HomeMy WebLinkAbout07-05-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
CLERK Or
ORPf-~'~ COURT
S M ILLS CUME3ER~..~~~~`~ {;~ . PA,
MARY
LOT 529
90 SALEM CHURCH RD
MECHANICSBURG PA 17050
~~L~~~~ r~..r~;.,! 4.~~~~~ TANCE TAX
~~`~ J;; i'q~~~`~I~IT OF ACCOUNT
ennsylvan~a -~ ~ ,
P
DEPARTMENT OF REVENUE ;
REV-1607 EX AFP C12-10)
06-20-2011
DATE SAMPSON DAISY
ESTATE OF
DATE OF DEATH 03-02-2011
FILE NUMBER 21 11-0525
CUMBERLAND
COUNTY
11126210
ACN
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
dit to your account, submit the upper portion of this form with your tax payment.
NOTE: To ensure proper cre
LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
CUT ALONG THIS ~~~~~~~,^^^.^ ...............^E TAX STATEMENT~OF ~ACCOUFIT ~~~~~~~~~~~~••••••••^•••••^
~~~~~^ ................. *** INHERITANC
REV-1607 EX AFP C12-10~
_____.. neTSY FILE N0.:21 11-0525 ACN_ 11126210 DATE: 06-20-2011
r~ w c11MMARY OF THE PRINCIPAL
ESTATE OF:Sq~Ir~~~~ -
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED
ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
_ _.._ .~.~ rrnTTnN •F
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-06-2011
44.33
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITS):
RECEIPT DISCOUNT C+~
PAYMENT NUMBER INTEREST/PEN PAID C-~
DATE
CD014413 2'22
04-28-2011
AMOUNT PAID
44.33
46.55
TOTAL TAX PAYMENT
2.22
BALANCE OF TAX DUE
.00
INTEREST AND PEN.
TOTAL DUE ~ 2.2
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCUAyTgENDUE ADREFUNDALSEETREVERSE SIDE OF THIS FORM
IF TOTAL DUE IS REFLECTED AS A "CREDIT' CCR), YOU M
FOR INSTRUCTIONS.