Loading...
HomeMy WebLinkAbout04-27-11n .~-. BUREAU OF INDIVIDUAL TAXES ~ 1 ~ l~ `~•.ll[F~+RITANCE TAX INHERITANCE TAX DIVISION ;-~~ - $:TAf T R E N T O F A C C O U N T PO BOX 280601 - _ HARRISBURG PA 17128-0601 ,.~~ ~;7 r t~. CLERK ~~F oR~>-~a,r~~~ ,~iJ,y~T DONALD W STOIJF'FE'12 '' - ~ Fr, 292 STEELSTOWN RD NEWVILLE PA 17241 Pennsylvania i~~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114209 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OIF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................................................................................................ REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACNI: 11114209 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-D4-2011 PRINCIPAL TAX DUE: 22.86 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-2011 CD014085 .00 22.86 TOTAL TAX PAYMENT ~ 22.86 BALANCE OF TAX DUET .00 INTEREST AND PEN. I .00 TOTAL. I)UE 00 ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r BUREAU OF INDIVIDUAL TAxES rr ' ~IQ~ERITANCE TAX INHERITANCE TAX DIYISION rI_'., ~ ~'~~ MEN T O F A C C O U N T PO BOX 280601 ~ - HARRISBURG PA 17128-D601 CLERK C~ ((;;~~ JORPH.aPd~S ~~ !JR i RICHARD E STUU`F1F'E'ff~ `^r,'t'.~ ~^;-~, P~~. 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN Pennsylvania ~ ~~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) 04-18-2011 'STOUFFER AMY E 11-21-2010 21 11-0300 I~UMBERLAND L1114129 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER Of= WILLS 1 COURTHOUSE SQUARE CARLISLE f'A 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................................................................................................ REV-1607 EX AFP C12-10) ~** INHERITANCE TAX STATEMENT OF ACCOUNT **~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACN: 11114129 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22.57 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 03-07-2011 CD014083 .00 22 57 TOTAL TAX PAYMENT ~ 22.57 BALANCE OF 1"AX DUE I .00 INTEREST AND PEN. I .00 TOTAL DUE .00 ^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXE~+~,`~~'• ! ~ ddHERITANCE TAX INHERITANCE TAX DIVISION ~t~ E M E N T O F A C C O U N T PO BOX 280601 ..~, j _ ~ i ! HARRISBURG PA 17128-0601 ~ •- - - -. ~~~..~-.~~ [+ .^ ,. ...i k 7i f~li L ! ~ (..' c~ERK c~ ~RPf it ~` ^,~ ~~1,- RICHARD E ti[~4~~~i.~R°,^,,.~' ~.,1? Pr+. 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 Pennsylvania r. DEPARTMENT OF REVENUE REY-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114197 Amount Remitted MAKE CHECK PAY~4BLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~-_ RETAIN LOWER PORTION FOR YOUR REI:ORDS _ ~ _ _____ REV 1607 SEX AFP C12 10~ ~~~~ *** INHERITANCE TAX STATEMENT~OF~AiECOUNT ~*** ~~~~~~~~~~~~~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACIN: 11114197 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 45.67 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-20111 CD014083 I .00 45.67 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST E\ND PEN. TOTAL DUE ^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 45.67 .00 .00 .00 BUREAU OF INDIVIDUAL TAXI ~~'? L'(''~ NHERITANCE TAX INHERITANCE TAX DIVISION ~a TT E M E N T O F A C C O U N T PD BOX 280601 -s~ -~ I , HARRISBURG PA 17128-06D1 - ' -' ~- ' ~ --~-'~ J ~, CLERK OL ~RPF'~~ S ,,+~ R RICHARD E ~r~I~i~~ER~~i(-, ~ ~~ PA 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP C12-10) -- DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114128 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OAF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion. of this form with your tax payment. CUT ALONG THIS LINE _~ RETAIN LOWER PORTION FOR YOUR RECORDS __~ __ _ _ _ _____ REV X1607 EX AFP C12 10 ~ ~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT *** ~ ~~~~ ~ ~~~~ ESTATE OF:STOUFFER AMY E FILE N0.:21 11-0300 ACN: 11114128 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22.65 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-07-2011 CD014083 .00 22.65 TOTAL T,AX PAYMENT 22.65 BALANCE OF' TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE I .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL IITEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. '~ rrn~.-~----- ~..~. BUREAU OF INDIVIDUAL TAXES ~ ( 'r- ~'NHERITANCE TAX INHERITANCE TAX DIVISION _`_ - ';$ T~~-T E M E N T O F A C C O U N T PO BOX 280601 ~ '- ` ~~ - ' HARRISBURG PA 17128-0601 c~ ~~~ cF Q~~Fn~ ~d~ ~.~ ~i)~i~ R I C H A R D E f r ~- r~~~-,~ r ~~ p?y 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 Pennsylvania i ~~ ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114200 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER GF WILLS 1 COURTHOUSE SQUARE CARLISLE. PA 17013 NOTE: To ensure proper credit to your account, submit the upper portior~ of this form with your tax payment. CUT ALONG THIS LINE _~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ _ REV X1607 SEX AFP C12 10~ ~ ~~ **~ INHERITANCE TAX STATEMENT OF~ACCOUNT~~***~~~~~~~~~~ ~~~~~ ~~~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACN: 11114200 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22'77 PAYMENTS tTAX CREDITS): P DAM ENT RNU BER INTEREST/ EN PA D (-)I AMOUNT PAID 03-07-20111 CD014083 I .00 22.77 TOTAL TAX PAYMENT I 22.77 BALANCE OF' TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE I .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL IITEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. r~~ ~', `_ °~'1- OlINHERITANCE TAX BUREAU OF INDIVIDUAL TAXi~~,:.' ' `' ~~~- INHERITANCE TAX DIVISIDN ~'' Po eox zao6ol ,-,; ;S,rt~ATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 -, ~.~ ~, -a ~^ u Ci~~Ft~~( r'F ~' l~i 1,4,nd ~~ ~_~OIJiIT DONALD W ~~b'F~.~;.,~,,``, ,~~~ , P,~ 292 STELSTOWN RD NEWVILLE PA 17241 Pennsylvania i DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114208 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOl1SE SQUARE CARLISLE: PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT_ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ _ _ _ __ _ REV 1607~EX AFP C12 10~ ~~~~ *** INHERITANCE TAX STATEMENT OF~ACCOUNT~~***~~ ~ ~~~~~ ~~ ~ ~ ~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACN: 11114208 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22.58 PAYMENTS CTAX CREDITS: PAYMENT RECEIPT DISCOUNT (+~ AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-2011 CD014085 .00 22.58 TOTAL TAX PAYMENT BALANCE OF~ TAX DUE INTEREST AND PEN. TOTAL DUE ^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 22.58 .00 .00 .00 by BUREAU OF INDIVIDUALi`AkE;s I ~ - ~~' INHERITANCE TAX INHERITANCE TAX DIVISION ~, , '' ! .STATEMENT D F A C C O U N T PO BOX 280601 ~"`' HARRISBURG PA 17128-0601 11V v i/`v +I A.~.,~~, ,, .,, RICHARD ~~"'~'Cb~t~`FE'R'~''~ ~~`;~ 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 pennsylvania ~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) -- DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114198 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOLISE SQUARE CARLISLE: PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ _ __ _____ _ REV X1607 SEX AFP C12 10) ~~~~ *** INHERITANCE TAX STATEMENT~OF~ACCOUNT~~***~ ~~~~ ~~~~ ~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACN: 11114198 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRDJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 _ PRINCIPAL TAX DUE: _ 22.60 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-2011 CD014083 .00 22.60 TOTAL TAX PAYMENT 22.60 BALANCE OF= TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE I .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL. INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES ~~, ~~~iV~WERITANCE TAX INHERITANCE TAX DIVISION ~~~ S T /k.T.~' M E N T O F A C C O U N T PD BOX 280601 HARRISBURG PA 17128-0601 •7 CLEF~~ OF ORFF~ 1 r 'c r~~ ; ,R ; ~ V~,~Ui ~ [~~~~ERr A+ r f1^I r ^~ DONALD M ST f 292 STEELSTOWN RD NEWVILLE PA 17241 Pennsylvania s ~~ DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114205 Amount Remitted MAKE CHECK PAY~4BLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion o~f this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~H~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~^ REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACIV: 11114205 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATF=. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22.b5 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-20111 CD014085 I .00 22.65 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIDNAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 22.65 .00 .00 .00 1~ = Pennsylvania - ~r, ~,_~ O, CF BUREAU OF INDIVIDUAL' "fQ~Xf~ . INHERITANCE TAX ~ , \ DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~,~-~' ~ " ' ` '" { STATEMENT O F ACCOUNT ~~ i ~ ~- REV-1607 EX AFP (12-10) PO BOX 280601 ~ - - HARRISBURG PA 17128-0601 ~_ i 4 i '. - .~ ~ ~ ~ DATE 04-18-2011 I r i Cyr" j'Iti ~;' r.,~~ I~'T RICHARD ~TOU~F~R`"` " 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114202 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion o•f this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR REI:ORDS ~ REV-1607 EX AFP C12-10) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~* ESTATE OF:STOUFFER AMY E FILE N0.:21 11-0300 ACW: 11114202 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE:. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 75.51 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-07-2011 CD014083 .00 75.51 TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 75.51 .00 .00 .00 r BUREAU OF INDIVIDUAL TAX&r - ~. ~~~ O~NHERITANCE TAX INHERITANCE TAX DIVISION - ;~$!i~1 T E M E N T O F A C C O U N T PO BOX 280601 ,... .. _. HARRISBURG PA 17128-D601 ~„ !, ~LEI-~r, ~_~ F r` k'~.'^~~ r~ .1 ~T c ~~ f i i ~ ~ ~ ~~ ~I ~ i RICHARD E S~~k1tC~FER •- ^~': ~"'• 158 SPRUCE HOLLOW RD CONNELLSVILLE PA 15425 Pennsylvania i DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114204 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR REI:ORDS ~ ~ ~~~ ~ ~~~~~~~~~~~~~~~~~~~~ ~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ H ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~ ~ ~^ REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACIV: 11114204 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 15.01 PAYMENTS CTAX CREDITS): P DATE T I NUMBER (INTEREST/PEN PAID C-) AMOUNT PAID l 03-07-2011 CD014083 ~ .00 15.01 TOTAL TAX PAYMENT I 15.01 BALANCE OF TAX DUET .00 INTEREST AND PEN. ~ .00 TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 li..~f -{~,.,_, _ ,.~ ~~ Pennsylvania i BUREAU OF INDIVIDUAL TAXES_ ~ ~' (''I' INHERITANCE TAX DEPARTMENT OF REVENUE ~, INHERITANCE TAX DIVISION " ;~;._.i~T AT E M E N T O F A C C O U N T REY-1607 EX AFP (12-10) PO BOX 260601 ~ ~~- - '-~ - HARRISBURG PA 17128-0601 R ^i!' CLERK !.;~~ DONALD M~s'i~'0{}F~1=R`~ ~,I' ~ ~~1' 292 STEELSTOWN RD NEWVILLE PA 17241 DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114199 Amount Remitted MAKE CHECK PAY~4BLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion o'` this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RE(:ORDS ~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~N~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~^ REV-1607 EX AFP C12-10) *~* INHERITANCE TAX STATEMENT OF ACCOUNT ~~~ ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACW: 11114199 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE:. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 22.77 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOIINT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-07-2011 CD014085 .00 22.77 TOTAL TAX PAYMENT 22.77 BALANCE CIF TAX DUE .00 INTEREST AND PEN. .OD TOTAL DUE .00 + IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS. BUREAU OF INDIVIDUAL TAXES ~i• '~.' ! ~~•~.N.INERITANCE TAX INHERITANCE TAX DIVISION ~~ S t l~'~ ~, M E N T O F A C C O U N T PO BOX 280601 i ~ , HARRISBURG PA 17128-0601 CLERK ~`)~~ Rp~.~nn - ,~=,,,~ L.r DONALD M STO~~~FEII`r'~ ~.\' ~r 292 STEELSTOWN RD NEWVILLE PA 17241 Pennsylvania i DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114201 Amount Remitted MAKE CHECK PAYR-BLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE 'PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS r+ly ................................................................................................................ REV-1607 EX AFP C12-10) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~* ESTATE OF:STOUFFER AMY E FILE N0.:21 11-0300 ACM: 11114201 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 75.51 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT (+~ DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID 03-07-2011 CD014085 .00 75.51 TOTAL TAX PAYMENT ~ 75.51 BALANCE OF TAX DUET .00 INTEREST AWD PEN. ~ .00 TOTAL I)UE + IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INT=REST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 ~Q ~~,~ ~._~ BUREAU OF INDIVIDUAL TAXES ',~ r~~F{`~tITANCE TAX INHERITANCE TAX DIVISIDN is S TAr,7~~ FJ E N T O F A C C O U N T PO BOX 280601 ~ _ ,. _... , , , ,..~~ HARRISBURG PA 17126-0601 ,. e .~:1 . , C. 1 t E . ,._ v DONALD M STOUr6~&~:"~ ~ ,' •~'~`_l Cj} 292 STEELSTOWN RD NEWVILLE PA 17241 Pennsylvania i } DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) DATE 04-18-2011 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114203 Amount Remitted MAKE CHECK PAY~IBLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................................................................................................ REV-1607 EX AFP (12-10~ **~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACNI: 11114203 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 15.01 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-~ 03-07-2011 CD014085 .00 15.01 TOTAL TAX PAYMENT 15.01 BALANCE OF 'TAX DUE .00 INTEREST ANID PEN. .00 TOTAL DUE .00 ^ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTF=REST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE F:EVERSE SIDE DF THIS FORM FOR INSTRUCTIONS. a r,, r'1 f~1 r~ BUREAU of INDIVIDUa~«f~;X,ES `;,, , ~, INHERITANCE TAX POHBOXT280601~ °rv1s1oN ~~.-,:.._ - .. _ ~ ~ STATEMENT OF ACCOUNT HARRISBURG PA 17128-0601 - ~, .' J - C~E~<, n~ Cllrvl~ ~f i '4',,' I I ( ~ , ~fl DONALD M STOUFFER 292 STEELSTOWN RD NEWVILLE PA 17241 Pennsylvania , i DEPARTMENT OF REVENUE REV-1607 EX AFP (12-10) LXI C UHF-125-LU11 ESTATE OF STOUFFER AMY E DATE OF DEATH 11-21-2010 FILE NUMBER 21 11-0300 COUNTY CUMBERLAND ACN 11114206 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER 01= WILLS 1 COURTHOUSE SQUARE CARLISLE I'A 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS REV-1607 EX AFP C12-10) **~ INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:STOUFFER AMY E FILE NO.: 21 11-0300 ACN: 11114206 DATE: 04-18-2011 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-04-2011 PRINCIPAL TAX DUE: 77.61 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID 03-07-2011 CD014085 .00 22.61 TOTAL TAX PAYMENT BALANCE OF' 7'AX DUE INTEREST AN1D PEN. TOTAL DUE ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 22.61 .00 .00 .00 s