HomeMy WebLinkAbout09-23-11COMMONWEALTH CF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDI VIDUAI_ TAXES
DEPT. 280601
HARRISBURG, PA 7728-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
N0. CD 014996
LASKOWSKI STANLEY J q
3631 N FRONT ST p
HARRISBURG, PA 17110-1533
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ESTATE INFORMATION :
SSN: 139-09-7984
FILE NUMBER: 2110-0242
DECEDENT NAME: MITTELSDORF GERTRUDE
DATE OF PAYMENT: 09/23/201 1
POSTMARK DATE: 09/23/201 1
couNrY: CUMBERLAND
DATE OF DEATH: 02/ 1 3/2010
REMARKS: RECEIPT TO ATTY
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
55.26
CHECK#57559
INITIALS: HMW
SEAL
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES ,-`',';~' ~ INHERITANCE TAX
INHERITANCE TAX DIVISION
Po Box zao661 - ~STAT~E1M~~jT OF ACCOUNT
HARRISBURG PA 17128-0601
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STANLEY J A LASI(4~{J/S~ ~~f`~ ~' `-'~~~ !,~{~
3631 N FRONT ST ~ ~` ~ '~~~~~, F~,~
HBG PA 17110
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1607 EX AFP C12-10) ~~~-
DATE 05-31-2011
ESTATE OF MITTLESDORF
DATE OF DEATH 02-13-2010 GERTRUDE
FILE NUMBER 21 10-0242
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NDTE: To ensure proper credit to your account, submit the u
Pper portion of this form with
CUT ALONG THIS LINE your tax payment.
...............................~....R:T;IN LOWER ~ORTION~FOR~ ~OUR~R~~ORD:.....:~.....................
REV-1607 EX AFP C12-10) *~* INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:MITTLESDORF GERTRUDE
FILE NO.: 21 10-0242 er_u. ,n,
THIS STATEMENT Punvrnro .-
-"-"~-'-~+ ~~+nRC1Y1 ~iq~US OF THE STATED ACN IN THE NAMED ESTATE. BELOWvIS A SUMMARY'OF• HE PRINC I~PAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF' APPLICABLE, A PROJECTED TNTCDrcr ~.,...__
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-29-2011
PRINCIPAL TAX DUE:
20,588.31
PAYMENTS CTAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
05-26-2010 CD012797
11-30-2010 CD013717
04-29-2011 CD014390
DISCOUNT (+)
INTEREST/PEN PAID C-)
.00
.00
13.58-
AMOUNT PAID
16,700.00
3,009.39
892.50
BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-30-2011 TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
20,588.31
00
~_
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. 5 26
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.