED INTEREST FIGURE. THIS STATEMENT PROVIDES .~ .,~ ni ~ PAYMENTS, THE CURRENT EALANCE, TAX DUE, APPL1t,.H~ L~,~ "~ ~--- F LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-06-2011 DATE 0 461.12 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE 05-24-2011 RECEIPT NUMBER CD014506 ID SCOUNT C+~ INTEREST/PEN PAID C-) .00 INTEREST IS CHAPLICABLEOASHOUTLINEDOON THE AT THE RATES AP REVERSE SIDE OF THIS FORM.* AMOUNT PAID 74.06 74.06 TOTAL TAX PAYMENT 387.06 BALANCE OF TAX DUE 7.89 INTEREST AND PEN. TOTAL DUE ~ 394.9= ID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATIENDUE ADREFUNDALSEET REVERSE SIDE OF THIS FORM * IF PA IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY FOR INSTRUCTIONS.