HomeMy WebLinkAbout07-15-11BUREAU OF INDIVIDUAL TAXES +~1, T~~r
INHERITANCE TAX DIVISION ~~vv~~ '~~ ' r ~;i '` TANCE TAX
PO BOX 280601 _ ~
HARRISBURG PA lnzs-o6o1 ~;,r ~t ~ _ 37AT~~EIVT OF ACCOUNT
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CLERK 0{=
JANE M ALEXANDER ~'iRPH~~ ` `%~URT
148 S BALTIMORE SCUtv1:. 't~~_;~jh'f~, t"~!~~ ~A
DILLSBURG PA 17019
Pennsylvania
DEPARTMENT OF REVENUE ~,
REV-1607 EX AFP (12-10)
DATE 07-05-2011
ESTATE OF FORTNEY
DATE OF DEATH 05-04-2010 MARY H
FILE NUMBER 21 10-0495
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PA~'ABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
NOTE: To ensure proper credit to CARLISLE PA 17013
your account, submit the u
CUT ALONG THIS LINE PPer portion of this form with
...............................~....R :TA:N LOWER~POR~ION~ FOR.........................our tax payment.
REV-1607 EX AFP C12-10) YOUR REI:ORDS
*** INHERITANCE TAX STATEMENT OF A(:000NT ***
.................
ESTATE OF:FORTNEY
21 10-0495 ACM: 101
THIS STATEMENT PROVIDES CURRENT sMA R s OF THE STATED ACN•IN THE NAMED ESTAT
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, DATE: 07-05-2011
E. ItELOW IS A SUMMARY OF THE PRINCIPAL
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-31-2011
PRINCIPAL TAX DUE:
PAYMENTS CTAX CREDITSJ: 6,540.30
PAYMENT
DATE RECEIPT
DISCOUNT
07-27-2010 NUMBER (+~
INTEREST/PEN PAID (-~
AMOUNT PAID
CD013106
03-28-2011 CD014200 255.79
4,860
00
06-08-2011 CD014556 .00 .
1,172.99
7.55-
259.36
TOTAL TAX PAYMENT
6,540.59
BALANCE OF TAX DUE
.29CR
INTEREST AND F'EN.
.00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. '29CR
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVEF;SE SIDE OF THIS
FOR INSTRUCTIONS.
FORM